Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers

Epithelial ovarian neoplasms are a heterogeneous group including tumor subsets with distinct clinicopathologic and molecular features. Recent evidence from molecular and genomic studies suggests that whereas low-grade serous carcinomas and high-grade serous carcinomas likely develop on two separate...

Full description

Bibliographic Details
Main Authors: Pawel Sadlecki, Jakub Jóźwicki, Paulina Antosik, Marek Grabiec
Format: Article
Language:English
Published: IOS Press 2018-06-01
Series:Tumor Biology
Online Access:https://doi.org/10.1177/1010428318784807
_version_ 1818574800406183936
author Pawel Sadlecki
Jakub Jóźwicki
Paulina Antosik
Marek Grabiec
author_facet Pawel Sadlecki
Jakub Jóźwicki
Paulina Antosik
Marek Grabiec
author_sort Pawel Sadlecki
collection DOAJ
description Epithelial ovarian neoplasms are a heterogeneous group including tumor subsets with distinct clinicopathologic and molecular features. Recent evidence from molecular and genomic studies suggests that whereas low-grade serous carcinomas and high-grade serous carcinomas likely develop on two separate pathways, the low-grade serous carcinomas and serous borderline ovarian tumors may represent various stages of the same developmental continuum. The transformation of borderline ovarian tumors into an invasive neoplasm is associated with an array of molecular changes, inter alia controlled by p53 and PI3K/Akt pathway, as well as with a decrease in E-cadherin expression. The latter implies that epithelial–mesenchymal transition is a critical determinant of borderline ovarian tumor invasiveness. The aim of this study was to analyze the expression of transcription factors involved in epithelial–mesenchymal transition: SNAIL, SLUG, TWIST 1, TWIST 2, ZEB 1, and ZEB 2 in borderline tumors and type I ovarian cancers. The study included tissue specimens from 42 patients with histopathologically verified ovarian masses. The expressions for SLUG, TWIST 1, ZEB1, and ZEB 2 were scored based on the nuclear staining, and the expressions of SNAIL and TWIST 2 based on the cytoplasmic and/or nuclear staining. The proportions of ovarian tumors with the immunoexpression of the epithelial–mesenchymal transition transcription factors were 85.7% for SNAIL, 100% for SLUG, 9.5% for TWIST 1, 95.2% for TWIST 2, 23.8% for ZEB 1, and 0% for ZEB 2. The expression patterns of SNAIL, SLUG, TWIST, and ZEB identified in this study suggest that both serous borderline ovarian tumors and type I ovarian cancers undergo dynamic epithelial–mesenchymal interconversions. Our findings obtained in the two groups of tumors which shared some etiopathogenic pathways imply that the expression of the epithelial–mesenchymal transition transcription factors may be activated at early stages of the epithelial–mesenchymal transition, and thus these molecules may play a pivotal role in the development of both serous borderline ovarian tumors and type I ovarian cancer.
first_indexed 2024-12-15T00:30:55Z
format Article
id doaj.art-e42160317c0b41108d31e1663f08488d
institution Directory Open Access Journal
issn 1423-0380
language English
last_indexed 2024-12-15T00:30:55Z
publishDate 2018-06-01
publisher IOS Press
record_format Article
series Tumor Biology
spelling doaj.art-e42160317c0b41108d31e1663f08488d2022-12-21T22:42:02ZengIOS PressTumor Biology1423-03802018-06-014010.1177/1010428318784807Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancersPawel Sadlecki0Jakub Jóźwicki1Paulina Antosik2Marek Grabiec3 Department of Obstetrics and Gynecology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, PolandDepartment of Clinical Pathomorphology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, PolandDepartment of Clinical Pathomorphology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland Department of Obstetrics and Gynecology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, PolandEpithelial ovarian neoplasms are a heterogeneous group including tumor subsets with distinct clinicopathologic and molecular features. Recent evidence from molecular and genomic studies suggests that whereas low-grade serous carcinomas and high-grade serous carcinomas likely develop on two separate pathways, the low-grade serous carcinomas and serous borderline ovarian tumors may represent various stages of the same developmental continuum. The transformation of borderline ovarian tumors into an invasive neoplasm is associated with an array of molecular changes, inter alia controlled by p53 and PI3K/Akt pathway, as well as with a decrease in E-cadherin expression. The latter implies that epithelial–mesenchymal transition is a critical determinant of borderline ovarian tumor invasiveness. The aim of this study was to analyze the expression of transcription factors involved in epithelial–mesenchymal transition: SNAIL, SLUG, TWIST 1, TWIST 2, ZEB 1, and ZEB 2 in borderline tumors and type I ovarian cancers. The study included tissue specimens from 42 patients with histopathologically verified ovarian masses. The expressions for SLUG, TWIST 1, ZEB1, and ZEB 2 were scored based on the nuclear staining, and the expressions of SNAIL and TWIST 2 based on the cytoplasmic and/or nuclear staining. The proportions of ovarian tumors with the immunoexpression of the epithelial–mesenchymal transition transcription factors were 85.7% for SNAIL, 100% for SLUG, 9.5% for TWIST 1, 95.2% for TWIST 2, 23.8% for ZEB 1, and 0% for ZEB 2. The expression patterns of SNAIL, SLUG, TWIST, and ZEB identified in this study suggest that both serous borderline ovarian tumors and type I ovarian cancers undergo dynamic epithelial–mesenchymal interconversions. Our findings obtained in the two groups of tumors which shared some etiopathogenic pathways imply that the expression of the epithelial–mesenchymal transition transcription factors may be activated at early stages of the epithelial–mesenchymal transition, and thus these molecules may play a pivotal role in the development of both serous borderline ovarian tumors and type I ovarian cancer.https://doi.org/10.1177/1010428318784807
spellingShingle Pawel Sadlecki
Jakub Jóźwicki
Paulina Antosik
Marek Grabiec
Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
Tumor Biology
title Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
title_full Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
title_fullStr Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
title_full_unstemmed Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
title_short Expression of selected epithelial–mesenchymal transition transcription factors in serous borderline ovarian tumors and type I ovarian cancers
title_sort expression of selected epithelial mesenchymal transition transcription factors in serous borderline ovarian tumors and type i ovarian cancers
url https://doi.org/10.1177/1010428318784807
work_keys_str_mv AT pawelsadlecki expressionofselectedepithelialmesenchymaltransitiontranscriptionfactorsinserousborderlineovariantumorsandtypeiovariancancers
AT jakubjozwicki expressionofselectedepithelialmesenchymaltransitiontranscriptionfactorsinserousborderlineovariantumorsandtypeiovariancancers
AT paulinaantosik expressionofselectedepithelialmesenchymaltransitiontranscriptionfactorsinserousborderlineovariantumorsandtypeiovariancancers
AT marekgrabiec expressionofselectedepithelialmesenchymaltransitiontranscriptionfactorsinserousborderlineovariantumorsandtypeiovariancancers