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Exp Mol Med. 2010 April 30; 42(4): 310–318.
Published online 2010 February 22. doi:  10.3858/emm.2010.42.4.031
PMCID: PMC2859330

Differential alternative splicing of human transglutaminase 4 in benign prostate hyperplasia and prostate cancer

Abstract

Transglutaminase 4 is a member of enzyme family that catalyzes calcium-dependent posttranslational modification of proteins. Although transglutaminase 4 has been shown to have prostate-restricted expression pattern, little is known about the biological function of transglutaminase 4 in human. To gain insight into its role in prostate, we analyzed the expression status of human transglutaminase 4 in benign prostate hyperplasia (BPH) and prostate cancer (PCa). Unexpectedly, RT-PCR and nucleotide sequence analysis showed four alternative splicing variants of transglutaminase 4: transglutaminase 4-L, -M (-M1 and -M2) and -S. The difference between transglutaminase 4-M1 and -M2 is attributed to splicing sites, but not nucleotide size. The deduced amino acid sequences showed that transglutaminase 4-L, -M1 and -M2 have correct open reading frames, whereas transglutaminase 4-S has a truncated reading frame. RT-PCR analysis of clinical samples revealed that transglutaminase 4-M and -S were detected in all tested prostate tissue (80 BPH and 48 PCa). Interestingly, transglutaminase 4-L was found in 56% of BPH (45 out of 80) and only in 15% of PCa (7 out of 48). However, transglutaminase 4-L expression did not correlate with serum prostate-specific antigen (PSA) level, prostate volumes or PSA densities. These results will provide a clue to future investigation aiming at delineating physiological and pathological roles of human transglutaminase 4.

Keywords: alternative splicing, prostate hyperplasia, prostatic neoplasms, transglutaminase 4

Introduction

Transglutaminases are a family of calcium-dependent enzymes that consist of eight isoenzymes (transglutaminase 1-7 and factor XIIIa) and one evolutionary related protein (Band 4.2; Lorand and Graham, 2003). They participate in a variety of biological phenomena associated with tissue protection, such as skin differentiation, blood coagulation and wound healing processes. During these processes, transglutaminases produce a high molecular weight of protein architecture conferring a resistance to mechanical stresses and proteolytic degradations (Griffin et al., 2002). The protein architecture is composed of protein polymers covalently crosslinked by isopeptide bond formation between peptide-bound glutamine and lysine residues.

A number of studies concerning the nature of postejeculatory plug have recognized that a transglutaminase isoenzyme secreted from prostate gland plays an important role in the reproduction biology of rodents (Williams-Ashman et al., 1972, 1977; Williams-Ashman, 1984). Following studies have identified that copulatory plug is formed by transglutaminase 4 (prostate transglutaminase or TGP), a highly glycosylated protein enriched in dorsal prostate of rodents (Seitz et al., 1990). Interestingly, analysis of amino acid sequence determined by molecular cloning showed no putative signal sequence required for secretion (Ho et al., 1992). The copulatory plug formation has been thought to facilitate the fertilization by preventing seminal fluid from leaking out of vagina (Cukierski et al., 1991). In addition, transglutaminase 4 has been suggested to play an important role in suppression of sperm antigenicity in the female genital tract via incorporating seminal protein, such as uteroglobin, or polyamines into sperm cell surfaces (Mukherjee et al., 1983; Paonessa et al., 1984).

In contrast to rodent transglutaminase 4, little has been known about physiological roles of human transglutaminase 4. Previous studies revealed that human transglutaminase 4 showed prostate-restricted expression pattern (Dubbink et al., 1999), raising a possibility as a novel target for prostate-related diseases, particularly in prostate cancer, the second leading cause of cancer death in men (Savli et al., 2008). Interestingly, no expression of human transglutaminase 4 was observed in some prostate cancer cell lines (Dubbink et al., 1996), even though its promoter was shown to have basic transcriptional activity (Dubbink et al., 1998). Transcript analyses have showed that the expression of human transglutaminase 4 is reduced in most metastatic prostate cancer specimens (An et al., 1999). Recently, knockdown of transglutaminase 4 reduced invasive capacity in prostate cancer cells (Davies et al., 2007). Altogether, these results may provide helpful clues to understanding the role of human transglutaminase 4 in prostate cancer.

