Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Stromal–epithelial measurements of prostate cancer in native Japanese and Japanese-American men

Abstract

We measured the histologic stromal and epithelial tissue components of the benign (normal) and malignant tissue compartments of Japanese-Americans (J-A) and native Japanese (NJ) men living in Japan. The patient cohort included 25 NJ men undergoing radical prostatectomy (RP) in Nagoya, Japan and 25 J-A (second or third generation US born). We conducted tissue image quantitation (in-house image software) of the stromal and epithelial compartments in malignant and adjacent normal tissue areas from a tissue microarray (TMA) selected from radical prostatectomy (RP) blocks. Stromal–epithelial (S–E) areas were determined using immunohistochemical stains for CAM-5.2 epithelial cytokeratin marker and the Masson trichrome stain to measure the stroma component. We observed differences in the volumes of normal and cancer epithelium and stroma within both the J-A and NJ study populations (P<0.01). Only the individual average cancer epithelium (CE) volume (JA=24.1 vs NJ=29.9) differed significantly between the NJ and J-A study populations (P=0.03). Consequently, the S–E ratio in NJ group was significantly different from that of J-A population (P=0.05). The decrease in S–E ratio noted in the malignant tissues of NJ prostate tissue may provide a biological marker for differentiation of the two groups and suggests a need for further investigations into the molecular basis for these histologic differences.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Carter HB, Partin AW . Diagnosis and staging of prostate cancer. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ. Campbell's Urology. Elsevier Science: New York 2002; pp 3055–3079.

    Google Scholar 

  2. National Prostate Cancer Coalition 2002; Fact Sheet. (Accessed June 2002).

  3. Polascik TJ, Oesterling JE, Partin AW . Prostate specific antigen: a decade of discovery—what we have learned and where we are going. J Urol 1999; 162 (2): 293–306.

    Article  CAS  PubMed  Google Scholar 

  4. Freedland SJ et al. Time trends in biochemical recurrence after radical prostatectomy: results of the SEARCH database. Urology 2003; 61: 736–741.

    Article  PubMed  Google Scholar 

  5. Pound CR et al. Natural history of progression after PSA elevation following radical prostatectomy. JAMA 1999; 281: 1591–1597.

    Article  CAS  PubMed  Google Scholar 

  6. Hsing AW, Devesa SS . Trends and patterns in prostate cancer incidence and mortality. What do they suggest? Epidemiology Rev 2001; 23: 3–13.

    Article  CAS  Google Scholar 

  7. Cook LS, Goldoft M, Schwartz SM, Weiss NS . Incidence of adenocarcinoma of the prostate in Asian immigrants to the United States and their descendants. J Urol 1999; 161: 152.

    Article  CAS  PubMed  Google Scholar 

  8. Lee C et al. Incidence of genitourinary cancer in Korea. J Korean Med Sci 1992; 7: 154–161.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Kuwahara M et al. Mass screening for prostate cancer: a comparative study in Natori, Japan and Changchun, China. Urology 2003; 61: 137–141.

    Article  PubMed  Google Scholar 

  10. Egawa S et al. Probability of prostate cancer at various levels of percent free prostate specific antigen in Japanese men with total PSA of 4.1–10.0 ng/ml. Prostate Cancer P D 2002; 5: 115–118.

    Article  CAS  Google Scholar 

  11. Fukagai T et al. Clinical–pathological comparison of clinical prostate cancer between Japanese Americans in Hawaii and Japanese living in Japan. Int J Androl 2000; 23: 43.

    Article  PubMed  Google Scholar 

  12. Shibata A et al. Serum levels of prostate specific antigen among Japanese Americans and Native Japanese men. J Natl Cancer Inst 1997; 89: 1716.

    Article  CAS  PubMed  Google Scholar 

  13. Whittemore AS et al. Prostate cancer in relation to diet, physical activity, and body size in blacks, whites and Asians in the United States and Canada. J Natl Cancer Inst 1995; 87: 652.

    Article  CAS  PubMed  Google Scholar 

  14. Nelson WG, DeWeese TL, Demarzo AM . The diet, prostate inflammation, and the development of prostate cancer. Cancer Metast Rev 2002; 21: 3–16.

    Article  CAS  Google Scholar 

  15. Hayward SW, Rosen MA, Cunha GR . Stromal–epithelial interactions in the normal and neoplastic prostate. Br J Urol 1997; 79: 18.

    Article  PubMed  Google Scholar 

  16. Cunya GR et al. Role of the stromal microenvironment in carcinogenesis of the prostate. Int J Cancer 2003; 107: 1–10.

