Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 3/2017

01-03-2017 | General Gynecology

Elevated RON protein expression in endometriosis and disease-associated ovarian cancers

Authors: Ping Xu, Shaojie Ding, Libo Zhu, Fang Le, Xiufeng Huang, Yonghong Tian, Xinmei Zhang

Published in: Archives of Gynecology and Obstetrics | Issue 3/2017

Login to get access

Abstract

Background

Recepteur d’origine nantais (RON) protein expression has been demonstrated to correlate with tumor progression, metastasis, and prognosis, and its mRNA expression increases in deeply infiltrating endometriotic lesions. However, it remains unclear whether RON protein expression also increases in endometriotic lesions, and may be a risk factor of malignant transformation in endometriotic lesions.

Methods

The protein expression of RON in control (n = 19), eutopic (n = 16), and ectopic (n = 51) endometria, as well as in endometriosis-associated ovarian cancers (EAOC, n = 16) was determined by immunohistochemical (IHC) staining.

Results

Endometriotic lesions expressed low levels of RON protein, but no RON protein expression appeared in matched eutopic or control endometrium. EAOC exhibited high levels of RON protein. The frequency and IHC score of RON protein expression were both significantly higher in EAOC [100.0% (14/14), 5.37 ± 0.74] than those in endometriotic lesions [51.0% (26/51), 2.15 ± 1.12; P = 0.002, 0.001]. Multivariate analysis of covariance only revealed a correlation of RON protein expression and EAOC (P = 0.006), but no correlations of RON protein expression and clinical parameters (P > 0.05).

