Nishiyama Hiroshi, Soeda Shu, Watanabe Takafumi, Fujimori Keiya
Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima City, Fukushima, Japan.
Fukushima J Med Sci. 2012;58(1):22-32.
Ovarian cancer, one of the poor-prognosis gynecological malignancies, is often associated with extensive peritoneal carcinomatosis when initially treated. The mechanism of the formation of peritoneal carcinomatosis from ovarian cancer is still unknown. It has been reported that overexpression of cancer-related growth factors and/or receptors may worsen the prognosis of diseases. In the previous paper, we had established the human ovarian serous adenocarcinoma cell lines from those with no potentiality of peritoneal dissemination (FOC-3) to high potentiality (MFOC-3), however, the mechanism of its phenotypical change remains unknown. In this paper, we compared these two cell lines for growth potential and the expression of growth factor heregulin (HRG)-1α and HER-2, HER-3, and HER-4 receptors. In addition, the effect of anti-receptor antibodies on cell growth was investigated. RT-PCR and Western blot analysis found the promotion of the expression of HRG precursor and HRG-1α in MFOC-3. Examination of the number of growing cells over time revealed a statistically significant increase in the number of cells in MFOC-3 compared with FOC-3. In a study using the addition of exogenous HRG-1α, no changes were observed in FOC-3 while statistically significant cell growth was noted in MFOC-3. In a growth inhibition study, statistically significant cell growth inhibition was achieved with the addition of anti-HER2 receptor antibody. Taken together, the results of this study suggested that HRG may play an important role in the increased growth potential of peritoneal dissemination of ovarian cancer. In particular, HER-2 receptors that can act as a starting point to trigger intracellular signaling pathways are strongly involved in the progression of cancer. Therefore, molecular target drug therapies blocking the HER-2 receptor are promising candidates for ovarian cancer treatment in the future.
卵巢癌是预后较差的妇科恶性肿瘤之一,初治时往往伴有广泛的腹膜转移癌。卵巢癌腹膜转移癌的形成机制尚不清楚。据报道,癌症相关生长因子和/或受体的过表达可能会使疾病预后恶化。在之前的论文中,我们建立了从无腹膜播散潜能(FOC-3)到高腹膜播散潜能(MFOC-3)的人卵巢浆液性腺癌细胞系,但其表型变化的机制仍不清楚。在本文中,我们比较了这两种细胞系的生长潜能以及生长因子神经调节蛋白(HRG)-1α和HER-2、HER-3及HER-4受体的表达。此外,还研究了抗受体抗体对细胞生长的影响。逆转录聚合酶链反应(RT-PCR)和蛋白质免疫印迹分析发现MFOC-3中HRG前体和HRG-1α的表达增加。随着时间推移对生长细胞数量的检测显示,与FOC-3相比,MFOC-3中的细胞数量有统计学意义的增加。在一项添加外源性HRG-1α的研究中,FOC-3中未观察到变化,而MFOC-3中有统计学意义的细胞生长。在一项生长抑制研究中,添加抗HER2受体抗体可实现统计学意义的细胞生长抑制。综上所述,本研究结果表明,HRG可能在卵巢癌腹膜播散生长潜能增加中起重要作用。特别是,可作为触发细胞内信号通路起点的HER-2受体与癌症进展密切相关。因此,阻断HER-2受体的分子靶向药物治疗有望成为未来卵巢癌治疗的候选方案。