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Immunohistochemical analysis of the TMA was carried out and univariate and multivariate tests performed to explore the association of tumour protein levels of identified biomarkers with various clinical endpoints, particularly time to death and metastasis.Results: We successfully demonstrated associations between various biomarkers, and in particular validated our TMA and clinical dataset against the previously published marker Ki67, showing that Ki67 is predictive of CaP specific survival and development of future metastases. In addition we were able to identify an entirely novel prostate cancer marker, DLX2, using artificial neural network analysis and demonstrate it has a statistically significant association with the development of prostate cancer metastases.Conclusion: The Nottingham TMA has been shown to have utility in the investigation of candidate biomarkers in prostate cancer. We have also demonstrated that bioinfomatic techniques such as artificial neural network analysis can be employed to isolate candidate markers.

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