Loss of secreted frizzled-related protein 4 correlates with an aggressive phenotype and predicts poor outcome in ovarian cancer patients

Autor: Rosmarie Caduff, Jake Olivier, Viola Heinzelmann-Schwarz, Daniela Hornung, Neville F. Hacker, Renato Mueller, Francis Jacob, Sheri Nixdorf, Daniel Fink, Kristjan Ukegjini, Rea Guertler, James Scurry, Caroline E. Ford
Přispěvatelé: University of Zurich
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Frizzled
Cellular differentiation
lcsh:Medicine
Malignant transformation
Cohort Studies
Prostate cancer
0302 clinical medicine
Molecular Cell Biology
lcsh:Science
Ovarian Neoplasms
0303 health sciences
Multidisciplinary
Wnt signaling pathway
Ascites
Obstetrics and Gynecology
Genomics
Prognosis
Immunohistochemistry
10174 Clinic for Gynecology
3. Good health
Gene Expression Regulation
Neoplastic

Cell Transformation
Neoplastic

Phenotype
Treatment Outcome
Oncology
030220 oncology & carcinogenesis
Medicine
Female
SFRP4
Research Article
medicine.medical_specialty
Histology
Tumor suppressor gene
610 Medicine & health
1100 General Agricultural and Biological Sciences
Biology
03 medical and health sciences
1300 General Biochemistry
Genetics and Molecular Biology

10049 Institute of Pathology and Molecular Pathology
Internal medicine
Cell Line
Tumor

Proto-Oncogene Proteins
medicine
Humans
Neoplasm Invasiveness
030304 developmental biology
1000 Multidisciplinary
Cell Membrane
lcsh:R
medicine.disease
Survival Analysis
Endocrinology
Cancer research
Women's Health
lcsh:Q
Ovarian cancer
Zdroj: PLoS ONE, Vol 7, Iss 2, p e31885 (2012)
PLoS ONE
PLos One
ISSN: 1932-6203
Popis: Background: Activation of the Wnt signaling pathway is implicated in aberrant cellular proliferation in various cancers. In 40% of endometrioid ovarian cancers, constitutive activation of the pathway is due to oncogenic mutations in b-catenin or other inactivating mutations in key negative regulators. Secreted frizzled-related protein 4 (SFRP4) has been proposed to have inhibitory activity through binding and sequestering Wnt ligands. Methodology/Principal Findings: We performed RT-qPCR and Western-blotting in primary cultures and ovarian cell lines for SFRP4 and its key downstream regulators activated b-catenin, b-catenin and GSK3b. SFRP4 was then examined by immunohistochemistry in a cohort of 721 patients and due to its proposed secretory function, in plasma, presenting the first ELISA for SFRP4. SFRP4 was most highly expressed in tubal epithelium and decreased with malignant transformation, both on RNA and on protein level, where it was even more profound in the membrane fraction (p,0.0001). SFRP4 was expressed on the protein level in all histotypes of ovarian cancer but was decreased from borderline tumors to cancers and with loss of cellular differentiation. Loss of membrane expression was an independent predictor of poor survival in ovarian cancer patients (p = 0.02 unadjusted; p = 0.089 adjusted), which increased the risk of a patient to die from this disease by the factor 1.8. Conclusions/Significance: Our results support a role for SFRP4 as a tumor suppressor gene in ovarian cancers via inhibition of the Wnt signaling pathway. This has not only predictive implications but could also facilitate a therapeutic role using epigenetic targets.
Databáze: OpenAIRE