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  • Original Article
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Basic Research

Prognostic significance of YWHAZ expression in localized prostate cancer

Abstract

Background:

Prostate cancer (PCa) patients are often over-treated because of the lack of biomarkers needed to distinguish the lethal from the indolent form of PCa. YWHAZ was recently identified as a potential therapeutic target in castration-resistant PCa (CRPC). Therefore, this study focused on determining the prognostic significance of YWHAZ in localized PCa.

Methods:

YWHAZ expression was assessed by immunohistochemistry on formalin-fixed paraffin-embedded tissue from 213 men who underwent radical prostatectomy. Kaplan–Meier analysis and Cox proportional-hazards models were used to assess the prognostic value of YWHAZ intensity.

Results:

High YWHAZ expression was strongly associated with high Gleason score at the time of diagnosis (P<0.001) and PSA relapse (P=0.001). Importantly, patients with high expression of YWHAZ had a higher risk of CRPC development (P=0.002) and reduced survival time (P=0.002).

Conclusions:

Our findings indicate that YWHAZ could serve as a promising prognostic biomarker in localized PCa to predict poor prognosis and to identify a subgroup of tumors, which might benefit from earlier adjuvant or YWHAZ-targeted therapy.

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Acknowledgements

This work was supported by grants from the Wilhelm Sander Foundation (2011.077.1), the Rudolf-Becker-Foundation and the German Research Foundation (Deutsche Forschungsgemeinschaft (DFG), Emmy-Noether-Program, PE1179/2-1) to SP. Furthermore, the project was supported by the medical student research grant of the Medical Faculty of the University of Bonn (BONFOR) to KR.

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Correspondence to S Perner.

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Rüenauver, K., Menon, R., Svensson, M. et al. Prognostic significance of YWHAZ expression in localized prostate cancer. Prostate Cancer Prostatic Dis 17, 310–314 (2014). https://doi.org/10.1038/pcan.2014.32

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