Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients

Prostate cancer is a heterogeneous disease that remains dormant for long periods or acts aggressively with poor clinical outcomes. Identifying aggressive prostate tumor behavior using current glandular-focused histopathological criteria is challenging. Recent evidence has implicated the stroma in mo...

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Autores principales: Ina P. Pavlova, Sujit S. Nair, Dara Lundon, Stanislaw Sobotka, Reza Roshandel, Patrick-Julien Treacy, Parita Ratnani, Rachel Brody, Jonathan I. Epstein, Gustavo E. Ayala, Natasha Kyprianou, Ashutosh K. Tewari
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:d8316fc960fc40c6ac773fb15e79a94d2021-11-25T18:06:48ZMultiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients10.3390/jpm111110612075-4426https://doaj.org/article/d8316fc960fc40c6ac773fb15e79a94d2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1061https://doaj.org/toc/2075-4426Prostate cancer is a heterogeneous disease that remains dormant for long periods or acts aggressively with poor clinical outcomes. Identifying aggressive prostate tumor behavior using current glandular-focused histopathological criteria is challenging. Recent evidence has implicated the stroma in modulating prostate tumor behavior and in predicting post-surgical outcomes. However, the emergence of stromal signatures has been limited, due in part to the lack of adoption of imaging modalities for stromal-specific profiling. Herein, label-free multiphoton microscopy (MPM), with its ability to image tissue with stromal-specific contrast, is used to identify prostate stromal features associated with aggressive tumor behavior and clinical outcome. MPM was performed on unstained prostatectomy specimens from 59 patients and on biopsy specimens from 17 patients with known post-surgery recurrence status. MPM-identified collagen content, organization, and morphological tumor signatures were extracted for each patient and screened for association with recurrent disease. Compared to tumors from patients whose disease did not recur, tumors from patients with recurrent disease exhibited higher MPM-identified collagen amount and collagen fiber intensity signal and width. Our study shows an association between MPM-identified stromal collagen features of prostate tumors and post-surgical disease recurrence, suggesting their potential for prostate cancer risk assessment.Ina P. PavlovaSujit S. NairDara LundonStanislaw SobotkaReza RoshandelPatrick-Julien TreacyParita RatnaniRachel BrodyJonathan I. EpsteinGustavo E. AyalaNatasha KyprianouAshutosh K. TewariMDPI AGarticleoptical microscopyprostate cancerreactive stromacollagen signaturesprognosisMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1061, p 1061 (2021)
institution DOAJ
collection DOAJ
language EN
topic optical microscopy
prostate cancer
reactive stroma
collagen signatures
prognosis
Medicine
R
spellingShingle optical microscopy
prostate cancer
reactive stroma
collagen signatures
prognosis
Medicine
R
Ina P. Pavlova
Sujit S. Nair
Dara Lundon
Stanislaw Sobotka
Reza Roshandel
Patrick-Julien Treacy
Parita Ratnani
Rachel Brody
Jonathan I. Epstein
Gustavo E. Ayala
Natasha Kyprianou
Ashutosh K. Tewari
Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
description Prostate cancer is a heterogeneous disease that remains dormant for long periods or acts aggressively with poor clinical outcomes. Identifying aggressive prostate tumor behavior using current glandular-focused histopathological criteria is challenging. Recent evidence has implicated the stroma in modulating prostate tumor behavior and in predicting post-surgical outcomes. However, the emergence of stromal signatures has been limited, due in part to the lack of adoption of imaging modalities for stromal-specific profiling. Herein, label-free multiphoton microscopy (MPM), with its ability to image tissue with stromal-specific contrast, is used to identify prostate stromal features associated with aggressive tumor behavior and clinical outcome. MPM was performed on unstained prostatectomy specimens from 59 patients and on biopsy specimens from 17 patients with known post-surgery recurrence status. MPM-identified collagen content, organization, and morphological tumor signatures were extracted for each patient and screened for association with recurrent disease. Compared to tumors from patients whose disease did not recur, tumors from patients with recurrent disease exhibited higher MPM-identified collagen amount and collagen fiber intensity signal and width. Our study shows an association between MPM-identified stromal collagen features of prostate tumors and post-surgical disease recurrence, suggesting their potential for prostate cancer risk assessment.
format article
author Ina P. Pavlova
Sujit S. Nair
Dara Lundon
Stanislaw Sobotka
Reza Roshandel
Patrick-Julien Treacy
Parita Ratnani
Rachel Brody
Jonathan I. Epstein
Gustavo E. Ayala
Natasha Kyprianou
Ashutosh K. Tewari
author_facet Ina P. Pavlova
Sujit S. Nair
Dara Lundon
Stanislaw Sobotka
Reza Roshandel
Patrick-Julien Treacy
Parita Ratnani
Rachel Brody
Jonathan I. Epstein
Gustavo E. Ayala
Natasha Kyprianou
Ashutosh K. Tewari
author_sort Ina P. Pavlova
title Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
title_short Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
title_full Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
title_fullStr Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
title_full_unstemmed Multiphoton Microscopy for Identifying Collagen Signatures Associated with Biochemical Recurrence in Prostate Cancer Patients
title_sort multiphoton microscopy for identifying collagen signatures associated with biochemical recurrence in prostate cancer patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/d8316fc960fc40c6ac773fb15e79a94d
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