BACKGROUND. Prostasomes are a secretory product from the prostate. We aimed
to investigate whether the distribution and amount of prostasomes in norma
l prostate epithelium were influenced by the dedifferentiation occurring in
adenocarcinomas of the human prostate gland.
METHODS. Transurethrally resected material from 11 patients with prostatic
carcinoma of various malignancy grades, material from two lymph node metast
ases, and benign tissue from 10 total prostatectomies were subjected to imm
unohistochemical staining, using a mouse monoclonal antibody against human
prostasomes (mAb 78).
RESULTS. Immunostaining of low-grade carcinoma was similar to that of norma
l prostate gland which displayed a cytoplasmic granular staining of the api
cal (luminal) aspects of the secretory epithelial cells. In moderately well
and poorly differentiated adenocarcinoma, the amount of stained components
decreased, and the staining pattern became more heterogeneous. In multilay
ered glandular structures, the staining was concentrated at the lumen, leav
ing most other cells negative. The neoplastic cells of lymph node metastase
s of prostate carcinoma differed in amount and distribution of immunostaine
d prostasomes.
CONCLUSIONS. The antigen recognized in the prostasomes by mAb78 was express
ed in benign prostate tissue, prostate cancer, and to a lesser degree in ly
mph node metastases. There was a tendency towards decreased expression with
increasing tumor grade. (C) 1999 Wiley-Liss, Inc.