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Carcinogenesis Advance Access originally published online on November 20, 2008
Carcinogenesis 2009 30(1):131-140; doi:10.1093/carcin/bgn230
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Aberrant activation of hedgehog signaling pathway in ovarian cancers: effect on prognosis, cell invasion and differentiation

Xiaoyun Liao, Michelle K.Y. Siu, Christy W.H. Au, Esther S.Y. Wong, Hoi Yan Chan, Philip P.C. Ip, Hextan Y.S. Ngan1 and Annie N.Y. Cheung*

Department of Pathology
1 Department of Obstetrics and Gynecology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong, China

* To whom correspondence should be addressed. Tel: +852 2855 4876; Fax: +852 2872 5197; Email: anycheun{at}hkucc.hku.hk

Aberrant activation of hedgehog (HH) pathway has been implicated in the development of human malignancies. This study aimed at investigating the role of HH molecules in human ovarian carcinogenesis. The expression profiles of HH molecules were examined in ovarian tumor samples and ovarian cancer cell lines and the in vitro effects of HH molecules on cell proliferation, apoptosis, migration, invasion and cell differentiation as well as related downstream target genes were assessed. Overexpression of Patched and Gli1 protein in ovarian cancers correlated with poor survival of the patients (P = 0.008; P = 0.004). Significantly elevated expression of Sonic hedgehog messenger RNA was observed in ovarian cancers compared with normal tissues and benign ovarian tumors and such differential expression was specific to histological types (P < 0.05). Ectopic Gli1 overexpression in ovarian cancer cells conferred increased cell proliferation, cell mobility, invasiveness and change in differentiation in association with increased expression of E-cadherin, vimentin, Bcl-2, caspases as well as β1 integrin, membrane type 1 matrix metalloproteinase (MT1-MMP) and vascular endothelial growth factor (VEGF). Treatment with 3-keto-N-(aminoethyl-aminocaproyl-dihydrocinnamoyl)-cyclopamine induced cancer cell apoptosis, suppressed cell growth, mobility and invasiveness and induced cancer cell dedifferentiation with decreased expression of E-cadherin, cytokeratin 7, Snail, calretinin, vimentin, Bcl-2, caspases, β1 integrin, MT1-MMP and VEGF. Our data suggested that abnormal HH signaling activation plays important roles in the development and progression of ovarian cancers. Gli1 expression is an independent prognostic marker. Inhibition of the HH pathway molecules might be a valid therapeutic strategy for ovarian cancers.

Abbreviations: CI, confidence interval; FBS, fetal bovine serum; HH, hedgehog; KAAD, 3-keto-N-(aminoethyl-aminocaproyl-dihydrocinnamoyl); MT1-MMP, membrane type 1 matrix metalloproteinase; mRNA, messenger RNA; OSE, ovarian surface epithelium; PARP, poly(ADP-ribose) polymerase; PCR, polymerase chain reaction; RT, reverse transcription; SD, standard deviation; Shh, Sonic hedgehog; Smo, Smoothened; TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling assay; VEGF, vascular endothelial growth factor

Received June 11, 2008; revised September 22, 2008; accepted September 24, 2008.


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