Subscribe to RSS
DOI: 10.1055/s-2007-963240
© Georg Thieme Verlag KG Stuttgart · New York
The Expression of C-myc, Tenascin and HER-2/neu in Uterine Sarcomas and its Relation to Clinical Outcome
Die Expression von C-myc, Tenascin und HER-2/neu in Uterussarkomen in Bezug auf den klinischen VerlaufPublication History
Publication Date:
10 August 2007 (online)
Zusammenfassung
Einführung: Grund für diese Studie war die Messung der Expression der Onkogene C-myc, HER-2/neu und das extra zelluläre Matrixglukoprotein Tenascin in Uterussarkomen in Bezug auf den klinischen Verlauf (Überlebens- und Rezidiv-Raten) zu untersuchen. Patienten und Methoden: 36 Patientinnen mit Uterussarkomen nahmen an der Studie teil, wobei 22 an einen Müller'schen Mischtumor, 10 an Leiomysarkom und 4 an anderen Sarkomarten erkrankt waren. C-myc, Tenascin und HER-2/neu Expression wurde in allen 36 Fällen mittels immunhistochemischer Methoden bestimmt. Ergebnisse: C-myc war in 23 von 36 Fällen (64%), Tenascin in 15 von 36 Fällen (42%) und HER-2/neu in 8 von 36 Fällen (22%) positiv. Überlebens- und Rezidivraten unterschieden sich nicht signifikant bezüglich positiver und negativer Expression bei allen 3 getesteten Substraten in dieser Studie. Schlussfolgerung: Bei den 36 Uterussarkomen dieser Studie (22 Müller'sche Mischtumore, 10 Leiomysarkome und 4 andere Sarkome) war die untersuchte Expression von 3 Proteinen nicht mit einer erhöhten oder verminderten Überlebens- oder Redzidiv-Rate assoziiert.
Abstract
Introduction: The purpose of this study was to evaluate the expression of oncogenes C-myc, HER-2/neu and the extracellular matrix glucoprotein Tenascin in uterine sarcomas and its relation to clinical outcome (survival and recurrence rates). Patients or Methods: 36 patients with uterine sarcomas participated in the study, where 22 suffered from mixed mullerian tumors, 10 from leiomyosarcoma and 4 from other types. C-myc, Tenascin and HER-2/neu expression was evaluated in all 36 cases by the use of immunochistochemical procedures. Results: C-myc was positive in 23 out at 36 cases (64 %), Tenascin in 15 out at 36 cases (42 %), and HER/2-neu in 8 out at 36 cases (22 %). Survival and recurrence rates were not found to differ significantly between positive or negative expression of all three substances of our study. Conclusion: In the 36 uterine sarcomas of the present study (22 mixed mullerian tumors, 10 leiomyosarcomas and 4 other types), expression of any of the 3 proteins investigated is not associated with increased/decreased survival or recurrence.
Schlüsselwörter
C-myc - HER-2/neu - Tenascin - Überlebens- und Rezidivraten - Immunhistochemie
Key words
C-myc - HER-2/neu - Tenascin - survival and recurrence rates - immunohistochemistry
References
- 1 Harlow B L, Weiss N S, Lofton S. The epidemiology of sarcomas of the uterus. J Natl Cancer Inst. 1986; 76 399-402
- 2 Jemal A, Taylor M, Samuels A. et al . Cancer statistics, 2003. CA Cancer J Clin. 2003; 53 5-26
- 3 Nordal R R, Thoresen S O. Uterine saromas in Norway 1956 - 1992; incidence, survival and mortality. Eur J Cancer. 1997; 33 907-911
- 4 Olah K S, Dunn J A, Gee H. Leiomyosarcomas have a poorer prognosis than mixted mesodermal tumours when adjusting for known prognostic factors: the result of a retrospective study of 423 cases of uterine sarcoma. Br J Obstet Gynaecol. 1992; 99 590-594
- 5 Echt G, Jepson J, Steel J. et al . Treatment of uterine sarcomas. Cancer. 1990; 66 35-39
- 6 Doss L L, Llorens A S, Henriquez E M. Carcinosarcoma of the uterus: α 40-year experience from the state of Missouri. Gynecol Oncol. 1984; 18 43-53
- 7 Ronnett B M, Zaino R J, Ellenson L H. et al .Endometrial cancer. Kurman RJ Blaustein’s Pathology of the Female Genital Tract New York; Springer 2002 5th ed: 501-560
- 8 Bartsich E G, Bowe E T, Moore J G. Leiomyosarcoma of the uterus. Obstet Gynecol. 1968; 32 101-106
