title: GHRH Receptor Expression in Malignant Mixed Müllerian Tumors: A Potentially Targetable Biopredictor.
abstract: Malignant mixed Müllerian tumors (MMMTs) are aggressive malignant neoplasms with a high recurrence rate and poor prognosis. Despite advances in adjuvant therapies in recent years, the prognosis of these tumors has not improved. Growth hormone-releasing hormone (GHRH) is produced by a variety of malignant tumors and acts as a growth factor in an autocrine/paracrine manner. Its function requires the presence of its receptors to exert its effects on neoplastic cells. In this study, we evaluated the expression of GHRH receptors (GHRH-R) in a group of MMMTs. Thirty-one examples of MMMTs from endometrium, ovary, uterine tube, and pelvic peritoneum were retrieved from the files of Department of Pathology at the University of Miami, Jackson Memorial Hospital. Immunohistochemistry for GHRH-R was performed on paraffin sections and the staining results were evaluated separately in both epithelial and mesenchymal components of each tumor. The presence of pituitary type growth hormone-releasing hormone receptor mRNA and that of its biologically active splice variant were also evaluated by RT-PCR in 6 of the tumors. Positive immunohistochemical reaction for GHRH-R was detected in 30 tumors (96%). The epithelial and sarcomatous components were positive in 30 (96%), whereas one endometrial tumor was negative in both components. The mRNA for GHRH-R and its splice variant was found in all 6 tested tumors. This study shows that GHRH-R is expressed by the majority of MMMTs in both epithelial and mesenchymal components. This finding could potentially serve as a basis for therapeutic approaches using synthetic peptide antagonists of GHRH-R that have shown significant efficacy with minimal side effects in experimental models.
authors.affiliation: Departments of Pathology and Medicine (N.M., P.G.-A., R.P., T.C., N.B., A.V.S., M.N.), Miller School of Medicine, Sylvester Comprehensive Cancer Center, University of Miami, Jackson Memorial Hospital VA Medical Center, Miami, Florida.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Mackrides
authors.forename: Parvin
authors.initials: P
authors.lastname: Ganjei-Azar
authors.forename: Roberto
authors.initials: R
authors.lastname: Perez
authors.forename: Tengijiao
authors.initials: T
authors.lastname: Cui
authors.forename: Norman
authors.initials: N
authors.lastname: Block
authors.forename: Andrew V
authors.initials: AV
authors.lastname: Schally
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Nadji
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000032:analysis*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D018200:Mixed Tumor, Mullerian / Q000378:metabolism* / Q000473:pathology*; D016133:Polymerase Chain Reaction; D018013:Receptors, Neuropeptide / Q000032:analysis / Q000096:biosynthesis*; D018017:Receptors, Pituitary Hormone-Regulating Hormone / Q000032:analysis / Q000096:biosynthesis*
chemical_list: D014408:Biomarkers, Tumor; D018013:Receptors, Neuropeptide; D018017:Receptors, Pituitary Hormone-Regulating Hormone; C048250:somatotropin releasing hormone receptor