Conclusions

These obtained results suggest that increased RON expression might be involved in the pathogenesis of endometriosis and disease-associated ovarian cancers.
Literature
1.
go back to reference Sun Y, Che X, Zhu L, Zhao M, Fu G, Huang X et al (2012) Pigment epithelium derived factor inhibits the growth of human endometrial implants in nude mice and of ovarian endometriotic stromal cells in vitro. PLoS One 7(9):e45223CrossRefPubMedPubMedCentral Sun Y, Che X, Zhu L, Zhao M, Fu G, Huang X et al (2012) Pigment epithelium derived factor inhibits the growth of human endometrial implants in nude mice and of ovarian endometriotic stromal cells in vitro. PLoS One 7(9):e45223CrossRefPubMedPubMedCentral
2.
go back to reference Becker CM, D’Amato RJ (2007) Angiogenesis and antiangiogenic therapy in endometriosis. Microvasc Res 74(2):121–130CrossRefPubMed Becker CM, D’Amato RJ (2007) Angiogenesis and antiangiogenic therapy in endometriosis. Microvasc Res 74(2):121–130CrossRefPubMed
3.
go back to reference May K, Becker C (2008) Endometriosis and angiogenesis. Minerva Ginecol 60(3):245–254PubMed May K, Becker C (2008) Endometriosis and angiogenesis. Minerva Ginecol 60(3):245–254PubMed
4.
go back to reference Fukunaga M, Nomura K, Ishikawa E, Ushigome S (1997) Ovarian atypical endometriosis: its close association with malignant epithelial tumours. Histopathology 30(3):249–255CrossRefPubMed Fukunaga M, Nomura K, Ishikawa E, Ushigome S (1997) Ovarian atypical endometriosis: its close association with malignant epithelial tumours. Histopathology 30(3):249–255CrossRefPubMed
5.
go back to reference Bayramođlu H, Düzcan E (2001) Atypical epithelial changes and mutant p53 gene expression in ovarian endometriosis. Pathol Oncol Res 7(1):33–38CrossRef Bayramođlu H, Düzcan E (2001) Atypical epithelial changes and mutant p53 gene expression in ovarian endometriosis. Pathol Oncol Res 7(1):33–38CrossRef
6.
go back to reference Moll UM, Chumas JC, Chalas E, Mann WJ (1990) Ovarian carcinoma arising in atypical endometriosis. Obstet Gynecol 75(3, Part 2):537–539 Moll UM, Chumas JC, Chalas E, Mann WJ (1990) Ovarian carcinoma arising in atypical endometriosis. Obstet Gynecol 75(3, Part 2):537–539
7.
go back to reference Mandai M, Yamaguchi K, Matsumura N, Baba T, Konishi I (2009) Ovarian cancer in endometriosis: molecular biology, pathology, and clinical management. Int J Clin Oncol 14(5):383–391CrossRefPubMed Mandai M, Yamaguchi K, Matsumura N, Baba T, Konishi I (2009) Ovarian cancer in endometriosis: molecular biology, pathology, and clinical management. Int J Clin Oncol 14(5):383–391CrossRefPubMed
8.
go back to reference Ouellet V, Guyot MC, Le Page C, Filali-Mouhim A, Lussier C, Tonin PN et al (2006) Tissue array analysis of expression microarray candidates identifies markers associated with tumor grade and outcome in serous epithelial ovarian cancer. Int J Cancer 119(3):599–607CrossRefPubMed Ouellet V, Guyot MC, Le Page C, Filali-Mouhim A, Lussier C, Tonin PN et al (2006) Tissue array analysis of expression microarray candidates identifies markers associated with tumor grade and outcome in serous epithelial ovarian cancer. Int J Cancer 119(3):599–607CrossRefPubMed
9.
go back to reference Park JH, Park EJ, Lee HS, Kim SJ, Hur SK, Imbalzano AN et al (2006) Mammalian SWI/SNF complexes facilitate DNA double-strand break repair by promoting γ-H2AX induction. EMBO J 25(17):3986–3997CrossRefPubMedPubMedCentral Park JH, Park EJ, Lee HS, Kim SJ, Hur SK, Imbalzano AN et al (2006) Mammalian SWI/SNF complexes facilitate DNA double-strand break repair by promoting γ-H2AX induction. EMBO J 25(17):3986–3997CrossRefPubMedPubMedCentral
10.
go back to reference Park J-H, Park E-J, Hur S-K, Kim S, Kwon J (2009) Mammalian SWI/SNF chromatin remodeling complexes are required to prevent apoptosis after DNA damage. DNA Repair 8(1):29–39CrossRefPubMed Park J-H, Park E-J, Hur S-K, Kim S, Kwon J (2009) Mammalian SWI/SNF chromatin remodeling complexes are required to prevent apoptosis after DNA damage. DNA Repair 8(1):29–39CrossRefPubMed
11.
go back to reference Lee HS, Park JH, Kim SJ, Kwon SJ, Kwon J (2010) A cooperative activation loop among SWI/SNF, γ-H2AX and H3 acetylation for DNA double-strand break repair. EMBO J 29(8):1434–1445CrossRefPubMedPubMedCentral Lee HS, Park JH, Kim SJ, Kwon SJ, Kwon J (2010) A cooperative activation loop among SWI/SNF, γ-H2AX and H3 acetylation for DNA double-strand break repair. EMBO J 29(8):1434–1445CrossRefPubMedPubMedCentral