    Article  Google Scholar 

  17. Bonkhoff H, Remberger K . Differentiation pathways and histogenic aspects of normal and abnormal prostatic growth: a stem cell model. Prostate 1996; 28: 98.

    Article  CAS  PubMed  Google Scholar 

  18. Chung LW . Implications of stromal–epithelial interaction in human prostate cancer growth, progression and differentiation. Semin Cancer Biol 1993; 4: 183.

    CAS  PubMed  Google Scholar 

  19. Hayward SW . Approaches to modeling stromal–epithelial interactions. J Urol 2002; 168: 1165.

    Article  PubMed  Google Scholar 

  20. Tuxhorn JA, Ayala GE, Rowley DR . Reactive stroma in prostate cancer progression. J Urol 2001; 166: 2472.

    Article  CAS  PubMed  Google Scholar 

  21. Ayala G et al. Reactive stroma as a predictor of biochemical-free recurrence in prostate cancer. Clin Cancer Res 2003; 9: 4792–4801.

    CAS  PubMed  Google Scholar 

  22. Chung LWK . Prostate carcinoma bone–stroma interaction and its biologic and therapeutic implications. Cancer 2003; 97 (3 Suppl): 772–778.

    Article  PubMed  Google Scholar 

  23. Risbridger GP, Bianco JJ, Ellem SJ, McPherson SJ . Oesterogens and prostate cancer. Endocr-Relat Cancer 2003; 10: 187–191.

    Article  CAS  PubMed  Google Scholar 

  24. Litinov IV, DeMarzo AM, Isaacs JT . Genetics of endocrine disease: is the Achilles heel for prostate cancer therapy a gain of function in androgen receptor signaling? J Clin Endocrinol Metab 2003; 88: 2972–2982.

    Article  Google Scholar 

  25. Shapiro E, Becich MJ, Hartanto V, Lepor H . The relative proportion of stromal and epithelial hyperplasia is related to the development of symptomatic benign prostatic hyperplasia. J Urol 1992; 147: 1293.

    Article  CAS  PubMed  Google Scholar 

  26. Cadeddu JA et al. Relationship between changes in prostate-specific antigen and the percent of prostatic epithelium in men with benign prostatic hyperplasia. Adult Urol 1995; 45: 795.

    Article  CAS  PubMed  Google Scholar 

  27. Marks LS et al. Long term effects of finasteride on prostate tissue composition. Urology 1999; 53: 574–580.

    Article  CAS  PubMed  Google Scholar 

  28. O'Leary MP . Lower urinary tract symptoms/benign prostatic hyperplasia: maintaining symptom control and reducing complications. Urology 2003; 62 (Suppl 3A): 15–23.

    Article  PubMed  Google Scholar 

  29. De Marzo AM, Nelson WG, Isaacs WB, Epstein JI . Pathological and molecular aspects of prostate cancer. Lancet 2003; 361: 955–964.

    Article  CAS  Google Scholar 

  30. Gonzalgo ML, Isaacs WB . Molecular pathways to prostate cancer. J Urol 2003; 170: 2444–2452.

    Article  CAS  PubMed  Google Scholar 

  31. Platz EA, DeMarzo AM . Epidemiology of inflammation and prostate cancer. J Urol 2004; 171 (Suppl): 36–40.

    Google Scholar 

  32. Aoki Y et al. Racial differences in cellular composition of benign prostatic hyperplasia. Prostate 2001; 49: 243–250.

    Article  CAS  PubMed  Google Scholar 

  33. Marks LS et al. Prostate cancer in native Japanese and Japanese-American men. J Urol 2003; 169 (Suppl): 48 (Abstract No. 185).

    Google Scholar 

  34. Lapointe J et al. Gene expression profiling clinically identifies relevant subtypes of prostate cancer. Proc Natl Acad Sci 2004; 101: 811–816.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was supported by NIH/NCI SPORE Grant P50CA58236; NIH/NCI Early Detection Research Network Grant #CA8623-02; Prostate Cancer Foundation (CaPCURE); The Elsa Pardee Foundation. This study was also supported by a generous gift from the Urological Sciences Research Foundation (Culver City, CA, USA). The tissue microarrays were produced by Helen Fedor through the Pathology Core (P.I. Angelo De Marzo) of the Johns Hopkins University Prostate Cancer SPORE Grant.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R W Veltri.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Veltri, R., Park, J., Miller, M. et al. Stromal–epithelial measurements of prostate cancer in native Japanese and Japanese-American men. Prostate Cancer Prostatic Dis 7, 232–237 (2004). https://doi.org/10.1038/sj.pcan.4500738

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.pcan.4500738

Keywords

This article is cited by

Search

Quick links