title: Molecular events associated with dysplastic morphologic transformation and initiation of ovarian tumorigenicity.
abstract: BACKGROUND
  Disabled-2 (Dab2), a candidate tumor suppressor of ovarian carcinoma, frequently (around 80%) loses its expression in ovarian tumors. Expression of exogenous Dab2 in tumor cell lines negatively regulates growth and suppresses the downstream signal of the Ras/mitogen activated protein kinase mitogenic pathway. The inactivation of Dab2 is believed to be an early event in ovarian tumorigenicity.
  
  
  METHODS
  The authors analyzed the correlation among expression of Dab2, presence of basement membrane (collagen IV and laminin), morphologic alteration of the surface epithelial cells, and expression of the mitotic index marker Mib-1 in 50 archived ovarian tumors by an immunohistochemical approach. The stainings of Dab2, Mib-1, collagen IV, and laminin in premalignant lesions bordering both normal and neoplastic ovarian surface epithelium from adjacent slides were analyzed in 50 ovarian tumors.
  
  
  RESULTS
  In these 50 ovarian tumors, the percentage of Mib-1 positive tumor cells distributed in a wide range, from 1% to 75%, and there has no strong correlation with the expression of Dab2. However, in the premalignant regions bordering tumor and normal ovarian surface epithelium, the loss of Dab2 expression closely correlated with the dysplastic morphologic transition and Mib-1 expression of the ovarian surface epithelial cells. In 20 foci in 12 out of the 50 tumors, a transition from normal to neoplastic morphology within a contiguous epithelium was observed, and in all cases the morphologic change correlated with the loss of Dab2 staining. In addition, the collagen and laminin staining of the basement membrane were absent or weakened in pre-malignant epithelium prior to loss of Dab2 expression in all these 20 cases. Nevertheless, collagen IV and laminin were detectable in established adenomas on the same tumor slides.
  
  
  CONCLUSIONS
  The loss of Dab2 is closely associated with the transition of ovarian surface epithelial cells to premalignant states and is likely involved in the initiation of ovarian tumorigenicity. Transient loss of collagen IV and laminin in the basement membrane of the premalignant epithelium and subsequent inactivation of Dab2 are common early events associated with tumorigenicity of the ovarian surface epithelium.
authors.affiliation: Ovarian Cancer Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA.
authors.forename: Dong-Hua
authors.initials: DH
authors.lastname: Yang
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Smith
authors.forename: Cynthia
authors.initials: C
authors.lastname: Cohen
authors.forename: Hong
authors.initials: H
authors.lastname: Wu
authors.forename: Christos
authors.initials: C
authors.lastname: Patriotis
authors.forename: Andrew K
authors.initials: AK
authors.lastname: Godwin
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Hamilton
authors.forename: Xiang-Xi
authors.initials: XX
authors.lastname: Xu
mesh_terms: D048868:Adaptor Proteins, Signal Transducing; D033942:Adaptor Proteins, Vesicular Transport; D000328:Adult; D000368:Aged; D034961:Antigens, Nuclear; D051017:Apoptosis Regulatory Proteins; D001485:Basement Membrane / Q000737:chemistry; D002471:Cell Transformation, Neoplastic; D003094:Collagen / Q000032:analysis; D004847:Epithelial Cells / Q000473:pathology; D005260:Female; D016147:Genes, Tumor Suppressor; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen; D007797:Laminin / Q000032:analysis; D008875:Middle Aged; D009687:Nuclear Proteins / Q000032:analysis; D010051:Ovarian Neoplasms / Q000235:genetics* / Q000473:pathology; D011230:Precancerous Conditions / Q000235:genetics; D011506:Proteins / Q000235:genetics*; D025521:Tumor Suppressor Proteins
chemical_list: D048868:Adaptor Proteins, Signal Transducing; D033942:Adaptor Proteins, Vesicular Transport; D034961:Antigens, Nuclear; D051017:Apoptosis Regulatory Proteins; C102885:DAB2 protein, human; D019394:Ki-67 Antigen; D007797:Laminin; D009687:Nuclear Proteins; D011506:Proteins; D025521:Tumor Suppressor Proteins; D003094:Collagen