Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review

Abstract Background Cytokeratins are intracellular proteins known as diagnostic biomarkers or prognostic factors for certain cancers. Cytokeratin 19 (CK-19) expression has been proven to have prognostic value for some cancers, but its relationship with others, such as prostate cancer (PCa), remains...

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Main Authors: Sina Shahshenas, Seyyed Mohammad Hosseini, Hossein Yarmohammadi, Masood Soltanipur, Mohammadreza Jalali Nadoushan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Cancer
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Online Access:https://doi.org/10.1186/s12885-025-13456-x
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author Sina Shahshenas
Seyyed Mohammad Hosseini
Hossein Yarmohammadi
Masood Soltanipur
Mohammadreza Jalali Nadoushan
author_facet Sina Shahshenas
Seyyed Mohammad Hosseini
Hossein Yarmohammadi
Masood Soltanipur
Mohammadreza Jalali Nadoushan
author_sort Sina Shahshenas
collection DOAJ
description Abstract Background Cytokeratins are intracellular proteins known as diagnostic biomarkers or prognostic factors for certain cancers. Cytokeratin 19 (CK-19) expression has been proven to have prognostic value for some cancers, but its relationship with others, such as prostate cancer (PCa), remains unclear. This systematic review article aimed to examine the relationship between CK-19 expression and prostate adenocarcinoma (PAC). Methods To include the eligible studies that detected CK-19 expression in PAC, published articles since June 2024 were found using PubMed, Scopus, and Web of Science databases. The “prostate cancer” and “cytokeratin 19” keywords and their Mesh term were used for search databases. Data from the included articles were extracted and tabulated. This study was performed using the PRISMA guidelines, and the JBI checklist was used for the quality assessment. The study protocol was registered in PROSPERO under the “CRD42023472637” code. Results Twenty-one studies were included. Eleven studies used reverse transcription polymerase chain reaction (RT-PCR) to investigate CK-19 expression, four used immunohistochemistry (IHC) staining, three used both one-step nucleic acid amplification (OSNA) and hematoxylin and eosin (H&E) methods, and three used the electrochemiluminescence (ECL) technique. CK-19 expression was detected in 301 patients among 619 patients. Additionally, only five out of 80 healthy donors were positive for CK-19 expression. Conclusion Available evidence indicates a correlation between CK-19 expression and PAC progression, with higher CK-19 levels associated with advanced stages and worse prognosis. The overall evidence suggests that CK-19 could serve as a diagnostic and prognostic marker in PAC.
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spelling doaj-art-44cbbbd1d52645d4be7933f9392d22102025-01-12T12:27:36ZengBMCBMC Cancer1471-24072025-01-0125111310.1186/s12885-025-13456-xExpression of cytokeratin 19 in prostatic adenocarcinoma: a systematic reviewSina Shahshenas0Seyyed Mohammad Hosseini1Hossein Yarmohammadi2Masood Soltanipur3Mohammadreza Jalali Nadoushan4Student Research Committee, Faculty of Medicine, Shahed UniversityAdvanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Science (TUMS)Quality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECRQuality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECRDepartment of Pathology, Faculty of Medicine, Shahed UniversityAbstract Background Cytokeratins are intracellular proteins known as diagnostic biomarkers or prognostic factors for certain cancers. Cytokeratin 19 (CK-19) expression has been proven to have prognostic value for some cancers, but its relationship with others, such as prostate cancer (PCa), remains unclear. This systematic review article aimed to examine the relationship between CK-19 expression and prostate adenocarcinoma (PAC). Methods To include the eligible studies that detected CK-19 expression in PAC, published articles since June 2024 were found using PubMed, Scopus, and Web of Science databases. The “prostate cancer” and “cytokeratin 19” keywords and their Mesh term were used for search databases. Data from the included articles were extracted and tabulated. This study was performed using the PRISMA guidelines, and the JBI checklist was used for the quality assessment. The study protocol was registered in PROSPERO under the “CRD42023472637” code. Results Twenty-one studies were included. Eleven studies used reverse transcription polymerase chain reaction (RT-PCR) to investigate CK-19 expression, four used immunohistochemistry (IHC) staining, three used both one-step nucleic acid amplification (OSNA) and hematoxylin and eosin (H&E) methods, and three used the electrochemiluminescence (ECL) technique. CK-19 expression was detected in 301 patients among 619 patients. Additionally, only five out of 80 healthy donors were positive for CK-19 expression. Conclusion Available evidence indicates a correlation between CK-19 expression and PAC progression, with higher CK-19 levels associated with advanced stages and worse prognosis. The overall evidence suggests that CK-19 could serve as a diagnostic and prognostic marker in PAC.https://doi.org/10.1186/s12885-025-13456-xCytokeratin 19CK-19 expressionProstatic adenocarcinoma (PAC)Prostate cancer (PCa)Gleason scores and grades
spellingShingle Sina Shahshenas
Seyyed Mohammad Hosseini
Hossein Yarmohammadi
Masood Soltanipur
Mohammadreza Jalali Nadoushan
Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
BMC Cancer
Cytokeratin 19
CK-19 expression
Prostatic adenocarcinoma (PAC)
Prostate cancer (PCa)
Gleason scores and grades
title Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
title_full Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
title_fullStr Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
title_full_unstemmed Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
title_short Expression of cytokeratin 19 in prostatic adenocarcinoma: a systematic review
title_sort expression of cytokeratin 19 in prostatic adenocarcinoma a systematic review
topic Cytokeratin 19
CK-19 expression
Prostatic adenocarcinoma (PAC)
Prostate cancer (PCa)
Gleason scores and grades
url https://doi.org/10.1186/s12885-025-13456-x
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