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and presentation (

PSMB9

,

TAP1

, and

HLA-A

) in an extended

set of CRPC bone metastasis samples (

n

= 53), non-treated

PC metastases (

n

= 11), and non-treated metastases from

other malignancies (

n

= 13;

Fig. 3 )

. Levels in metastases

were compared to levels in paired samples of non-

malignant and malignant prostate tissue from radical

prostatectomies (

n

= 12).

PSMB9

,

TAP1

, and

HLA-A

mRNA

levels in bone metastases were significantly lower in PC

patients than in patients with other malignancies

( Fig. 3

A–

C). However, and in accordance with the array data, the

CRPC bone metastases could be classified into two groups

on the basis of their variation in

PSMB9

,

TAP1

, and

HLA-A

mRNA levels

( Fig. 3 D

), suggesting MHC class I antigen

presentation was downregulated in the majority of CRPC

Table 2 – Canonical pathways predicted by Ingenuity pathway analysis to be upregulated or downmodulated in AR-driven compared to non-

AR-driven castration-resistant prostate cancer bone metastases according to whole-genome array analysis and principal component analysis

Ingenuity canonical

pathway

p

value

a

Ratio

Category

Molecules

Upregulated

Cholesterol biosynthesis

superpathway

0.004

0.26 Sterol biosynthesis

DHCR7, ACAT2, MSMO1, HMGCS2, HMGCR,

TM7SF2, SC5D

Methionine degradation

superpathway

0.005

0.23 Methionine degradation

CBS/CBSL, DLD, PCCB, CTH, MUT, SUOX, AHCY

Fatty acid

b

-oxidation I

0.025

0.20 Fatty acid degradation

ACSL3, SLC27A2, ECI2, AUH, IVD, HSD17B4

2-Oxobutanoate degradation I

0.025

0.60 2-Oxobutanoate degradation

DLD, PCCB, MUT

Cholesterol biosynthesis

0.025

0.31 Sterol biosynthesis

DHCR7, MSMO1, TM7SF2, SC5D

Pyrimidine ribonucleotide

interconversion

0.032

0.19 Pyrimidine nucleotide biosynthesis

NME3, NME4, ENTPD6, AK4, CANT1

b

-Alanine degradation I

0.032

1.0

B-Alanine degradation

ABAT, ALDH6A1

Spermine biosynthesis

0.032

1.0

Amine and polyamine biosynthesis

SMS, AMD1

Cysteine biosynthesis/

homocysteine degradation

0.032

1.0

Homocysteine degradation,

cysteine biosynthesis

CBS/CBSL, CTH

Pyrimidine ribonucleotide de

novo biosynthesis

0.042

0.18 Pyrimidine nucleotide de novo

biosynthesis

NME3, NME4, ENTPD6, AK4, CANT1

Downregulated

Hepatic fibrosis / hepatic stellate

cell activation

2e-08

0.18 Disease-specific pathways;

ingenuity toxicity list pathways

IGFBP4, FN1, MYH9, SMAD3, KLF6, COL8A1, CCL5,

PDGFC, COL15A1, COL5A1, IL1R2, COL1A2, TIMP1,

PDGFRA, COL22A1, COL18A1, KLF12, TNFRSF1B,

TIMP2, PDGFRB, TNFRSF11B, VCAM1, COL5A2,

MMP2, IFNAR2, COL1A1, TLR4, LY96, COL6A3,

CD40, IL10RA, CD14

Antigen presentation pathway

7e-08

0.38 Cellular immune response; humoral

immune response

HLA-G, B2M, PSMB9, HLA-DRB4, HLA-DRB1, HLA-

DMA, HLA-A, HLA-B, CD74, PSMB8, HLA-F, TAPBP,

HLA-E, MR1

Leukocyte extravasation signaling

1e-07

0.16 Cellular immune response

RAC2, CLDN11, MMP16, TIMP1, CYBA, CYBB,

RASSF5, ACTN1, ACTA1, TIMP2, VCAM1, CXCR4,

ACTB, ARHGAP4, ITGA5, THY1, MMP2, NCF4,

GNAI2, BTK, ITGB2, WIPF1, ITGAM, ARHGAP9,

WAS, JAM3, PLCG2, PIK3CD, ACTN4, PRKCB, MSN

Caveolar-mediated Endocytosis

Signaling

1E-06

0.24 Cellular Immune Response;

Organismal Growth and

Development; Pathogen-Influenced

Signaling

B2M, FYN, HLA-A, ACTB, HLA-B, CD48, ITGA5,

ITGB7, ITGB2, ITGAM, FLNC, ITGA11, ITGA9, CAV1,

ITGB4, ACTA1, ITGAX

Crosstalk between Dendritic Cells

and Natural Killer Cells

1E-06

0.21 Cellular Immune Response

TYROBP, HLA-A, ACTB, CD69, HLA-B, LTB, HLA-G,

TLR4, PRF1, HLA-DRB1, HLA-DRB4, MICB, CD40,

FSCN1, CD86, TNFRSF1B, HLA-F, ACTA1, HLA-E

Allograft rejection signaling

1e-06

0.29 Cellular immune response;

disease-specific pathways

HLA-G, B2M, PRF1, HLA-DRB4, HLA-DRB1, CD40,

HLA-DMA, GZMB, HLA-A, HLA-B, FCER1G, CD86,

HLA-F, HLA-E

Complement system

2e-06

0.33 Humoral immune response

C1R, ITGB2, CFD, ITGAM, C5AR1, CFB, CFI, C1QC,

C1QA, C1QB, C2, ITGAX

Dendritic cell maturation

3e-06

0.15 Cellular immune response;

cytokine signaling; pathogen-

influenced signaling

B2M, PLCB2, TYROBP, FCGR2A, HLA-A, HLA-B, LTB,

PLCL2, FCGR1A, COL1A2, COL1A1, TLR4, HLA-

DRB4, HLA-DRB1, CD40, HLA-DMA, DDR2, FSCN1,

PLCG2, FCER1G, CD86, PIK3CD, IRF8, COL18A1,

TNFRSF1B, TNFRSF11B

Integrin signaling

6e-06

0.14 Cell cycle regulation; cellular

growth, proliferation and

development; intracellular and

second messenger signaling

RAC2, RAP2A, FYN, MPRIP, TSPAN7, ARPC5, ITGB7,

RHOG, ITGA11, ITGA9, CAV1, ITGB4, TSPAN4,

ACTA1, ACTN1, ASAP1, ACTB, ITGA5, RHOJ, GSN,

ITGB2, WIPF1, ITGAM, WAS, PLCG2, PIK3CD,

ACTN4, ITGAX

Phagosome formation

7E-06

0.19 Cellular Immune Response;

Pathogen-Influenced Signaling

PLCB2, FN1, MRC2, FCGR2A, TLR8, ITGA5, RHOJ,

PLCL2, FCGR1A, INPP5D, TLR4, RHOG, SCARA3,

PLCG2, SYK, FCER1G, PIK3CD, MARCO, PRKCB

a

P value after FDR correction according to Benjamini-Hochberg.

E U R O P E A N U R O L O G Y 7 1 ( 2 0 1 7 ) 7 7 6 – 7 8 7

781