Ong A, Maines-Bandiera S L, Roskelley C D, Auersperg N
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
Int J Cancer. 2000 Feb 1;85(3):430-7.
Epithelial ovarian carcinomas are thought to originate in the ovarian surface epithelium (OSE), i.e., the mesothelium covering the ovary, but experimental evidence for this origin has been lacking. Contrary to most epithelia, where neoplastic progression is associated with a reduction of E-cadherin, this cell-cell adhesion molecule is sparse in normal human OSE but its expression increases with the development of ovarian epithelial metaplasia and neoplasia. Concurrently, the tumors tend to acquire characteristics of the complex epithelia of the oviduct and uterus. The high proportion of ovarian cancers where such aberrant Mullerian differentiation occurs suggests that this change may confer a selective advantage on the transforming cells. We previously demonstrated that increased E-cadherin expression may be a cause, rather than a consequence, of such Mullerian differentiation. E-cadherin was transfected into SV40 large T antigen-immortalized, E-cadherin-negative cells derived from normal OSE. Constitutive expression of E-cadherin re-established normal epithelial markers that had been lost in culture, such as keratin, and induced markers of metaplasia and neoplasia, such as CA125. In the present study, SV40-immortalized, E-cadherin-transfected cells, but not the E-cadherin-negative controls, were found to be anchorage-independent and to form transplantable, invasive s.c. and i.p. adenocarcinomas in 100% of injected SCID mice. Tumor cells injected i.p. seeded the mesenteries and omentum, invaded the liver and thigh musculature and produced ascites. The presence of SV40 large T antigen in the tumor cell nuclei confirmed their origin as transfected OSE cells. Our results demonstrate that ovarian adenocarcinomas can be derived by genetic manipulation of normal human OSE.
上皮性卵巢癌被认为起源于卵巢表面上皮(OSE),即覆盖卵巢的间皮,但缺乏关于这一起源的实验证据。与大多数上皮组织不同,在大多数上皮组织中肿瘤进展与E-钙黏蛋白的减少有关,而这种细胞间黏附分子在正常人类OSE中稀少,但其表达随着卵巢上皮化生和肿瘤形成而增加。同时,肿瘤倾向于获得输卵管和子宫复杂上皮的特征。发生这种异常苗勒氏分化的卵巢癌比例很高,这表明这种变化可能赋予转化细胞一种选择优势。我们之前证明,E-钙黏蛋白表达增加可能是这种苗勒氏分化的原因而非结果。将E-钙黏蛋白转染到源自正常OSE的SV40大T抗原永生化、E-钙黏蛋白阴性细胞中。E-钙黏蛋白的组成性表达重新建立了在培养中丢失的正常上皮标志物,如角蛋白,并诱导了化生和肿瘤形成的标志物,如CA125。在本研究中,发现SV40永生化、E-钙黏蛋白转染的细胞,而非E-钙黏蛋白阴性对照,具有不依赖贴壁生长的能力,并在100%注射的SCID小鼠中形成可移植的、侵袭性的皮下和腹腔腺癌。腹腔注射的肿瘤细胞在肠系膜和网膜上着床,侵袭肝脏和大腿肌肉组织并产生腹水。肿瘤细胞核中存在SV40大T抗原证实了它们源自转染的OSE细胞。我们的结果表明,卵巢腺癌可通过对正常人类OSE进行基因操作而产生。