Modulation of complement activation by pentraxin-3 in prostate cancer

Abstract Pentraxin 3 (PTX3) is an essential component of the innate immune system and a recognized modulator of Complement cascade. The role of Complement system in the pathogenesis of prostate cancer has been largely underestimated. The aim of our study was to investigate the role of PTX3 as possib...

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Autores principales: Giovanni Stallone, Giuseppe Stefano Netti, Luigi Cormio, Giuseppe Castellano, Barbara Infante, Paola Pontrelli, Chiara Divella, Oscar Selvaggio, Federica Spadaccino, Elena Ranieri, Francesca Sanguedolce, Antonio Pennella, Loreto Gesualdo, Giuseppe Carrieri, Giuseppe Grandaliano
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/f215d0e804c34c8aa63a3662102796a0
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spelling oai:doaj.org-article:f215d0e804c34c8aa63a3662102796a02021-12-02T15:10:24ZModulation of complement activation by pentraxin-3 in prostate cancer10.1038/s41598-020-75376-z2045-2322https://doaj.org/article/f215d0e804c34c8aa63a3662102796a02020-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-75376-zhttps://doaj.org/toc/2045-2322Abstract Pentraxin 3 (PTX3) is an essential component of the innate immune system and a recognized modulator of Complement cascade. The role of Complement system in the pathogenesis of prostate cancer has been largely underestimated. The aim of our study was to investigate the role of PTX3 as possible modulator of Complement activation in the development of this neoplasia. We performed a single center cohort study; from January 2017 through December 2018, serum and prostate tissue samples were obtained from 620 patients undergoing prostate biopsy. A group of patients with benign prostatic hyperplasia (BPH) underwent a second biopsy within 12–36 months demonstrating the presence of a prostate cancer (Group A, n = 40) or confirming the diagnosis of BPH (Group B, N = 40). We measured tissue PTX3 protein expression together with complement activation by confocal microscopy in the first and second biopsy in group A and B patients. We confirmed that that PTX3 tissue expression in the first biopsy was increased in group A compared to group B patients. C1q deposits were extensively present in group A patients co-localizing and significantly correlating with PTX3 deposits; on the contrary, C1q/PTX3 deposits were negative in group B. Moreover, we found a significantly increased expression of C3a and C5a receptors within resident cells in group A patient. Interestingly, C1q/PTX3 deposits were not associated with activation of the terminal Complement complex C5b-9; moreover, we found a significant increase of Complement inhibitor CD59 in cancer tissue. Our data indicate that PTX3 might play a significant pathogenic role in the development of this neoplasia through recruitment of the early components of Complement cascade with hampered activation of terminal Complement pathway associated with the upregulation of CD59. This alteration might lead to the PTX3-mediated promotion of cellular proliferation, angiogenesis and insensitivity to apoptosis possible leading to cancer cell invasion and migration.Giovanni StalloneGiuseppe Stefano NettiLuigi CormioGiuseppe CastellanoBarbara InfantePaola PontrelliChiara DivellaOscar SelvaggioFederica SpadaccinoElena RanieriFrancesca SanguedolceAntonio PennellaLoreto GesualdoGiuseppe CarrieriGiuseppe GrandalianoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Giovanni Stallone
Giuseppe Stefano Netti
Luigi Cormio
Giuseppe Castellano
Barbara Infante
Paola Pontrelli
Chiara Divella
Oscar Selvaggio
Federica Spadaccino
Elena Ranieri
Francesca Sanguedolce
Antonio Pennella
Loreto Gesualdo
Giuseppe Carrieri
Giuseppe Grandaliano
Modulation of complement activation by pentraxin-3 in prostate cancer
description Abstract Pentraxin 3 (PTX3) is an essential component of the innate immune system and a recognized modulator of Complement cascade. The role of Complement system in the pathogenesis of prostate cancer has been largely underestimated. The aim of our study was to investigate the role of PTX3 as possible modulator of Complement activation in the development of this neoplasia. We performed a single center cohort study; from January 2017 through December 2018, serum and prostate tissue samples were obtained from 620 patients undergoing prostate biopsy. A group of patients with benign prostatic hyperplasia (BPH) underwent a second biopsy within 12–36 months demonstrating the presence of a prostate cancer (Group A, n = 40) or confirming the diagnosis of BPH (Group B, N = 40). We measured tissue PTX3 protein expression together with complement activation by confocal microscopy in the first and second biopsy in group A and B patients. We confirmed that that PTX3 tissue expression in the first biopsy was increased in group A compared to group B patients. C1q deposits were extensively present in group A patients co-localizing and significantly correlating with PTX3 deposits; on the contrary, C1q/PTX3 deposits were negative in group B. Moreover, we found a significantly increased expression of C3a and C5a receptors within resident cells in group A patient. Interestingly, C1q/PTX3 deposits were not associated with activation of the terminal Complement complex C5b-9; moreover, we found a significant increase of Complement inhibitor CD59 in cancer tissue. Our data indicate that PTX3 might play a significant pathogenic role in the development of this neoplasia through recruitment of the early components of Complement cascade with hampered activation of terminal Complement pathway associated with the upregulation of CD59. This alteration might lead to the PTX3-mediated promotion of cellular proliferation, angiogenesis and insensitivity to apoptosis possible leading to cancer cell invasion and migration.
format article
author Giovanni Stallone
Giuseppe Stefano Netti
Luigi Cormio
Giuseppe Castellano
Barbara Infante
Paola Pontrelli
Chiara Divella
Oscar Selvaggio
Federica Spadaccino
Elena Ranieri
Francesca Sanguedolce
Antonio Pennella
Loreto Gesualdo
Giuseppe Carrieri
Giuseppe Grandaliano
author_facet Giovanni Stallone
Giuseppe Stefano Netti
Luigi Cormio
Giuseppe Castellano
Barbara Infante
Paola Pontrelli
Chiara Divella
Oscar Selvaggio
Federica Spadaccino
Elena Ranieri
Francesca Sanguedolce
Antonio Pennella
Loreto Gesualdo
Giuseppe Carrieri
Giuseppe Grandaliano
author_sort Giovanni Stallone
title Modulation of complement activation by pentraxin-3 in prostate cancer
title_short Modulation of complement activation by pentraxin-3 in prostate cancer
title_full Modulation of complement activation by pentraxin-3 in prostate cancer
title_fullStr Modulation of complement activation by pentraxin-3 in prostate cancer
title_full_unstemmed Modulation of complement activation by pentraxin-3 in prostate cancer
title_sort modulation of complement activation by pentraxin-3 in prostate cancer
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/f215d0e804c34c8aa63a3662102796a0
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