Background: CD44, a major cell surface receptor for hyaluronic acid, i
s a family of ubiquitous cell surface glycoproteins. Altered levels of
CD44 expression, seen in many epithelial neoplasms, have prognostic i
mplications. Expression of standard and variant isoforms of CD44 was a
ssessed in normal and neoplastic human prostate tissue and culture cel
ls to evaluate as a marker for malignant transformation. Methods and R
esults: Expression of CD44s, CD44R, v5, v6, v7/8 and v10 was assessed
in prostate tissue (benign and malignant) and cell lines (DU-145, PC-3
, LNCaP, p69) and primary cultures of normal prostates and adenocarcin
oma cells obtained from prostatectomies using reverse transcriptor pol
ymerase chain reaction, Western blotting, and immunofluorescence. No C
D44 expression was seen in LNCaP cells. p69, DU-145, and PC-3 cells ex
pressed CD44s and CD44R. p69 cells demonstrated a 1000-bp-long form of
CD44 mRNA, unique to this normal cell line. Both normal and neoplasti
c prostatic tissue demonstrated CD44s on Western blotting. Conclusions
: In agreement with previous studies, prostatic adenocarcinoma cells,
except LNCaP, expressed CD44s. Different patterns of CD44 expression w
ere seen in benign and neoplastic prostate. Benign prostate exhibited
higher v5 protein levels, whereas neoplastic prostates demonstrated hi
gher CD44s expression. CD44s expression was identified in all neoplast
ic prostates as compared with only 50% of the benign prostates. No sig
nificant difference in expression of the other variants assessed (v6,
v7, v7/8, and v10) was observed in the benign and neoplastic prostates
.