Magnetic resonance imaging (MRI) and MR spectroscopy can probe a variety of physiological (e.g. blood vessel permeability) and metabolic characteristics of prostate cancer. However, little is known about the changes in gene expression that underlie the spectral and imaging features observed in prostate cancer. Tumor induced changes in vascular permeability and angiogenesis are thought to contribute to patterns of dynamic contrast enhanced (DCE) MRI images of prostate cancer even though the genetic basis of tumor vasculogenesis is complex and the specific mechanisms underlying these DCEMRI features have not yet been determined. In order to identify the changes in gene expression that correspond to MRS and DCEMRI patterns in human prostate cancers, we have utilized tissue print micropeel techniques to generate "whole mount" molecular maps of radical prostatectomy specimens that correspond to pre-surgical MRI/MRS studies. These molecular maps include RNA expression profiles from both Affymetrix GeneChip microarrays and quantitative reverse transcriptase PCR (qrt-PCR) analysis, as well as immunohistochemical studies. Using these methods on patients with prostate cancer, we found robust over-expression of choline kinase a in the majority of primary tumors. We also observed overexpression of neuropeptide Y (NPY), a newly identified angiogenic factor, in a subset of DCEMRI positive prostate cancers. These studies set the stage for establishing MRI/MRS parameters as validated biomarkers for human prostate cancer.
Keywords
MRI; prostate; gene expressionThe wide range of biologic activity exhibited by prostate cancer creates dilemmas for the management of individuals with known or suspected disease. Prostate cancer is one of the few cancers that can grow so slowly that it never threatens the lives of many patients. Yet, in some patients, the disease spreads beyond the gland, and is incurable. This characteristic of prostate cancer is reflected in the fact that, although one out of six men will develop prostate cancer, only one out of thirty five will die of the disease [1].Corresponding Author: Robert E. Lenkinski, Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston MA, USA 02215, Tel: 617-667-0274, Fax: 617-667-7917, Email: rlenkins@bidmc.harvard Prostate cancer patients are being identified at an earlier and potentially treatable stage because of the adoption of screening using serum prostate-specific antigen (PSA) and transrectal ultrasound (TRUS) guided biopsy [2][3][4][5][6]. A major challenge to the medical community is to characterize the behavior of an individual patient's prostate cancer and to select the appropriate level of management while preserving the patient's quality of life. Current pre-treatment paradigms have significant limitations, both individually and collectively. One of the most widely used pretreatment paradigms is based on the Partin tables [7,8], which are derived from a combination of demographic factors, as well as the Gleason score from biopsy sa...