Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression

Ciliated cell markers expressed in epithelial ovarian cancers (EOC) are associated with improved survival. We examined the distribution of cells expressing ciliated cell markers in various EOC histologies and stages. Immunohistochemistry and/or multiplex immunofluorescence were used to determine the...

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Main Authors: Michael T. Richardson, Maria Sol Recouvreux, Beth Y. Karlan, Ann E. Walts, Sandra Orsulic
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/24/4009
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author Michael T. Richardson
Maria Sol Recouvreux
Beth Y. Karlan
Ann E. Walts
Sandra Orsulic
author_facet Michael T. Richardson
Maria Sol Recouvreux
Beth Y. Karlan
Ann E. Walts
Sandra Orsulic
author_sort Michael T. Richardson
collection DOAJ
description Ciliated cell markers expressed in epithelial ovarian cancers (EOC) are associated with improved survival. We examined the distribution of cells expressing ciliated cell markers in various EOC histologies and stages. Immunohistochemistry and/or multiplex immunofluorescence were used to determine the expression of FOXJ1 and/or CAPS (ciliated cell markers) in tissue microarrays including 4 normal fallopian tubes, 6 normal endometria, 16 cystadenomas, 25 borderline tumors, 21 low-grade carcinomas, and 118 high-grade carcinomas (HGSOC) (46 serous, 29 endometrioid, 30 clear cell, 13 mucinous). CAPS+ cells were observed in normal fallopian tubes and endometria and in ~85% of serous benign and borderline tumors and low-grade carcinomas but only in <40% of HGSOC. mRNA data from an independent cohort showed higher FOXJ1 and CAPS expression in serous borderline tumors and low-grade carcinomas compared to HGSOC. In HGSOC, ciliated cell-positive markers were observed in 52% primary tumors compared to 26% of patient-matched synchronous metastases, and 24% metachronous metastases (<i>p</i> = 0.009). mRNA data from an independent HGSOC cohort showed lower levels of CAPS in metastases than in primary tumors (<i>p</i> = 0.03). Overall, the study revealed that ciliated cells were less common in mucinous EOC, the percentage of ciliated cell marker-positive cases decreased with increasing grade, and the percentage of ciliated cells decreased in HGSOC metastases compared to patient-matched primary tumors.
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spelling doaj.art-553ebd3328ec4095b84aeae9faa0bc792023-11-24T13:54:16ZengMDPI AGCells2073-44092022-12-011124400910.3390/cells11244009Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease ProgressionMichael T. Richardson0Maria Sol Recouvreux1Beth Y. Karlan2Ann E. Walts3Sandra Orsulic4Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USADepartment of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USACiliated cell markers expressed in epithelial ovarian cancers (EOC) are associated with improved survival. We examined the distribution of cells expressing ciliated cell markers in various EOC histologies and stages. Immunohistochemistry and/or multiplex immunofluorescence were used to determine the expression of FOXJ1 and/or CAPS (ciliated cell markers) in tissue microarrays including 4 normal fallopian tubes, 6 normal endometria, 16 cystadenomas, 25 borderline tumors, 21 low-grade carcinomas, and 118 high-grade carcinomas (HGSOC) (46 serous, 29 endometrioid, 30 clear cell, 13 mucinous). CAPS+ cells were observed in normal fallopian tubes and endometria and in ~85% of serous benign and borderline tumors and low-grade carcinomas but only in <40% of HGSOC. mRNA data from an independent cohort showed higher FOXJ1 and CAPS expression in serous borderline tumors and low-grade carcinomas compared to HGSOC. In HGSOC, ciliated cell-positive markers were observed in 52% primary tumors compared to 26% of patient-matched synchronous metastases, and 24% metachronous metastases (<i>p</i> = 0.009). mRNA data from an independent HGSOC cohort showed lower levels of CAPS in metastases than in primary tumors (<i>p</i> = 0.03). Overall, the study revealed that ciliated cells were less common in mucinous EOC, the percentage of ciliated cell marker-positive cases decreased with increasing grade, and the percentage of ciliated cells decreased in HGSOC metastases compared to patient-matched primary tumors.https://www.mdpi.com/2073-4409/11/24/4009fallopian tubeciliated cellssecretory cellsovarian cancerserousmucinous
spellingShingle Michael T. Richardson
Maria Sol Recouvreux
Beth Y. Karlan
Ann E. Walts
Sandra Orsulic
Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
Cells
fallopian tube
ciliated cells
secretory cells
ovarian cancer
serous
mucinous
title Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
title_full Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
title_fullStr Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
title_full_unstemmed Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
title_short Ciliated Cells in Ovarian Cancer Decrease with Increasing Tumor Grade and Disease Progression
title_sort ciliated cells in ovarian cancer decrease with increasing tumor grade and disease progression
topic fallopian tube
ciliated cells
secretory cells
ovarian cancer
serous
mucinous
url https://www.mdpi.com/2073-4409/11/24/4009
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AT mariasolrecouvreux ciliatedcellsinovariancancerdecreasewithincreasingtumorgradeanddiseaseprogression
AT bethykarlan ciliatedcellsinovariancancerdecreasewithincreasingtumorgradeanddiseaseprogression
AT annewalts ciliatedcellsinovariancancerdecreasewithincreasingtumorgradeanddiseaseprogression
AT sandraorsulic ciliatedcellsinovariancancerdecreasewithincreasingtumorgradeanddiseaseprogression