- 9 Giuntoli R L, Metzinger D S, Di Marco C S. et al . Retrospective review of 208 patients with leiomyosarcoma of the uterus: prognostic indicators, surgical management, and adjuvant therapy. Gynecol Oncol. 2003; 89 460-469
- 10 Silverberg S G. Leiomyosarcoma of the uterus: a clinicopathologic study. Obstet Gynecol. 1971; 28 613-628
- 11 Chang K L, Crabtree G S, Kim Lim-Tan S. et al . Primary uterine endometrial stromal neoplasms. A clinicipathologic study of 117 cases. Am J Surg Pathol. 1990; 14 415-438
- 12 Larson B, Silfversword C, Nilsson B. et al . Mixed mullerian tumors of the uterus - prognostic factors: a clinical and histopathologic study of 147 cases. Radiother Oncol. 1999; 21 123-132
- 13 Iwasa Z, Haga H, Konishi I. et al . Prognostic factors in uterine carcinosarcoma: a clinicopathologic study of 25 patients. Cancer. 1998; 82 512-519
- 14 Berchuck A, Rubin S C, Hoskins W J. et al . Treatment of uterine leiomyosarcoma. Obstet Cynecol. 1988; 71 845-854
- 15 Wolfson A H, Wolfson D J. et al . A multivariate analysis of clinicopathologic factors for predicting outcome in uterine sarcoma. Gynecol Oncol. 1994; 52 56-61
- 16 Lennart K, Lennart B, Ulf S. et al . Flow cytometric analysis of uterine sarcomas. Gynecol Oncol. 1994; 55 339-343
- 17 Nordal R R, Kristensen G B, Karen J. et al . The prognostic significance of surgery, tumor size, malignancy grade, menopausal status, and DNA ploidy in endometrial stromal sarcoma. Gynecol Oncol. 1996; 62 254-259
- 18 Nordal R R, Kristensen G B, Stenwig A E. et al . An evaluation of prognostic factors in uterine carcinosarcoma. Gynecol Oncol. 1997; 67 316-321
- 19 Seki A, Kodama J, Miyagi Y. et al . Amplification of the mdm-2 gene and p53 abnormalities in uterine sarcomas. Int J Cancer. 1997; 26 33-37
- 20 Layfield L J, Liu K, Dodge R. et al . Uterine smooth muscle tumors: utility of classification by proliferation, ploidy, and prognostic markers vescus traditional histopathology. Arch Pathol Lab Med. 2000; 124 221-227
- 21 Swisher E M, Gown A M, Skelly M. et al . The expression of epidermal growth factor receptor, HER-2/neu, p53, and Ki-67 antigen in uterine malignant mixed mesodermal tumors and adenosarcoma. Gynecol Oncol. 1996; 60 81-88
- 22 Helman L J, Meltzer P. Mechanisms of sarcomas development. Nat Rev Cancer. 2003; 3 685-694
- 23 Wang L, Felix J C, Lee J L. et al . The proto-oncogene c-Kit is expressed in leiomyosarcomas of the uterus. Gynecol Oncol. 2003; 90 402-406
- 24 Raspollini M R, Susini T, Amunni G. et al . COX-2, c-KIT and HER-2/neu expression in uterine carcinosarcomas: prognostic factors or potential markers for targeted therapies?. Gynecol Oncol. 2005; 96 159-167
- 25 Horiuchi A, Nikaido T, Ito K. et al . Reduced expression of calponin h1 in leiomyosarcoma of the uterus. Lab Invest. 1998; 78 839-846
- 26 Horiuchi A, Nikaido T, Taniguchi S. et al . Possible role of calponin h1 as a tumor suppressor in human uterine leiomyosarcoma. J Natl Cancer Inst. 1999; 91 790-796
- 27 Ramondetta L M, Burke T W, Jhingran A. et al . Phase II trial of cisplatin, ifosfamide et mesna in patients with advanced or recurrent malignant mixed mullerian tumors with evaluation of potential molecular targets. Gynecol Oncol. 2003; 90 529-536
- 28 Emoto M, Iwasaki H, Ishiguro M. et al . Angiogenesis in carcinosarcomas of the uterus: differences in the microvessel density and expression of vascular endothelial growth factor between the epithelial and mesenchymal elements. Hum Pathol. 1999; 30 1232-1241
- 29 Roy R N, Gerulath A H, Cecutti A. et al . Loss of IGF-II imprinting in endometrial tumors: overexpression in carcinosarcoma. Cancer Lett. 2000; 153 67-73
- 30 Borst M P, Baker V V, Dixon D. et al . Oncogene alterations in endometrial carcinoma. Cancer Res. 1990; 38 364-366
- 31 Williams J A, Wang Z R, Parrish R S. et al . Fluorescence in situ hybridization analysis of HER-2/neu, C-myc, and p53 in endometrial cancer. Exp Mol Pathol. 1999; 67 135-143