Alternative splicing is an important mechanism to increase structural and functional diversity of proteins (Blencowe, 2006). In addition, growing evidence indicates that splicing variants can provide diagnostic and/or therapeutic targets for several cancers (Pajares et al., 2007). In this study, we found four mRNA variants of transglutaminase 4 in human prostate tissues. Sequence analyses were carried out to demonstrate alternative splicing of transglutaminase 4. We also analyzed alternative splicing pattern in the tissue specimens obtained from benign prostate hyperplasia (BPH) and prostate cancer (PCa) patients.

Results

Identification of human transglutaminase 4 isoforms

We initially used a RT-PCR method to examine the expression of human transglutaminase 4 in BPH tissues. Unexpectedly, three different RT-PCR products were found in the tissue samples (Figure 1). While a 450 bp fragment was the predicted size of band based on the sequence of human transglutaminase 4 cDNA (Grant et al., 1994; Dubbink et al., 1996), two products of 600 bp and 350 bp were the unpredicted sizes.

Figure 1
Identification of human transglutaminase 4 spliced variants in BPH tissues. RACE was performed on cDNA synthesized from BPH samples and resulted in three different-sized PCR products, 350 bp, 450 bp and 600 bp.

In order to assure the identity of each RT-PCR product, these fragments were cloned into pT7Blue vector. Sequence analysis revealed that a 450 bp fragment actually contains two different coding sequences of human transglutaminase 4, transglutaminase 4-M1 and -M2 (Figure 2A). The sequence of transglutaminase 4-M1 was completely identical to that of human transglutaminase 4 as reported previously (Grant et al., 1994; Dubbink et al., 1996). The sequence of transglutaminase 4-M2 was identical to that of transglutaminase 4-M1 with exception of a 4 bp segment (GTGA) insertion (Figure 2A, underlined). This insertion leads to a +2 frameshift, resulting in premature termination after six amino acids. However, interestingly, there are three consecutive initiation codons in the 5' end sequence (Figure 2A). It is thus possible that the reading frame of transglutaminase 4-M2 can be restored by alternative translation initiating at the third ATG codon.

Figure 2
Comparison of nucleotide and amino acid sequences of human transglutaminase (TG) 4 isoforms. (A) Transglutaminase 4-M2 has four more nucleotide (GTGA, underlined) compare to transglutaminase 4-M1, which results in frameshift. Among three consecutive initiation ...

A 600 bp fragment (transglutaminase 4-L) also had coding sequences of transglutaminase 4. However, transglutaminase 4-L containing novel 135 bp sequences (positions at 7447-7581 in Figure 3A), compared to transglutaminase 4-M1. The sequence of transglutaminase 4-L except an additional 135 bp fragment was completely identical to that of transglutaminase 4-M1. This insertion did not interfere with open reading frame of transglutaminase 4-M1, thereby providing additional coding sequences. Thus, the open reading frame of transglutaminase 4-L can encode the polypeptide composed of 723 amino acid residues, indicating that transglutaminase 4-L has 45 additional amino acid residues (Figure 2B), compared to transglutaminase 4-M1. By contrast, sequence analysis of a 350 bp fragment (transglutaminase 4-S) showed that 107 nucleotides were deleted from the transglutaminase 4-M1. This deletion caused in a shift of reading frame, leading to generating a stop codon (TGA). Thus, the open reading frame of transglutaminase 4-S may encode a prematurely terminated protein consisting of 91 amino acid residues (Figure 2C).

Figure 3
Structure and alternative splicing of human transglutaminase (TG) 4 gene. (A) Human transglutaminase 4 gene has 15 exons and 14 introns. Exon 2, containing 135 nuclotides, is found only in transglutaminase 4-L and Exon 4, comprising 107 nucleotides, is ...

Alternative splicing of the human transglutaminase 4 gene

To investigate how human transglutaminase 4 isoforms are generated, we next analyzed the genomic structure of human transglutaminase 4 based on its sequence information obtained from human genome resources of NCBI. As shown in Figure 3A, the NCBI database shows that human transglutaminase 4 gene consists of 14 exons and 13 introns and spans about 40 kb of genomic DNA on chromosome 3p21.33-p22 (region 44,891,131-44,931,097). Sequence alignment revealed that the novel 135 bp sequences of transglutaminase 4-L is exactly matched with sequences on the intron 1 in NCBI database. Interestingly, putative splicing acceptor and donor sites were found in flanking region of the novel 135 bp sequences of transglutaminase 4-L. Thus, this finding indicates that a 135 bp fragment is a novel exon (designated as Exon 2 in Figure 3A) of transglutaminase 4. The nucleotide sequences of the exon-intron junction in the exon 2 showed that splice donor and acceptor sites followed the GT/AG rules (Mount, 1982).

