An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas

<p>Abstract</p> <p>Background</p> <p>In ovarian cancer, the reported rate of EGFR expression varies between 4-70% depending on assessment method and data on patient outcome are conflicting. Methods: In this study we investigated EGFR expression and its prognostic value...

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Main Authors: Braicu Elena I, Sehouli Jalid, Buckendahl Ann-Christin, Darb-Esfahani Silvia, Weichert Wilko, Schwabe Michael, Noske Aurelia, Budczies Jan, Dietel Manfred, Denkert Carsten
Format: Article
Language:English
Published: BMC 2011-07-01
Series:BMC Cancer
Subjects:
Online Access:http://www.biomedcentral.com/1471-2407/11/294
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author Braicu Elena I
Sehouli Jalid
Buckendahl Ann-Christin
Darb-Esfahani Silvia
Weichert Wilko
Schwabe Michael
Noske Aurelia
Budczies Jan
Dietel Manfred
Denkert Carsten
author_facet Braicu Elena I
Sehouli Jalid
Buckendahl Ann-Christin
Darb-Esfahani Silvia
Weichert Wilko
Schwabe Michael
Noske Aurelia
Budczies Jan
Dietel Manfred
Denkert Carsten
author_sort Braicu Elena I
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In ovarian cancer, the reported rate of EGFR expression varies between 4-70% depending on assessment method and data on patient outcome are conflicting. Methods: In this study we investigated EGFR expression and its prognostic value in a cohort of 121 invasive ovarian carcinomas, using a novel antibody against the intracellular domain of the receptor. We further evaluated an association between EGFR, the nuclear transporter CRM1 as well as COX-2. Furthermore, we evaluated EGFR expression in ten ovarian cancer cell lines and incubated cancer cells with Leptomycin B, a CRM1 specific inhibitor.</p> <p>Results</p> <p>We observed a membranous and cytoplasmic EGFR expression in 36.4% and 64% of ovarian carcinomas, respectively. Membranous EGFR was an independent prognostic factor for poor overall survival in ovarian cancer patients (HR 2.7, CI 1.1-6.4, p = 0.02) which was also found in the serous subtype (HR 4.6, CI 1.6-13.4, p = 0.004). We further observed a significant association of EGFR with COX-2 and nuclear CRM1 expression (chi-square test for trends, p = 0.006 and p = 0.013, respectively). In addition, combined membranous EGFR/COX-2 expression was significantly related to unfavorable overall survival (HR 7.2, CI 2.3-22.1, p = 0.001).</p> <p>In cell culture, we observed a suppression of EGFR protein levels after exposure to Leptomycin B in OVCAR-3 and SKOV-3 cells.</p> <p>Conclusions</p> <p>Our results suggest that the EGFR/COX-2/CRM1 interaction might be involved in progression of ovarian cancer and patient prognosis. Hence, it is an interesting anti-cancer target for a combination therapy. Further studies will also be needed to investigate whether EGFR is also predictive for benefit from EGFR targeted therapies.</p>
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spelling doaj.art-dac95b038e8a444581ce9233acbf042e2022-12-22T03:08:14ZengBMCBMC Cancer1471-24072011-07-0111129410.1186/1471-2407-11-294An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomasBraicu Elena ISehouli JalidBuckendahl Ann-ChristinDarb-Esfahani SilviaWeichert WilkoSchwabe MichaelNoske AureliaBudczies JanDietel ManfredDenkert Carsten<p>Abstract</p> <p>Background</p> <p>In ovarian cancer, the reported rate of EGFR expression varies between 4-70% depending on assessment method and data on patient outcome are conflicting. Methods: In this study we investigated EGFR expression and its prognostic value in a cohort of 121 invasive ovarian carcinomas, using a novel antibody against the intracellular domain of the receptor. We further evaluated an association between EGFR, the nuclear transporter CRM1 as well as COX-2. Furthermore, we evaluated EGFR expression in ten ovarian cancer cell lines and incubated cancer cells with Leptomycin B, a CRM1 specific inhibitor.</p> <p>Results</p> <p>We observed a membranous and cytoplasmic EGFR expression in 36.4% and 64% of ovarian carcinomas, respectively. Membranous EGFR was an independent prognostic factor for poor overall survival in ovarian cancer patients (HR 2.7, CI 1.1-6.4, p = 0.02) which was also found in the serous subtype (HR 4.6, CI 1.6-13.4, p = 0.004). We further observed a significant association of EGFR with COX-2 and nuclear CRM1 expression (chi-square test for trends, p = 0.006 and p = 0.013, respectively). In addition, combined membranous EGFR/COX-2 expression was significantly related to unfavorable overall survival (HR 7.2, CI 2.3-22.1, p = 0.001).</p> <p>In cell culture, we observed a suppression of EGFR protein levels after exposure to Leptomycin B in OVCAR-3 and SKOV-3 cells.</p> <p>Conclusions</p> <p>Our results suggest that the EGFR/COX-2/CRM1 interaction might be involved in progression of ovarian cancer and patient prognosis. Hence, it is an interesting anti-cancer target for a combination therapy. Further studies will also be needed to investigate whether EGFR is also predictive for benefit from EGFR targeted therapies.</p>http://www.biomedcentral.com/1471-2407/11/294EGFRCRM1COX-2ovarian cancerprognosis
spellingShingle Braicu Elena I
Sehouli Jalid
Buckendahl Ann-Christin
Darb-Esfahani Silvia
Weichert Wilko
Schwabe Michael
Noske Aurelia
Budczies Jan
Dietel Manfred
Denkert Carsten
An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
BMC Cancer
EGFR
CRM1
COX-2
ovarian cancer
prognosis
title An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
title_full An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
title_fullStr An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
title_full_unstemmed An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
title_short An intracellular targeted antibody detects EGFR as an independent prognostic factor in ovarian carcinomas
title_sort intracellular targeted antibody detects egfr as an independent prognostic factor in ovarian carcinomas
topic EGFR
CRM1
COX-2
ovarian cancer
prognosis
url http://www.biomedcentral.com/1471-2407/11/294
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