Monge Marta, Colas Eva, Doll Andreas, Gil-Moreno Antonio, Castellvi Josep, Diaz Berta, Gonzalez Marta, Lopez-Lopez Rafael, Xercavins Jordi, Carreras Ramon, Alameda Francesc, Canals Francesc, Gabrielli Franco, Reventos Jaume, Abal Miguel
Biomedical Research Unit, Research Institute, Vall d'Hebron University Hospital, Barcelona 08035, Spain.
Carcinogenesis. 2009 Aug;30(8):1288-97. doi: 10.1093/carcin/bgp119. Epub 2009 May 14.
Endometrial cancer, the most common gynecological malignancy in western countries, is characterized by a favorable prognosis. Nonetheless, deep myometrial invasion correlates with more undifferentiated tumors, lymph-vascular invasion, node involvement and decreased global survival. We have described previously the Ets family member ERM/ETV5 specifically upregulated in endometrial endometrioid carcinoma (EEC) associated with myometrial infiltration. To understand the role of this transcription factor during myometrial infiltration, we analyzed by two-dimension differential gel electrophoresis (2D-DIGE) technology those proteins whose expression was altered in endometrial cell lines stably overexpressing ERM/ETV5. Pathway analysis pointed to actin regulation and transforming growth factor beta and progesterone signaling as processes regulated by ERM/ETV5. In addition, we characterized the specific upregulation of the nuclear dehydrogenase/reductase Hep27 as well as its ERM/ETV5-dependent mitochondrial localization. Further functional studies demonstrated a protective role of Hep 27 against apoptosis induced by oxidative stress. Overall, the ETV5-related proteomic approach performed in the Hec-1A cell line reinforces a role of this transcription factor in the regulation of the migratory and invasive tumor behavior and points to a modulated response to oxidative stress associated with the promotion of invasion in endometrial cancer. Unraveling the molecular events in EEC associated with the initiation of tumor invasion would represent an obvious improvement in the pursuit of rational targets for the onset of metastasis. This knowledge would also be a valuable tool for the molecular stratification of patients since myometrial affectation determines an increase in the rate of recurrence after a first surgical treatment and a decrease in 5 year survival.
子宫内膜癌是西方国家最常见的妇科恶性肿瘤,其预后良好。然而,肌层深部浸润与肿瘤分化程度更低、淋巴血管浸润、淋巴结受累及总体生存率降低相关。我们之前曾描述过Ets家族成员ERM/ETV5在与肌层浸润相关的子宫内膜样癌(EEC)中特异性上调。为了解该转录因子在肌层浸润过程中的作用,我们通过二维差异凝胶电泳(2D-DIGE)技术分析了在稳定过表达ERM/ETV5的子宫内膜细胞系中表达发生改变的蛋白质。通路分析表明,肌动蛋白调节以及转化生长因子β和孕激素信号传导是受ERM/ETV5调控的过程。此外,我们还确定了核脱氢酶/还原酶Hep27的特异性上调及其依赖于ERM/ETV5的线粒体定位。进一步的功能研究表明,Hep 27对氧化应激诱导的细胞凋亡具有保护作用。总体而言,在Hec-1A细胞系中进行的与ETV5相关的蛋白质组学方法强化了该转录因子在调节肿瘤迁移和侵袭行为中的作用,并指出其对与子宫内膜癌侵袭促进相关的氧化应激具有调节反应。阐明EEC中与肿瘤侵袭起始相关的分子事件将是在寻找转移起始的合理靶点方面的一项明显进展。这一知识对于患者的分子分层也将是一个有价值的工具,因为肌层受累决定了首次手术治疗后复发率的增加和5年生存率的降低。