Prostate Cancer

Prostate cancer is cancer that develops in the prostate gland of the male reproductive system.

Prostate cancer is diagnosed in 1.1 million men worldwide each year, and causes 307,000 deaths. Prostate cancer is the second most common cancer in American men (after skin cancer) with 233,000 cases diagnosed annually in the United States. It is the fifth leading cause of cancer death, causing 29,480 deaths annually. About 99% of prostate cancer occurs in men over the age of 50 and the vast majority of cases are seen in men over the age of 60.

There are an estimated 2.7 million men worldwide living with a diagnosis of prostate cancer, and 15% of men will be diagnosed with prostate cancer at some point during their lives.

Worldwide, there are 1.1 million cases of prostate cancer annually and 307,000 deaths. 99% of prostate cancer occurs in men over the age of 50 and the vast majority of cases are seen in men over the age of 60.1 The vast majority of cases of prostate cancer are asymptomatic, with studies of men over 60 who died from other causes revealing an incidence of undiagnosed prostate cancer of 30-70% depending on the study.2

The diagnosis of prostate cancer by either PSA blood test or rectal exam is controversial, since many cases of prostate cancer would normally remain asymptomatic during the patient’s lifetime, and the diagnosis of asymptomatic prostate cancer is thought to lead to over-treatment. The 5-year survival rate for prostate cancer is approximately 99%.3 Consequently, clinical management of patients with prostate cancer is often limited to watchful waiting. Treatment of prostate cancer is by surgery, followed in most cases by radiation therapy along with hormone therapy (anti-androgen) and chemotherapy if there is evidence that the cancer has spread beyond the prostate. A wide variety of anti-cancer agents are currently used to treat prostate cancer, but treatment usually begins with a taxane (docetaxel).4

Treatment options for prostate cancer are generally based on a histological score known as a Gleason grade, after the pathologist who developed it. In this scoring system, the tumor is given 2 grades based on 5-point scoring scale of the dominant and secondary histological pattern. The final Gleason score is the sum of the 2 grades. Scores higher than 7 are considered aggressive and treated accordingly, while scores of 5 or below are regarded as low grade and treated conservatively.5

Approximately 5% of prostate cancer is thought to have a hereditary basis, however the number of genes that have been shown to have increased expression in prostate cancer is high, suggesting that the etiology of prostate cancer is complex.6,7 These genes include cell cycle genes CDKN1B (cyclin-dependent kinase inhibitor 1β)8 and MCM7 (mini-chromosome maintenance component 7),9 cell surface receptors IL11Rα (Interleukin-11 receptor α) and LPAR6 (lysophosphaditic acid receptor 6),10 ion channels and transporters ABCB1 (ATP-binding cassette sub-family B member 1),11 KCNMA1 (potassium large conductance calcium-activated channel, subfamily M, alpha member 1), tyrosine kinases or MAP kinases, FGR (Gardner-Rasheed feline sarcoma viral (v-fgr) oncogene homolog), MAP3K7 (Mitogen-activated protein kinase kinase kinase 7),12 and Raf-1, cytoskeletal elements LCP1 (lymphocyte cytosolic protein 1) and VCL (vinculin). In addition, applifications are seen in N-Ras (8), transcription factors AR (androgen receptor), ERG (V-Ets Avian Erythroblastosis Virus E26 Oncogene Homolog),13 NCOA2 (nuclear receptor coactivator 2), NKX3-1 (Homeobox Protein NK-3 Homolog A) (8), and RUNX1T1 (runt-related transcription factor 1; translocated to, 1) as well as HACE1 (HECT Domain And Ankyrin Repeat Containing E3 Ubiquitin Protein Ligase 1), WWP1 (WW Domain Containing E3 Ubiquitin Protein Ligase 1),14 HMGN1 )High Mobility Group Nucleosome Binding Domain 1), PLAU (plasminogen activator, urokinase), and PSAP (prosaposin).

The overall picture of a genetically diverse cancer with an unclear relationship between biology and treatment options suggests a fertile field for target-based pharmaceutical development.

Animal Models of Prostate Cancer

Pharma Models LLC offers a variety of different models of prostate cancer. Most commonly used are the sub-cutaneous human tumor xenografts, but many of the cell lines used in these models can also be implanted directly into common metastatic sites for human prostate cancer – lung, liver, bone and brain.

Subcutaneous Xenograft Models for Human Prostate Cancer

There are several cell lines that are frequently used as subcutaneous xenografts in immunocompromised mice. Several examples of typical growth curves are shown in Figure 1. In these examples, three prostate cancer cell lines were implanted subcutaneously in nude mice and the growth of the resulting tumors followed. In this model, treatment would typically begin at a mean tumor volume of 100 mm3, and continue until the negative control tumors reach a volume of 1500 mm3.

