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PI3K pathway and Bcl-2 family. Clinicopathological features in prostate cancer
Authors:Norelia Torrealba  Gonzalo Rodriguez-Berriguete  Benito Fraile  Gabriel Olmedilla  Pilar Martínez-Onsurbe  Manuel Sánchez-Chapado
Institution:1. Department of Biomedicine and Biotechnology, University of Alcalá, Alcalá de Henares, Spain;2. Department of Pathology, University of Alcalá, Alcalá de Henares, Spain;3. Department of Urology, Príncipe de Asturias Hospital, Alcalá de Henares, Spain
Abstract:The phosphatidylinositol 3-kinase (PI3K)/AKT/mTOR pathways and Bcl-2 family play a central role in prostate cancer (PC). The aim was to determine influence in the biochemical progression in PC. To evaluate the association between clinic pathological and immunohistochemical variables, Spearman’s test was performed. Log-rank test and Kaplan–Meier curves were used for survival comparisons. To explore the correlation of the studied immunohistochemical parameters and the established prognostic variables with biochemical progression, univariate and multivariate Cox proportional Hazard regression analyses were performed. Spearman analysis showed correlation between stroma expression and tumor expression of PI3K with biochemical progression (p?=?.009, p?=?.004), respectively, and tumor immunohistochemical score with biochemical progression (p?=?.051). In the multivariate Cox regression model, only PI3K was retained as independent predictors of biochemical progression. In stroma expression, PI3K is (HR 0.172, 95% CI 0.065–0.452, p?=?.000); tumor expression, PI3K is (HR 0.087, 95% CI 0.026–0.293, p?=?.000), and tumor immunohistochemical score (HR 0.382, 95% CI 0.209–0.697 p?=?.002). Our results suggest a role for prostatic expression of PI3K was prognostic markers for PC. PI3K/AKT/mTOR and Bcl-2 family are becoming an important therapeutic target and predictive biomarkers of onset and progression of PC.
Keywords:PI3K  AKT  mTOR  cancer prostate  Bcl-2 family
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