In a region of intron 1 splice donor sequence, two potential splicing junction consensus sequences were found in proximity. The transglutaminase 4-M1 was spliced at a G/gt consensus site (Figure 3B). In contrast, transglutaminase 4-M2, spliced at A/gt (Figure 3B), included the 4 nucleotides (GTGA) after the splice junction, resulting in shift of reading frame of transglutaminase 4-M2 form. Thus, the transglutaminase 4-M1 and -M2 forms are generated by selection of two consecutive splice consensus sequences located at intron 1. On the other hand, the exon 4 contains the 107 bp corresponding to the exact sequences that are deleted in transglutaminase 4-S. The schematic representation of alternative splicing of transglutaminase 4 gene is illustrated in Figure 4. These results showed that exon 2 and 4 are responsible for the expression of the transglutaminase 4-L, -M and -S. In order to exclude the possibility of existence of different alleles, exon 2 and 4 were analyzed by PCR. Neither exon 2- or 4-deficient allele could be found in 100 normal human genomic DNA samples (data not shown).

Figure 4
Schematic representation of alternatively spliced transcripts for human transglutaminase (TG) 4.

Expression of transglutaminase 4 isoforms in yeast and HeLa cells

To examine whether each transglutaminase 4 isoform is translated properly, hemagglutinin (HA)-tagged transglutaminase 4 isoforms were cloned to pYes2.0 vector and expressed in yeast INVsc1 cells. Western blot analysis showed that transglutaminase 4-L, -M1 and -M2 forms were expressed as single proteins and estimated molecular weights were 93 kDa for transglutaminase 4-L and 89 kDa for transglutaminase 4-M1 and -M2 (Figure 5A). In addition, yeast extract transformed with each transglutaminase 4 isoform exhibited significant transglutaminase activity compared to vector-transformed yeast extract (Figure 5B). Transglutaminase 4-L and transglutaminase 4-M1 were also expressed as hemagglutinin-tagged forms in HeLa cells and detected as single protein in cell lysate. Interestingly, only transglutaminase 4-M1 were detected in lyophilized culture supernatant (Figure 5C), suggesting that transglutaminase 4-L was not secreted.

Figure 5
Characterization of transglutaminase 4 isoforms expressed in yeast and HeLa cell lysate. (A) Yeast INVSc1 cells were transformed with pYes2.0 vector containing cDNA for hemagglutinin-tagged transglutaminase 4 isoform. Yeast lysates were analyzed by Western ...

Differential alternative splicing of transglutaminase 4 in BPH and PCa specimens

The expression of transglutaminase 4 mRNA isoforms was analyzed in prostate tissues by RT-PCR. The cDNAs were amplified using three pairs of specific primers designed to amplify only the transglutaminase 4-L form (375 bp with TP-3/TP-4), transglutaminase 4-L and -M forms (449 bp and 314 bp with TP-5/TP-4), and transglutaminase 4-M and -S forms (441 bp and 334 bp with TP-6/TP-7), respectively (Figure 6A). Clinical parameters obtained from patients diagnosed as BPH or PCa were summarized in Table 1. RT-PCR analyses revealed that both transglutaminase 4-M and -S were detected in all tested tissues (80 BPH and 48 PCa tissues). Transglutaminase 4-L was found in 45 out of 80 BPH tissues (Figure 6B). On the other hand, it was only detected in 7 out of 48 PCa tissues, indicating that the expression of transglutaminase 4-L decreased in PCa tissues compared to BPH tissues (Table 2). Nonetheless, transglutaminase 4-L expression did not correlate with serum PSA level, prostate volumes or PSA densities of BPH patients (Table 3).

Figure 6
Expression of human transglutaminase (TG) 4 isoforms in BPH. (A) Localization of primers used to amplify each spliced variants of human transglutaminase 4. (B) Representative of RT-PCR analysis for transglutaminase 4 isoforms. cDNA synthesized from BPH ...
Table 1
Comparison of clinical parameters between BPH and PCa patients.
Table 2
Expression of transglutaminase 4 isoforms in BPH and PCa (P < 0.001).
Table 3
Clinical parameters of BPH with or without transglutaminase 4-L.

