The tyrosine kinase receptor c-kit and its ligand [kit ligand (KL) or stem
cell factor (SCP)] exert a broad range of biological activities during orga
nogenesis and normal cell development. Recent studies have revealed that al
tered c-kit levels occur in a variety of malignancies and cancer cell lines
. KL has also been shown to stimulate the growth of malignant cells, as wel
l as to promote chemotaxis. We had previously reported expression of KL in
stroma cells of normal human prostate.
The present study was undertaken in order to analyze the patterns of expres
sion of c-kit and KL in a well characterized set of prostatic tissues, Incl
uding normal prostate (n=4), benign prostatic hyperplasia (BPH) (n=53) and
adenocarcinoma (n=46) samples. The distribution of c-kit and KL proteins wa
s studied by immunohistochemical analyses, while transcript levels were det
ermined by in situ hybridization with specific RNA probes on a subset of th
e benign and malignant tissues referred above. In addition, reverse-transcr
iptase polymerase chain reaction (RT-PCR) was performed to determine levels
of c-kit and KL,expression in cultures of epithelial and stroma cells, as
well as in the prostate cancer cell lines LNCaP, DU145 and PC3.
c-kit protein in normal prostate was exclusively detected in mast cells by
immunohistochemistry and in situ hybridization. However, c-kit transcripts,
but not c-kit protein, were detected in low levels and with an heterogeneo
us pattern in basal epithelial cells of ducts and acini. c-kit in BPH was d
etected in epithelial cells in 9 of 53 (17%) specimens, c-kit protein expre
ssion in malignant epithelial cells was identified in 1 of 46 (2%) tumors.
However, c-kit transcripts were detected in low levels by in situ hybridiza
tion in most of the tumors analyzed.
KL protein and transcripts in normal prostate were detected in high levels
in stroma cells. However, epithelial cells were unreactive for anti-KL anti
body, but showed low levels of KL transcripts mainly in cells of the basal
layer. Basal epithelial cells in hyperplastic glands showed KL expression i
n 13 of 53 (24%) specimens. KL protein in tumor cells was noted in 18 of 46
(39%) cases.
c-kit transcripts were not found in normal prostate and in the 3 cancer cel
l lines analyzed by RT-PCR, however,:it was present in cultured epithelial
cells of BPH, and in cultures of stroma cells from both normal and BPH. The
majority of cultured cell lines of epithelial and stromal origin displayed
considerable levels of KL. In addition all prostate cell lines studied sho
wed significant levels of KL transcripts.
In summary, co-expression of c-kit and KL in a subset of BPH cases may sugg
est an autocrine mode of signaling. Data from this study reveals that alter
ed patterns of c-kit and KL expression are associated with BPH and adenocar
cinoma of prostate. It appears that KL induces mast cells proliferation and
maturation and enhances their release of protease. This could explain the
accumulation of mast cells at tumor sites, a phenomenon that was not observ
ed in normal prostate or BPH samples.