Figure 1
Figure 1: Representative Growth Curves for Three Prostate Cancer Cell Lines. Nude mice were implanted subcutaneously with 2×106 cells on Day 0

Metastatic models of Prostate Cancer

Metastatic cancer is of tremendous clinical importance, and this is true for prostate cancer. Prostate cancer commonly metastasizes to bone, lymph nodes, liver, lungs and brain. While lymph node metastases are difficult to model in mice, metastatic prostate cancer in the brain, lung or liver is possible.

Pharma Models LLC has developed a metastatic prostate cancer models in the mouse brain, lungs and liver through the direct injection of prostate cancer cells, followed by careful monitoring of a period of 4-5 weeks. Endpoints include survival and histology. Pharma Models LLC has several breast cancer cell lines that express luciferase and can be used to evaluate the treatment of metastatic prostate cancer in the brain (see Figure 2), in the lungs (Figure 3) or in the liver (Figure 4). Please contact us for more details of these models.

Figure 2

Figure 2

Figure 2. Metastatic Prostate Cancer in Brain. This image shows a nude mouse with a human prostate cancer cell line implanted in the brain. Luciferase expressing cells were implanted by direct injection into the brain of nude mice. Tumor growth was visualized with D-luciferin 8, 17, 24 and 31 days post injection.

Figure 3

Figure 3

Figure 3. Metastatic Prostate Cancer in Lung. This image shows a nude mouse with a human prostate cancer cell line implanted in the lung. Luciferase expressing cells were implanted by direct injection into the thoracic cavity of nude mice. Tumor growth was visualized with D-luciferin 8, 17, 24 and 31 days post injection.

Figure 4

Figure 4

Figure 4. Metastatic Prostate Cancer in Liver. This image shows a nude mouse with a human prostate cancer cell line implanted in the liver. Luciferase expressing cells were implanted by direct injection into the liver of a nude mouse. Tumor growth was visualized with D-luciferin 8, 16, 23 and 30 days post injection.

Bibliography

  1. World Cancer Report 2014. World Health Organization. 2014. pp. Chapter 1.1.
  2. Prostate Cancer Treatment (PDQ®). NCI. 2014-04-11.
  3. American Cancer Society.
  4. Balar AV. The impact of taxanes on the management of genitourinary cancers. Anticancer Drugs. 2014;25:555-60.
  5. Gleason DF. Classification of prostatic carcinomas. Cancer Chemotherapy Reports. 1966;50(3):125-8.
  6. Carter BS, Bova GS, Beaty TH, Steinberg GD, Childs B, Isaacs WB, Walsh PC. Hereditary prostate cancer: epidemiologic and clinical features. The Journal of Urology. 1993;150(3):797-802.
  7. Nupponen NN, Carpten JD. Prostate cancer susceptibility genes: many studies, many results, no answers. Cancer Metastasis Reviews. 2001;20(3-4):155-64.
  8. Dong JT. Prevalent mutations in prostate cancer. Journal of Cell Biochemistry. 2006;97(3):433-47.
  9. Padmanabhan V, Callas P, Philips G, Trainer TD, Beatty BG. DNA replication regulation protein Mcm7 as a marker of proliferation in prostate cancer. Journal of Clinical Pathology. 2004;57(10):1057-62.
  10.    Ketscher A, Jilg CA, Willmann D, Hummel B, Imhof A, Rüsseler V, Hölz S, Metzger E, Müller JM, Schüle R. LSD1 controls metastasis of androgen-independent prostate cancer cells through PXN and LPAR6. Oncogenesis. 2014;3:e120.
  11. Zhu Y, Liu C, Nadiminty N, Lou W, Tummala R, Evans CP, Gao AC. Inhibition of ABCB1 expression overcomes acquired docetaxel resistance in prostate cancer. Molecular Cancer Therapeutics. 2013;12(9):1829-36.
  12. Liu W, Chang BL, Cramer S, Koty PP, Li T, Sun J, Turner AR, Von Kap-Herr C, Bobby P, Rao J, Zheng SL, Isaacs WB, Xu J. Deletion of a small consensus region at 6q15, including the MAP3K7 gene, is significantly associated with high-grade prostate cancers. Clinical Cancer Research: An Official Journal of the American Association of Cancer Research. 2007;13(17):5028-33.
  13. Taris M, Irani J, Blanchet P, Multigner L, Cathelineau X, Fromont G. ERG expression in prostate cancer: the prognostic paradox. Prostate. 2014;74(15):1481-7.
  14. Wang Z, Wang J, Li X, Xing L, Ding Y, Shi P, Zhang Y, Guo S, Shu X, Shan B. Bortezomib prevents oncogenesis and bone metastasis of prostate cancer by inhibiting WWP1, Smurf1 and Smurf2. International Journal of Oncology. 2014;45(4):1469-78.
  15. Banyard J, Chung I, Migliozzi M, Phan DT, Wilson AM, Zetter BR, Bielenberg DR. Identification of genes regulating migration and invasion using a new model of metastatic prostate cancer. BMC Cancer. 2014;14:387.
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