Discussion

In this study, we provided the evidence that human transglutaminase 4 is alternatively spliced in prostate tissues. Four mRNA transcripts of transglutaminase 4, designated as transglutaminase 4-L, -M1, -M2 and -S, were identified by RT-PCR and sequence analyses. Identification of transglutaminase 4-L isoform contained a novel exon (exon 2 in Figure 3A) indicates that human transglutaminase 4 gene consists of 15 exons and 14 introns. The novel 45 amino acids corresponding to exon 2 have no significant amino acid sequence similarity with the other member of transglutaminase family. Secondary structure prediction analyses showed that the novel sequences have a long stretch of hydrophobic amino acid residues (about 20 amino acids), which may adopt a turn-helix-turn structural motif.

Both transglutaminase 4-M1 and -M2 does not have exon 2. The generation of transglutaminase 4-M1 or -M2 seems to depend on the selection of a splicing acceptor site during deletion of intron 2 in splicing events. Sequencing of 10 cDNA clones of transglutaminase 4-M showed that the frequency of occurrence of transglutaminase 4-M2 is equal with that of transglutaminase 4-M1 (data not shown), suggesting that transglutaminase 4-M1 and -M2 may be equally expressed in human prostate. However, transglutaminase 4-M2 would use the third initiation codon to produce functional protein product, instead of the first ATG, as described before. It is of interest that the first 10 nucleotides of human transglutaminase 4 (ATGATGGATG) are identical to those of human transglutaminase 1 (Kim et al., 1992, Phillips et al., 1990). Although human transglutaminase 1 also has two variants generated by utilizing different initiation codons, the amino acid sequence difference between two variants is resulted from allelic variation in the human population, instead of an alternative splicing mechanism (Kim et al., 1992).

The presence of several transcripts by alternative splicing may indicate functional diversity of human transglutaminase 4. However, little is known about its role in the prostate tissue. Interestingly, the clinical sample analyses showed the reduced expression of transglutaminase 4-L in prostate cancer. Thus, our data suggest that the change of alternative splicing of transglutaminase 4 is associated with prostate cancer. Actually, growing evidence indicates that aberrant alternative splicing has been known to be associated with a variety of human diseases, particularly in cancers (Pajares et al., 2007).

A number of alternatively spliced genes have been reported in PCa. PSA is a member of kallikrein gene family and a well-known serum biomarker in PCa. PSA has at least 15 transcripts resulting from alternative splicing and alternative polyadenylation, and they code at least 8 different proteins (Heuze-Vourc'h et al., 2003). The investigation about the changes of these spliced variants in PCa is required for more specific PSA screening test. Besides PSA, other members of kallikrein gene family, including KLK2, KLK3, KLK11, and KLK15, have more than one spliced variant and were reported to be up-regulated in PCa (Reynolds, 2008). For example, KLK11 has two alternatively spliced isoforms and the low expression of prostate type variant in PCa is associated with higher tumor stage, Gleason score, and tumor grade (Nakamura et al., 2003). In addition, loss of a certain spliced variant of fibroblast growth factor receptor 2 (FGF-R2) is correlated with androgen insensitivity (Carstens et al., 1997), and truncated isoform of VEGF receptor flt-4 (VEGFR3) increases in PCa with lymph node involvement (Stearns et al., 2004). Therefore, detection of splicing variants can be employed for diagnosis and prognosis prediction in PCa.

While rodent transglutaminase 4 has a crucial role in fertilization by forming copulatory plug, the function of human transglutaminase 4 is still obscure. Since human transglutaminase 4 is secreted form prostate and a constituent of semen, it has been suggested to have a role in human fertilization by suppressing sperm antigenicity or unknown mechanism (Mukherjee et al., 1983, Paonessa et al., 1984). Moreover, transglutaminase 4 showed prostate-restricted expression pattern (Dubbink et al., 1999) and transglutaminase 2, another transglutaminase family member, has been associated with apoptosis and cancer cell survival (Fesus and Szondy, 2005). Therefore, transglutaminase 4 has been suspected to be involved in BPH and PCa pathogenesis. Our result showed loss of transglutaminase 4-L variant in PCa samples (Table 2), corroborating the previous report that showed down-regulation of transglutaminase 4 expression in metastatic PCa samples (An et al., 1999). Therefore, down-regulation of transglutaminase 4, especially transglutaminase 4-L, is probably associated with cancer development and progression. By contrast, recent studies showed that overexpression of transglutaminase 4 in PCa cells increased adhesion of cancer cells to endothelial cells and reduced barrier function of endothelial cells (Jiang et al., 2009). Conversely, knock-down of transglutaminase 4 in PCa cells decreased invasiveness and tumor-endotheilal cell interactions (Davies et al., 2007; Jiang et al., 2009). Because transglutaminase 4-M1, which is a NCBI reference sequence, was used in these studies, alternatively spliced transglutaminase 4 isoforms could help to explain these contradictory observations on the tumorigenicity and invasiveness of PCa cells. Nevertheless, the role of each transglutaminase 4 spliced variant in PCa need to be determined.

