Department of Pathology, Northwestern University, Feinberg Medical School, Chicago, IL, USA.
Mod Pathol. 2012 Dec;25(12):1644-53. doi: 10.1038/modpathol.2012.118. Epub 2012 Jul 13.
BRCA1/BRCA2 mutations are common and the hallmarks of high-grade serous ovarian carcinoma. We found that MIR182, a negative BRCA1 regulator, is significantly overexpressed in high-grade serous ovarian carcinoma. To examine whether overexpression of MIR182 and its target genes, including BRCA1, HMGA2 (high-mobility group A2), FOXO3 and MTSS1, are associated with high-grade serous ovarian carcinoma tumor types and clinical outcome, we studied MIR182 by in situ hybridization and its target gene expression by immunohistochemistry in 117 cases of advanced ovarian cancer. We found that high-grade serous ovarian carcinoma had significantly higher MIR182 (P=0.0003) and HMGA2 (P=0.04) expression, and significantly lower BRCA1 (P<0.0001) and FOXO3 (P<0.001) expression than normal controls. MIR182 is significantly correlated with MTSS1 expression (r=0.31; P<0.001), whereas other target genes did not show a significant correlation with MIR182, indicating a complicated regulatory mechanisms of these genes in high-grade serous ovarian carcinoma. Among the examined MIR182 target genes, only HMGA2 was significantly associated with serous type carcinomas (P<0.01), ascites (P<0.01) and high death rate (P=0.02). FOXO3 expression was associated with lower-stage disease (P=0.04) and solid growth pattern (P=0.03). MIR182 expression is significantly higher in high-grade serous ovarian carcinoma than in fallopian tubes.
BRCA1/BRCA2 突变很常见,是高级别浆液性卵巢癌的标志。我们发现,作为 BRCA1 负调控因子的 MIR182 在高级别浆液性卵巢癌中显著过表达。为了研究 MIR182 及其靶基因(包括 BRCA1、HMGA2(高迁移率族 A2)、FOXO3 和 MTSS1)的过表达是否与高级别浆液性卵巢癌的肿瘤类型和临床结局相关,我们通过原位杂交法研究了 MIR182,并用免疫组织化学法检测了 117 例晚期卵巢癌中其靶基因的表达。我们发现高级别浆液性卵巢癌的 MIR182(P=0.0003)和 HMGA2(P=0.04)表达显著升高,而 BRCA1(P<0.0001)和 FOXO3(P<0.001)表达显著降低。MIR182 与 MTSS1 表达呈显著正相关(r=0.31;P<0.001),而其他靶基因与 MIR182 无显著相关性,表明这些基因在高级别浆液性卵巢癌中的调控机制复杂。在所研究的 MIR182 靶基因中,只有 HMGA2 与浆液性癌(P<0.01)、腹水(P<0.01)和高死亡率(P=0.02)显著相关。FOXO3 表达与低分期疾病(P=0.04)和实性生长方式(P=0.03)相关。MIR182 在高级别浆液性卵巢癌中的表达显著高于输卵管。