BACKGROUND: Lynch syndrome is the most common hereditary cancer syndrome and is caused by a defect in one of four DNA mismatch repair genes (MSH2, MLH1, PMS2 and MSH6). Prostate cancer is not considered to be a lynch syndrome associated cancer but recent studies have identified that patients with a defect in the MSH2 gene have a significantly higher chance of developing prostate cancer. However, this is not observed with patients who have a defect in MLH1, PMS2 or MSH6. In this study we have investigated the potential for post-transcriptional regulation of MSH2 by microRNAs and the role androgens and estrogens have in microRNA regulation in prostate cancer.
AIMS:
1. To investigate MSH2 loss in a patient cohort and identify the expression profiles of two microRNAs, miR-21 and miR-212.
2. Use western blot analysis to prove miR-21 and miR-212 target MSH2 and reduce its expression in prostate cancer cell lines.
3. Use cell based assays to define the affect of androgens and estrogens on the expression of miR-21 and miR-212.
METHODS and RESULTS: Immunohistochemistry
(IHC) was performed on a cohort of 99 recurrent and 90 non-recurrent prostate
cancer patients to investigate the presence of the MSH2 protein. We found that 6
of our recurrent patients had no staining, whereas all non-recurrent patients showed
at least partial staining. Additionally, 23 recurrent patients and only 5
non-recurrent patients were observed to have weaker MSH2 staining in their
cancer compared to the patient’s benign tissue. MiR-21 and miR-212 were confirmed
to target the MSH2 protein by western blot analysis. QPCR was performed
on these patient samples to identify the expression profile of miR-21
and miR-212. Hormonal regulation of miR-21 and miR-212 was confirmed after
treatment with a panel of androgens and estrogens.