Table 4.
Association of CaSR Expression With Selected Tumor Biomarkers Among Men Diagnosed With Prostate Cancer Between 1983 and 2009 in the HPFS and the PHSa
| Characteristic | n | CaSR 0 to <2 | CaSR ≥2 | P Valueb |
|---|---|---|---|---|
| Proliferation indexc | 762 | 0.1 (0, 0.5) | 0.1 (0, 0.4) | .30 |
| Apoptosis indexd | 650 | 0.5 (0, 2.0) | 0.5 (0, 3.0) | .46 |
| VDR high, n, %e | 729 | 214 (33) | 37 (43) | .07 |
| PTEN loss, n, %f | 977 | 138 (16) | 19 (19) | .43 |
| pS6g | 739 | 0.12 (0.05, 0.28) | 0.17 (0.07, 0.38) | .01 |
| Stathminh | 713 | 0.016 (0.007, 0.04) | 0.022 (0.01, 0.05) | .005 |
| Angiogenesis | ||||
| Vessel areai | 388 | 486 (373, 671) | 405 (317, 574) | .02 |
| Vessel irregularityj | 388 | 3.9 (3.2, 4.6) | 4.8 (4.0, 5.3) | <.0001 |
All values are median (quartile 1, quartile 3) unless otherwise noted.
P values are based on the Wilcoxon-Mann-Whitney test for Ki67, TUNEL, pS6, stathmin, vessel area, and vessel irregularity and the χ2 test for PTEN and VDR.
Proliferation index is Ki67%-positive nuclear staining.
Apoptosis index is TUNEL percentage-positive nuclear staining.
VDR expression was dichotomized according to the lower two-thirds of expression.
A tissue core was considered to have PTEN protein loss if the intensity of cytoplasmic and nuclear staining was markedly decreased or entirely negative across greater than 10% of tumor cells compared with the surrounding benign glands and/or stroma.
pS6 is phospho-S6 ribosomal protein, expressed as mean area score.
Stathmin is expressed as mean area score.
Vessel area is the area comprised by microvessels (in square micrometers); smaller vessels are more angiogenic.
Vessel irregularity is calculated as the perimeter2/4π × area, with a value of 1.0 indicating a perfect circle and values greater than 1.0 indicating increasing irregularity.