Cellular and Molecular Medicine Research, ISSN 2817-6359 online, Open Access
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Original Article

Volume 4, Number 1, September 2026, pages 10-19


Antinuclear Antibody Seropositivity and Its Association With Transforming Growth Factor β1 and the Dynamics of Tumor-Associated Antigens in Prostate Cancer

Figures

↓  Figure 1. Representative images of ANA patterns in positive sera from patients with malignant prostate disease (n = 8): (a) cytoplasmic; (b) speckled; (c) cytoskeletal; (d) rods and rings; and (e) mixed pattern. Mixed patterns of ANA included speckled, midbody, nucleolar, and other cytoplasmic fluorescence, which interfered with their detection. Scale bar = 100 µm. ANA: antinuclear antibody.
Figure 1.
↓  Figure 2. Immunostaining of PSA, PSMA, CD34, and Ki-67 expression in human prostate cancer tissues (n = 26). (a) PSA shows low cytoplasmic staining. (b) PSMA has characteristic cytoplasmic but also strong membranous staining. (c) CD34 immunoreactivity is restricted to the blood vessels. (d) Ki-67 shows high nuclear staining. Scale bar = 100 µm. PSA: prostate-specific antigen; PSMA: prostate-specific membrane antigen.
Figure 2.
↓  Figure 3. Comparison of PSA and PSMA immunoreactivity in malignant prostate patients depending on the ANA positivity (positive ANA PCa patients n = 8; negative ANA PCa patients n = 18). *P < 0.05. ANA: antinuclear antibody; PSA: prostate-specific antigen; PCa: prostate cancer; PSMA: prostate-specific membrane antigen.
Figure 3.
↓  Figure 4. Ki67 and CD34 immunoexpression among prostate cancer patients according to the ANA positivity (positive ANA PCa patients n = 8; negative ANA PCa patients n = 18). *P < 0.05. ANA: antinuclear antibody; PCa: prostate cancer.
Figure 4.
↓  Figure 5. TGF-β1 levels among prostate cancer patients depending on the ANA positivity (positive ANA PCa patients n = 8; negative ANA PCa patients n = 18). *P < 0.05. ANA: antinuclear antibody; TGF-β1: transforming growth factor β1; PCa: prostate cancer.
Figure 5.

Table

↓  Table 1. Comparison of Malignant Prostate Lesions Characteristics According to Positivity of ANA (Positive ANA PCa Patients N = 8; Negative ANA PCa Patients N = 18)
 
CharacteristicsAll patients (n = 26)Positive ANA (n = 8, 30.8%)Negative ANA (n = 18, 69.2%)P value
ANA: antinuclear antibody; PCa: prostate cancer; PSA: prostate-specific antigen.
Age, median (range)74 (58–85)75 (68–83)75 (58–85)0.977
Gleason score n (%)
  < 60 (0%)0 (0%)0 (0%)
  6–713 (50%)3 (37.5%)10 (55.6%)0.016
  8–1013 (50%)5 (62.5)8 (44.4%)0.433
PSA ng/mL, median (IQR)80 (31.9–698)176 (83.5–1,203)51 (22.98–100)0.0046
Hormone therapy, n (%)14 (53.9%)4 (50%)10 (55.6%)0.113
Hormone escape, n (%)4 (15.3%)2 (25%)2 (11.1%)1.000
Metastasis, n (%)2 (7.7%)1 (12.5%)1 (5.6%)1.000
ANA pattern, n (%)0.485
  Cytoplasmic1 (3.9%)1 (12.5%)
  Speckled1 (3.9%)1 (12.5%)
  Cytoskeletal1 (3.9%)1 (12.5%)
  Rods and rings1 (3.9%)1 (12.5%)
  Mixed pattern4 (15.3%)4 (50%)