Role of IL-17A and IL-17RA in Prostate Cancer with Lymph Nodes Metastasis: Expression Patterns and Clinical Significance

Prostate cancer (PCa) is the second most frequently diagnosed cancer among men. The use of IL-17A and its receptor IL-17RA as prognostic markers for PCa has shown promising results. We analyzed the clinical data of 77 patients with PCa after radical prostatectomy with lymphadenectomy and lymph node...

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Main Authors: Paweł Kiełb, Maciej Kaczorowski, Kamil Kowalczyk, Aleksandra Piotrowska, Łukasz Nowak, Wojciech Krajewski, Joanna Chorbińska, Krzysztof Dudek, Piotr Dzięgiel, Agnieszka Hałoń, Tomasz Szydełko, Bartosz Małkiewicz
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/15/18/4578
Description
Summary:Prostate cancer (PCa) is the second most frequently diagnosed cancer among men. The use of IL-17A and its receptor IL-17RA as prognostic markers for PCa has shown promising results. We analyzed the clinical data of 77 patients with PCa after radical prostatectomy with lymphadenectomy and lymph node metastasis (LN+). We assessed the expression levels of IL-17A and IL-17RA in cancer cells in prostate and, for the first time, also in LN+. Prostate IL-17A expression positively correlated with BMI (<i>p</i> = 0.028). In LN+, the expression of IL-17A was positively correlated with the percentage of affected lymph nodes (<i>p</i> = 0.006) and EAU risk groups (<i>p</i> = 0.001). Additionally, in the group with high IL-17A expression in LN+, the extracapsular extension (ECE) of the prostate was significantly more frequent (<i>p</i> = 0.033). Also, significant correlations with the level of IL-17RA expression was found—expression was higher in prostate than in LN+ (<i>p</i> = 0.009); in LN+, expression positively correlated with the EAU risk group (<i>p</i> = 0.045), and in the group of high expression in LN+ ECE of lymph nodes was detected significantly more often (<i>p</i> = 0.009). Our findings support the potential role of IL-17A and IL-17RA as PCa markers; however, further studies are needed to determine their roles and potential clinical applications.
ISSN:2072-6694