Santen R J, Santner S J, Harvey H A, Lipton A, Simmonds M, Feil P D, Manders E, Davis T S
Department of Medicine, Milton S. Hershey Medical Center, Pennsylvania State University 17033.
Eur J Cancer Clin Oncol. 1988 Dec;24(12):1811-6. doi: 10.1016/0277-5379(88)90090-9.
The prognosis from human malignant melanoma varies according to sex and to multiple histologic, biologic and cell kinetic parameters. Thus melanomas exhibit a major degree of heterogeneity in their biologic properties and further characterization of their biochemical heterogeneity should yield important information. The present study sought to demonstrate the activity of a biochemical marker of estrogen synthesis, the aromatase enzyme, in melanoma tissue and to determine its range of activity. Initially, we validated a highly sensitive radiometric assay for aromatase by comparing it with a direct product isolation method. We detected production of 417 pmol/g protein/h of estrone and 37.3 pmol/g protein/h of estradiol by direct product isolation in a human melanoma and 398 pmol estrone/g protein/h by the radiometric assay. The activity present was blocked by similar amounts of the aromatase inhibitor, aminoglutethimide, as were necessary to block placental, breast cancer, and rat brain aromatase activity. We then assayed aromatase radiometrically in 19 human melanomas and found measurable activity ranging from 9 to 398 pmol estrone/g protein/h in 15 tissues. No relationship with the patient's age or sex was demonstrated. The activity exceeded by 2-fold that previously detected in 49/61 human breast cancers. This study identified a marker enzyme in melanoma tissue which varied by 40-fold among human tumors. Correlation of aromatase activity with prognosis and response to various types of therapy is now necessary to establish the biologic relevance of this finding.
人类恶性黑色素瘤的预后因性别以及多种组织学、生物学和细胞动力学参数而异。因此,黑色素瘤在生物学特性上表现出很大程度的异质性,对其生化异质性的进一步表征应能产生重要信息。本研究旨在证明雌激素合成的生化标志物——芳香化酶在黑色素瘤组织中的活性,并确定其活性范围。最初,我们通过将一种高灵敏度的芳香化酶放射性测定法与直接产物分离法进行比较,对该测定法进行了验证。我们通过直接产物分离法在一株人类黑色素瘤中检测到雌酮的产量为417 pmol/g蛋白/小时,雌二醇的产量为37.3 pmol/g蛋白/小时,通过放射性测定法检测到的雌酮产量为398 pmol/g蛋白/小时。所测得的活性被与阻断胎盘、乳腺癌和大鼠脑芳香化酶活性所需量相似的芳香化酶抑制剂氨鲁米特所阻断。然后,我们用放射性测定法对19例人类黑色素瘤进行了检测,发现15个组织中的可测活性范围为9至398 pmol雌酮/g蛋白/小时。未发现与患者年龄或性别有关。该活性比先前在49/61例人类乳腺癌中检测到的活性高出2倍。本研究在黑色素瘤组织中鉴定出一种标志物酶,该酶在人类肿瘤中的活性差异达40倍。现在有必要将芳香化酶活性与预后以及对各种治疗的反应进行关联,以确定这一发现的生物学相关性。