Although transglutaminase 4 is known as secreted protein, when expressed in HeLa cell, transglutaminase 4-L was not detected in culture supernatants (Figure 5C). Therefore, the difference of cellular localization is one of factors that confer different functions on each spliced variant because enzymes in different location probably use different substrate partners.

In conclusion, we discovered four alternatively spliced variants of transglutaminase 4 (transglutaminase 4-L, -M1, -M2 and -S) and found that loss of transglutaminase 4-L isoform is associated with PCa in prostate samples. Though the exact pathophysiological functions of these spliced variants need to be determined, these results suggest potential role of transglutaminase 4 in PCa progression and shed light on physiological and pathological functions of human transglutaminase 4.

Methods

Prostate specimens and clinical parameters

Human prostate specimens were obtained from the patients diagnosed to have BPH or PCa by transurethral resection of prostate or radical prostatectomy. Tissues were immediately frozen in liquid nitrogen and stored at -80[degree celsius] until use. H&E staining of prostate tissues were performed for pathological examination. The study was approved by the Institutional Review Board of Seoul National University Hospital and informed consent was obtained from each patient.

Total and free PSA was assayed from serum of patients using I125-labeled anti-PSA monoclonal antibody (ELSA-PSA2 kit; CIS-bio Co.). To calculate prostate volume, transrectal ultrasonography was performed using a HDI 3000 scanner with an endocavitary multifrequency 5- to 9-MHz transducer (ATL Co.). Volume of prostate was calculated using the three main diameters of the gland, in which the volume equals 0.5 × (L × W × H), where L is the maximum cephalocaudal length in longitudinal view, W is the maximum transverse length in transaxial view and H is the maximum anteroposterior length in longitudinal view (Terris and Stamey, 1991). The PSA density was calculated as PSA (ng/ml) divided by prostate volume (cc).

RT-PCR amplification and cloning of human transglutaminase 4 isoforms

Total RNA was isolated from BPH specimens using acid guanidinium thiocyanate-phenol, chloroform extraction method (Chomczynski and Sacchi, 1987). Rapid amplification of cDNA ends (RACE) was employed to amplify the 5' end of cDNAs (Frohman et al., 1988). Random primed first strand cDNA was synthesized from 500 ng of total RNA by using the Superscript reverse transcriptase kit (Invitrogen), and a stretch of dG residues was added to the 3' end using terminal deoxynucleotidyl transferase (Promega). The first PCR was performed with 25 pmol of oligo(dC)17 and TP-1 (5'-ctcaaactgaccaaagttcca-3'; reverse) primers using dG tailed RT reaction product. The second PCR was performed with a oligo(dC)17 and TP-2 (5'-acaccatgggttgaagaga-3'; reverse) primers as follows. The samples were heated to 95[degree celsius] for 5 min, followed by 35 cycles of denaturation at 94[degree celsius] (0.5 min), annnealing at 48[degree celsius] (0.5 min), and extension at 72[degree celsius] (1.5 min). Following the final extension at 72[degree celsius] (10 min), PCR products were analyzed by 1.5% agarose gel electrophoresis, purified, and directly ligated into pT7Blue T-vector (Novagen). Colonies containing inserts were selected, and sequenced using primers to the T7 and U19 regions of the plasmid vector.

