Increased levels of karyopherin a2 (KPNA2) expression have been described to be linked to poor prognosis in a variety of malignancies. This study was undertaken to evaluate the clinical impact of KPNA2 expression and its association with key genomic alterations in prostate cancers. A tissue microarray containing samples from 11 152 prostate cancers was analyzed for KPNA2 expression by immunohistochemistry. Results were compared with oncological follow-up data and genomic alterations such as TMPRSS2-ERG fusions and deletions of PTEN, 5q21, 6q15 or 3p13. KPNA2 expression was absent or weak in benign prostatic glands and was found to be in weak, moderate or strong intensities in 68.4% of 7964 interpretable prostate cancers. KPNA2 positivity was significantly linked to the presence of ERG rearrangement (Po0.0001). In ERG-negative and -positive prostate cancers, KPNA2 immunostaining was significantly associated with advanced pathological tumor stage (pT3b/ pT4), high Gleason grade and early biochemical recurrence (Po0.0001 each). Multivariate analysis including all established prognostic criteria available after surgery revealed that the prognostic role of KPNA2 (P ¼ 0.001) was independent of high Gleason grade, advanced pathological tumor stage, high preoperative prostatespecific antigen level and positive surgical margin status (Po0.0001 each). The comparison of KPNA2 expression with deletions of PTEN, 5q21, 6q15 and 3p13 in ERG-positive and -negative cancers revealed a strong link to PTEN deletions in both subgroups (Po0.0001). In conclusion, the strong independent prognostic impact of KPNA2 expression raises the possibility that measurement of KPNA2 expression alone or in combination with other molecular parameters might possibly result in clinically useful information. The data also emphasize a critical role of the functionality of the nuclear import machinery for prostate cancer biology. Modern Pathology (2014) 27, 96-106; doi:10.1038/modpathol.2013.127; published online 26 July 2013Keywords: KPNA2; 3p13; prostate cancer; PTEN; 6q15; 5q21; tissue microarray Prostate cancer is the most common malignancy in men in western societies. 1 Even though a considerable proportion of prostate cancers has a rather indolent course, prostate cancer represents a major cause of cancer-related death in men. 1 Despite recent advantages in research, the only established pretreatment prognostic parameters currently include Gleason grade, tumor extent on biopsies, preoperative prostate-specific antigen (PSA) and clinical parameters. These data are statistically powerful but not sufficient for optimal individual treatment decisions. It can be hoped that the analysis of molecular features may enable a better individual prediction of tumor aggressiveness in the future.Karyopherins are soluble nuclear transport receptors utilizing the nuclear pore complex for