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Expression and Correlation of Lewis y Antigen and Integrins α5 and β1 in Ovarian Serous and Mucinous Carcinoma

Li, Quanrong MS*†; Liu, Shuice MS*; Lin, Bei MD, Prof*; Yan, Limei MD*; Wang, Yifei MD*; Wang, Changzhi MD*; Zhang, Shulan MD, Prof*

International Journal of Gynecological Cancer: December 2010 - Volume 20 - Issue 9 - pp 1482-1489
doi: 10.1111/IGC.0b013e3181ea7ecb
Ovarian Cancer

Introduction: This study investigates the expression and the clinical significance of Lewis y and integrins α5 and β1 in serous and mucinous ovarian tumors and then evaluates the association between them.

Methods: Lewis y and integrin α5 and β1 expression are detected on tissues from malignant, borderline, and benign ovarian serous and mucinous tumors and normal tissues. Their expression and relationship are assessed in paraffin sections using immunohistochemistry and double-labeling immunofluorescence method.

Results: Lewis y was mainly expressed in ovarian serous and mucinous cancers (88.33%); its positive rate was obviously higher than rates in the borderline (60.00%, P < 0.05) and benign ovarian tumors (35.00%, P < 0.01) and normal ovarian tissues (0, P < 0.01) and was not associated with clinicopathological characteristics. Integrins α5 (85.00%) and β1 (81.67%) were also mainly expressed in ovarian serous and mucinous cancers; their positive rates were all obviously higher than those in benign ovarian tumors (60.00% and 55.00%, respectively; all P < 0.05) and normal tissues (40.00% and 30.00%, respectively; all P < 0.01). Increased expression of integrins α5 and β1 correlated with higher clinical stage (P < 0.05) but were not associated with histological types, differentiation degree, and lymphatic metastasis (P > 0.05). The expression intensity of Lewis y and integrins α5 and β1 was significant with clinical stage and differentiation degree (all P < 0.05) in ovarian cancer; positive significant correlation between Lewis y antigen and integrins α5 and β1 was observed in serous and mucinous ovarian cancer tissues.

Conclusions: A close correlation between Lewis y, integrins α5 and β1, and ovarian cancer was observed. Lewis y can influence the biological behavior of a tumor cell as an important composition of integrins α5 and β1 by some signal pathway, such as promoting cell adhesion and migration, and this study provides theoretical evidence of ovarian cancer biological treatment.

*Department of Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liao Ning; and †Department of Obstetrics and Gynecology, Affiliated Union Hospital of Fujian Medical University, Fuzhou, Fu Jian, China.

Received November 30, 2009, and in revised form May 28, 2010.

Accepted for publication May 31, 2010.

Address correspondence and reprint requests to Bei Lin, MD, Prof, Department of Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liao Ning, China. E-mail: linbei88@hotmail.com.

This work was supported in part by the National Natural Science Foundation (30170980, 30571958, and 30872757), the Liaoning Provincial Department of Education Research Project (20121268), the Fund for Nature-funded projects in Liaoning Province (20052107), the Doctorate Fund of the Ministry of Education (20070159023), the Liaoning Provincial Department of Education Key Laboratory Project (2008S247), and the Free Researchers Plan of Shengjing Hospital (200807).

Copyright © 2010 by IGCS and ESGO