Expression of transglutaminase 4 isoforms in yeast and HeLa cells

cDNAs of transglutaminase 4-L, -M1 and -M2 were cloned into pYES2.0 (Invitrogen) or pcDNA3 (Invitrogen) for expression in yeast or in mammalian cell, respectively. Each transglutaminase 4 isoform was tagged with hemagglutinin epitope for detection of protein. For yeast expression, INVsc1 cells (Invitrogen) were transformed by Lithium acetate/single stranded-DNA/Polyethylglycol method (Jeon et al., 2003) and grown in SD medium (0.67% Yeast nitrogen base without amino acids, 2% glucose and 0.065% CSM-URA). Expression of protein was induced by incubation with YPG medium (1% yeast extract, 2% bacto-peptone and 2% galactose) for 4 h. For mammalian cell expression, HeLa cells were transfected with transglutaminase 4 isoforms in pcDNA3 using LipofectAMINE reagent (Invitrogen) according to manufacturer's instructions. After 48 h of transfection, cell lysates and lyophilized culture supernatants were analyzed for protein expression.

Western blot analysis

Yeast cell was homogenized using glass beads in the homogenization buffer (50 mM Tris-Cl, pH 7.5, 250 mM sucrose, 0.2 mM MgSO4, 1 mM EDTA, 10 mM DTT) containing protease inhibitor cockail (Roche). HeLa cells were lysed in the buffer containing 50 mM Tris-Cl, pH 8.0, 150 mM NaCl, 1% Triton X-100 and protease inhibitor cocktail. The culture supernatant of HeLa cells was lyophilized and reconstituted with PBS. The samples were centrifuged at 14,000 × g for 10 min at 4[degree celsius], and the protein concentration of the supernatant was determined by BCA method. Each sample was resolved by SDS-PAGE and transferred onto nitrocellulose membrane. After treating for 1 h with 5% skim milk in Tris-buffered saline, the membrane was incubated with antibodies for hemagglutinin (Roche) or actin (Sigma) for 2 h. The membranes were washed, incubated with HRP-conjugated secondary antibody, and then developed using chemiluminescence substrate solution as instructed by the manufacture (Pierce).

Transglutaminase activity assay

Transglutaminase activity of yeast lysate was measured by estimating incorporation of [14C]-putrescine (Amersham) to N,N'-dimethylcasein (Sigma). Yeast lysate (500 µg) was incubated with N,N'-dimethylcasein and 500 nCi of [14C]-putrescine in reaction buffer (50 mM Tris-acetate, pH 7.5, 10 mM CaCl2, 5 mM DTT, 150 mM NaCl, 0.5% Triton X-100, 0.5 mM EDTA) for 1 h at 37[degree celsius]. After precipitated with trichloroacetic acid, samples were bound to filter paper, and radioreactivity was assessed by scintilation counting. Transglutaminase activity is expressed as a relative value to that of vector transfected cells, which was normalized by protein level of transglutaminase 4 isoforms.

RT-PCR analysis with BPH and PCa specimens

RNA preparation and reverse transcription were performed using BPH (80 cases) and PCa (48 cases) specimens. PCR was carried out with TP-3 (5'-cactttgttgcccaggctg-3'; forward)/TP-4 (5'-ctgccagttgtagtggtct-3'; reverse), TP-5 (5'-agagatagagtcttccctg-3'; forward)/TP-4 and TP-6 (5'-caaacgagcagtcctgtgt-3'; forward)/TP-7 (5'-gcatttgatacttctggca-3'; reverse) for detecting transglutaminase 4-L, -L/M and -M/S forms, respectively (Figure 5A). The pre-heated samples were placed in 35 cycles consisting of denaturation at 94[degree celsius] (0.5 min), annnealing at 48[degree celsius] (0.5 min), and extension at 72[degree celsius] (1.5 min). Following the final extension at 72[degree celsius] (10 min), PCR products were analyzed by 1.5% agarose gel electrophoresis.

Statistical analysis

The statistical analyses were performed by the SPSS software (Statistical Package for the Social Sciences, SPSS Inc). Comparison of transglutaminase 4-L expression between BPH and PCa was performed with chi-square test. Comparisons of serum PSA, prostate volume and PSA density between transglutaminase 4-L expressed and non-expressed BPH patients were done with the t test. P-values less than 0.05 were considered significant.

Acknowledgments

We thank Dr. Y. D. Kim for critical comments on the manuscript. This work was supported by the grants from Korea Science and Engineering Foundation (R01-2005-000-10364-0) and also by the Research Program for New Drug Target Discovery (M10748000296-07N4800-29610). S.Y.C., E.M.J. and G.Y.J. were supported by the graduate program of BK21, Korean Ministry of Education, Science and Technology.

Abbreviations

BPH
benign prostate hyperplasia
PCa
prostate cancer
PSA
prostate-specific antigen

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