Immunostaining for calcium-sensing receptor (CaSR) (A,C,E) and chromogranin (B,D,F) on sequential slides. Both markers are expressed in the same areas of normal prostate tissue (A,B, ×10; in inset ×40) and metastatic castration resistant prostate cancerv (MCRPC) (C,D, ×5; in inset ×40). In case of mixed neuroendocrine prostate cancer (NEPC), only the neuroendocrine (NE) component expressed both CaSR and chromogranin (E,F, ×5; in inset ×40). (G). Double immunostaining showing co-localization of CaSR and chromogranin in MCRPC. Cytoplasmic expression of chromogranin is shown as red; membranous staining of CaSR is shown as green. In some cells, CaSR was expressed without chromogranin staining (×60). (H). Kaplan-Meier overall survival in MCRPC patients, according to CaSR staining (p = 0.004).