- 32 Monk B J, Chapman J A, Johnson G A. et al . Correlation of c-myc and HER-2/neu amplification and expression with histopathologic variables in uterine corpus cancer. Am J Obstet Gynecol. 1994; 171 1193-1198
- 33 Kohn E C. Aging issue in invasion and metastasis. Cancer. 1999; 71 552
- 34 Berchuck A, Rodriguez G, Kinney P B. et al . Overexpression of HER-2/neu in endometrial cancer is associated with advanced stage disease. Am J Obstet Gynecol. 1991; 164 17-21
- 35 Hetzel D J, Wilson T O, Keeney G L. et al . HER-2/neu expression: A major prognostic factor in endometrial cancer. Cancer Res. 1992; 47 179-185
- 36 Lu K H, Bell D A, Welch W E. et al . Evidence for the multifocal origin of bilateral and advanced human serous borderline ovarian tumors. Cancer Res. 1998; 58 2328-2330
- 37 Chert M A, Qi W N, Erickson H P. et al . Tenascin - C expression and distribution in cultured human chondrocytes and chodrosarcoma cells. J Orthop Res. 2002; 20 834-841
- 38 Chert M A, Jung S T. et al . The clinical significance of Tenascin - C splice variant expression in chondrosarcoma. Oncology. 2001; 61 306-314
- 39 Tanaka M, Yamazaki T, Araki N. Clinical significance of Tenascin-C expression in osteosarcoma: Tenascin-C promotes distant metastases of osteosarcoma. Int J Mol Med. 2000; 5 505-510
- 40 Kostianovsky M, Greko M A, Gangiarella J. Tenascin-C expression in ultrastructurally defined angiogenic and vasculogenic lesions. Ultrastruct Pathol. 1997; 21 537-544
- 41 Saxon B R, Brand R W, Han P. Cellular expression of adhesion factors in childhood rhabdomyosarcoma. Pediatr Pathol Lab Med. 1997; 17 259-266
- 42 Guarino M, Reale D, Micoli G. The extracellular matrix in sarcomatoid carcinomas of the breast. Virchows Arch A Pathol Anat Histopathol. 1993; 423 131-136
- 43 Ilmonen S, Jahkola T, Turunen J P. et al . Tenascin-C in primary malignant melanoma of the skin. Histopathology. 2004; 45 450-411
- 44 Koljonen V, Jahkola T, Tukianen E. et al . Tenascin-C in primary Merkell cell carcinoma. J Clin Pathol. 2005; 58 297-300
- 45 Chiouet-Ehrismann R. Tenascins. Int J Biochem Cell Biol. 2004; 36 986-990
- 46 Kahn H J, Fekete E, From L. Tenascin differentiates dermatofibroma from dermatofibrosarcoma protuberans:comparison with CD34 and factor XIIIa. Hum Pathol. 2001; 193 511-516
- 47 Lightner V A, Slemp C A, Erickson H P. Localization and quantitation of hexabrachion (Tenascin) in skin, embryonic brain, tumors, and plasma. Ann NY Acad Sci. 1990; 580 260-275
- 48 Jeffers M D, Richmond J A, Macaulay E M. Overexpression of the c-myc proto-oncogene occurs frequently in uterine sarcomas. Mod Pathol. 1995; 8 701-704
- 49 Emoto M, Iwasaki H, Oshima K. et al . Charasteristics of rhabdomyosarcoma cell lines derived from uterine carcinosarcomas. Virchows Arch. 1997; 431 249-256
- 50 Fotiou S K, Tserkezoglou A J, Maher H. et al . Chromosome aberrations and expression of ras and myc oncogenes in leiomyomas and a leiomyosarcoma of the uterus. Eur J Gynaecol Oncol. 1992; 13 340-345
- 51 Vollmer G, Lightner V A, Carter C A. et al . Localization of Tenascin in uterine sarcomas and partially transformed endometrial stromal cell. Pathobiology. 1993; 61 67-76
- 52 Guarino M, Giordano F, Pallotti F. et al . Malignant mixed mullerian tumor of the uterus. Features favoring the origin from a common cell clone and an epithelial - to mesenchymal transformation mechanism of histogenesis. Tumori. 1998; 84 391-397
- 53 Schnyder B, Semadeni R O, Fischer R W. et al . Distribution pattern of Tenascin-C in normal and neoplastic mesenchymal tissues. Int J Cancer. 1997; 72 217-224
- 54 Amant F, Vloeberghs V, Woestenborghs H. et al . ERBB-2 gene overexpression and amplification in uterine sarcomas. Gynecol Oncol. 2004; 95 583-587
Dr. Stamatios Zafeiriou
Mitera Maternity Hospital - IVF Center
Erithrou Stavrou 6 str.
151 23 Athens
Greece
Phone: ++30/2 10/6 86 98 27
Fax: ++30/2 10/6 86 97 53
Email: stazaf@panafonet.gr