Is ImmunoRatio a useful tool for quantification of estrogen receptor α in bladder cancer chemically-induced in Wistar rats?
Articles in Press, Accepted Manuscript, Available Online from 20 July 2026
Elisabete Nascimento-Gonçalves, Tiago Azevedo, Erica Ferreira, Catarina Medeiros, Paula Oliveira, Ana Faustino
Abstract Urinary bladder cancer, the tenth most common cancer globally, exhibits significant variability in the reported expression of estrogen receptor alpha (ERα), a key prognostic marker. Accurate and reproducible assessment of ERα is critical for elucidating its role in bladder cancer biology and identifying therapeutic targets. Aim: This study compared manual scoring with automated analysis using ImmunoRatio software for quantifying ERα expression in a chemically induced bladder cancer model in rats, using N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN). Methods: Twenty male Wistar rats were randomly assigned to two groups: a control group (n=8) and a group treated with BBN (BBN; n=12), administered in drinking water at 0.05% for 20 weeks. Animals were sacrificed and urinary bladders were collected for macroscopic and microscopic evaluation. Samples underwent standard histological processing and immunohistochemical analysis to assess ERα expression, quantified both manually and automatically. Results: The immunoexpression of ERα, detected by ImmunoRatio was found to be significantly higher than that obtained through manual counting in both groups (p < 0.0001). ImmunoRatio analysis indicated a higher ERα expression in the control group than in the BBN group (p < 0.001), whereas manual counting showed the opposite tendency, without statistical significance (p > 0.05). Conclusion: Our findings demonstrated that ImmunoRatio resulted in significantly higher ERα immunoexpression values than manual counting in both control and BBN-treated groups, with inconsistent group-wise trends between methods. These findings suggest that, although digital pathology tools offer advantages in standardization and reproducibility, their application requires tissue-specific calibration and validation to ensure accurate and reliable biomarker quantification.
Successful hormonal and chemical induction of prostate cancer in a rat model: practical guidelines
Volume 15, Issue 9, September 2024, Pages 445-453
Elisabete Nascimento-Gonçalves, Ana Isabel Faustino-Rocha, Fernanda Seixas, Bruno Colaço, Rita Ferreira, Paula Alexandra Oliveira
Abstract Prostate cancer is a very common cancer in men, affecting approximately 1.40 million men worldwide in 2020. To improve the quality of life and survival of both animals and humans, effective therapeutic approaches have been developed and evaluated using animal models. The rat model of prostate cancer induced by a multi-step protocol that consists of a sequential administration of flutamide, followed by testosterone propionate, then the administration of N-methyl-N-nitrosourea, and finally subcutaneous implantation of tubes filled with crystalline testosterone, is one of the most frequently used for prostate cancer research. However, the lack of standardization in procedures for prostate cancer induction, sample collection, and analysis represents a challenge for researchers. To address this issue, we aim to provide investigators with a detailed, step-by-step guide to implementing a rat model of prostate cancer, based on our extensive experience in this field. First, we briefly review the prostate cancer-induced protocols found in the literature, then we provide a detailed description of the prostate cancer rat model implemented by our team. After, we explore the rats’ prostate monitoring during the experiment protocol through imaging modalities, such as ultrasonography, computed tomography, and magnetic resonance imaging. We also describe animal welfare monitoring based on a table of humane endpoints, as well as data collection, such as biological variables and prostate samples. In sum, this article will ensure the quality of results and enable their comparison among different researchers using this rat model.
Re: Protective effects of Chromolaena odorata extract on experimental benign prostatic hyperplasia in rats
Volume 14, Issue 4, April 2023, Pages 177-178
Paula Alexandra Oliveira, Ana Faustino-Rocha, Elisabete Nascimento-Gonçalves
Abstract To the editor: We read the article entitled “Protective effects of Chromolaena odorata extract on experimental benign prostatic hyperplasia in rats” with great interest. This research aimed to evaluate the effects of hydro-methanol extract of Chromolaena odorata (HMECO) on testosterone propionate (TP)-induced benign prostate hyperplasia (BPH) rat model. We want to congratulate the authors for this original article and make some positive comments. The BPH is a common condition in both aged men and dogs. Although not considered a precursor of prostate cancer (PCa), BPH commonly affects the prostate gland, and shares some features with PCa, like symptoms, hormone-dependent growth and response to anti-androgen therapy.1 Increasing our understanding in BPH can bring us more knowledge about PCa, for men and dogs. This is an article whose methodology is easy to replicate and whose authors know the specificities of this model of prostate hyperplasia. In our opinion, the remaining prostate lobes could have been evaluated, although in this specific model of BPH the hyperplasia of rat ventral prostate lobes is considered analogous to the morpho-logical alterations of human BPH. This article reinforces the importance of animal models in the preclinical evaluation of new therapies obtained from natural extracts. In a similar way, our research group evaluated effects of Castanea sativa Mill. flower (CF) in a N-methyl-N-nitrosourea (MNU) plus testosterone rat model.2 Animals from induced groups received a multistep protocol for PCa induction, consisted of sequential administration of flutamide, testosterone propionate, the carcinogenic agent MNU and crystalline testosterone. Animals from treatment groups were exposed to CF extract in drinking water, at a dose of 3.00 mg per animal daily, for 49 weeks, starting at the time of the carcinogenesis induction. Animals were sacrificed at 61 weeks of age, approximately 10 months after MNU administration. Our results suggested that CF extract was well tolerated by the animals and did not cause severe hepatic or renal toxicity. Furthermore, the animals exposed to the CF extract showed fewer inflammation areas on the dorsolateral prostate lobe than those not exposed to the CF extract, suggesting that this extract may be used as chemopreventive agent against prostate cancer and seems to have an antioxidant role. In conclusion, the studies with animal models of BPH and PCa add value to the study of prostate diseases and to test the efficacy of natural compounds, and their extracts.
