Title:
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Inhibition of tumourigenicity and metastasis of prostate cancer by suppressing the expression of C-FABP gene plus androgen depletion
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Prostate cancer is the most commonly occurring form of non-tobacco related cancers of man in the
developed world. Our understanding of the molecular pathology of prostate cancer is currently
very limited. At present, clinical therapy focuses on androgen blockage by physical or
pharmaceutical castration. Previous work in our molecular pathology laboratory has led to the
identification of several genes whose elevated expression may contribute to the malignant
progression of the prostate cancer cells. One such gene is that coding for human cutaneous fatty
acid binding protein (C-F ABP). The work described in this thesis is aimed to study the specific
role of C-F ABP on the tumourigenicity of prostate cancer, to investigate whether the elevated
expression of C-FABP is related to androgen sensitivity of the cancer cells, and to explore the
therapeutic possibility of inhibiting the development and expansion of prostate cancer through
suppressing the expression of C-F ABP gene combined with the androgen depletion.
To investigate the biological significance of elevated expression of C-FABP in prostate cancer, CFABP
expression in highly malignant prostate cancer cells PC3M was suppressed by the
transfection ofa reverse transcript ofCFABP. Two antisense transfectant cells, C-FABP-PC3M-l
and C-FABP-PCM-3 were produced with 3.8 fold and 6.9 fold reduction in normal C-FABP
expression respectively. Exploration of tumourigenic potential of transfectant cells by invasion
assay showed that 7% of antisense transfectant cells invaded the ECM, compared to 14% of
control transfectant cells. Subcutaneous inoculation of antisense and control transfectant cells into
immuno-compromised male nude mice demonstrated a significant reduction in tumour incidence
and tumour volume in antisense transfectant cells compared to control transfectant tumours.
Previous work in our laboratory showed that C-FABP was over-expressed in androgen
independent prostate cancer cells. To investigate whether elevated C-FABP expression is related
to androgen sensitivity, C-FABP expression was reduced by 95% by RNA interference in highly
malignant androgen independent prostate cancer cells PC3M to study the effect of suppressed CFABP
expression and androgen deprivation on prostate cancer cells. In vitro assays for cell
proliferation and colony formation show signi ficant differences in cell growth rate and number of
colonies formed in androgen positive and negative conditions, however, comparisons between the
two conditions suggest that C-F ABP may not have some bearing on androgen sensitivity in vitro.
Subcutaneous inoculation of RNAi transfectant cells into male immuno-compromised nude mice
produced a significant reduction in tumour incidence and mean tumour volume in RNAi
transfectant group 75% (3/4 animals) and 176mm3 compared to that of the parental PC-3M group
which produced 100% (4/4 animals) tumour incidence and 1471mm ' mean tumour volume
respectively. However, castration of mice and orthotopic implantation of RNAi transfectant cells
and parental PC-3M cells into the prostate gland of mice produced 100% (4/4 animals) tumour
incidence compared to 0% (0/3 animals) observed in the RNAi transfectant group. At autopsy,
mice were dissected and primary tumours, lungs, heart and liver were removed for haematoxylin
and eosin staining. From these groups, only the castrated and orthotopically implanted parental
PC-3M cell group produced secondary micro-metastasis in the lungs and liver of mice (4/4
animals).
This data suggest that suppressed CF ABP activity may not restore androgen sensitivity in highly
malignant androgen insensitive PC3M cells ill vitro. However, ill vivo studies suggest that the
combination of suppressed CFABP and androgen depletion have a synergistic effect resulting in
enhanced suppression of tumourigenicity and metastasis.
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