12.
go back to reference Yamamoto S, Tsuda H, Takano M, Tamai S, Matsubara O (2012) Loss of ARID1A protein expression occurs as an early event in ovarian clear-cell carcinoma development and frequently coexists with PIK3CA mutations. Mod Pathol 25(4):615–624CrossRefPubMed Yamamoto S, Tsuda H, Takano M, Tamai S, Matsubara O (2012) Loss of ARID1A protein expression occurs as an early event in ovarian clear-cell carcinoma development and frequently coexists with PIK3CA mutations. Mod Pathol 25(4):615–624CrossRefPubMed
13.
go back to reference Chene G, Tchirkov A, Pierre-Eymard E, Dauplat J, Raoelfils I, Cayre A et al (2013) Early telomere shortening and genomic instability in tubo-ovarian preneoplastic lesions. Clin Cancer Res 19(11):2873–2882CrossRefPubMed Chene G, Tchirkov A, Pierre-Eymard E, Dauplat J, Raoelfils I, Cayre A et al (2013) Early telomere shortening and genomic instability in tubo-ovarian preneoplastic lesions. Clin Cancer Res 19(11):2873–2882CrossRefPubMed
14.
go back to reference Chene G, Ouellet V, Rahimi K, Barres V, Caceres K, Meunier L et al (2015) DNA damage signaling and apoptosis in preinvasive tubal lesions of ovarian carcinoma. Int J Gynecol Cancer 25(5):761–769CrossRefPubMed Chene G, Ouellet V, Rahimi K, Barres V, Caceres K, Meunier L et al (2015) DNA damage signaling and apoptosis in preinvasive tubal lesions of ovarian carcinoma. Int J Gynecol Cancer 25(5):761–769CrossRefPubMed
15.
go back to reference Ronsin C, Muscatelli F, Mattei M, Breathnach R (1993) A novel putative receptor protein tyrosine kinase of the met family. Oncogene 8(5):1195–1202PubMed Ronsin C, Muscatelli F, Mattei M, Breathnach R (1993) A novel putative receptor protein tyrosine kinase of the met family. Oncogene 8(5):1195–1202PubMed
16.
go back to reference Wang M-H, Wang D, Chen Y-Q (2003) Oncogenic and invasive potentials of human macrophage-stimulating protein receptor, the RON receptor tyrosine kinase. Carcinogenesis 24(8):1291–1300CrossRefPubMed Wang M-H, Wang D, Chen Y-Q (2003) Oncogenic and invasive potentials of human macrophage-stimulating protein receptor, the RON receptor tyrosine kinase. Carcinogenesis 24(8):1291–1300CrossRefPubMed
17.
go back to reference Camp ER, Liu W, Fan F, Yang A, Somcio R, Ellis LM (2005) RON, a tyrosine kinase receptor involved in tumor progression and metastasis. Ann Surg Oncol 12(4):273–281CrossRefPubMed Camp ER, Liu W, Fan F, Yang A, Somcio R, Ellis LM (2005) RON, a tyrosine kinase receptor involved in tumor progression and metastasis. Ann Surg Oncol 12(4):273–281CrossRefPubMed
18.
go back to reference Kang CM, Babicky ML, Lowy AM (2014) The RON receptor tyrosine kinase in pancreatic cancer pathogenesis and its potential implications for future targeted therapies. Pancreas 43(2):183CrossRefPubMedPubMedCentral Kang CM, Babicky ML, Lowy AM (2014) The RON receptor tyrosine kinase in pancreatic cancer pathogenesis and its potential implications for future targeted therapies. Pancreas 43(2):183CrossRefPubMedPubMedCentral
19.
go back to reference Ferrandina G, Martinelli E, Petrillo M, Prisco MG, Zucconi A, Santaguida S et al (2008) Prognostic role of the recepteur d’origine nantais (RON) expression in ovarian cancer patients. Gynecol Oncol 111(2):237–243CrossRefPubMed Ferrandina G, Martinelli E, Petrillo M, Prisco MG, Zucconi A, Santaguida S et al (2008) Prognostic role of the recepteur d’origine nantais (RON) expression in ovarian cancer patients. Gynecol Oncol 111(2):237–243CrossRefPubMed
20.
go back to reference Bieniasz M, Radhakrishnan P, Faham N, De La OJ-P, Welm AL (2015) Preclinical Efficacy of Ron Kinase Inhibitors Alone and in Combination with PI3 K Inhibitors for Treatment of sfRon-Expressing Breast Cancer Patient-Derived Xenografts. Clin Cancer Res 21(24):5588–5600CrossRefPubMedPubMedCentral Bieniasz M, Radhakrishnan P, Faham N, De La OJ-P, Welm AL (2015) Preclinical Efficacy of Ron Kinase Inhibitors Alone and in Combination with PI3 K Inhibitors for Treatment of sfRon-Expressing Breast Cancer Patient-Derived Xenografts. Clin Cancer Res 21(24):5588–5600CrossRefPubMedPubMedCentral
21.
go back to reference Zhang X, Qi C, Lin J (2010) Enhanced expressions of matrix metalloproteinase (MMP)-2 and–9 and vascular endothelial growth factors (VEGF) and increased microvascular density in the endometrial hyperplasia of women with anovulatory dysfunctional uterine bleeding. Fertil Steril 93(7):2362–2367CrossRefPubMed Zhang X, Qi C, Lin J (2010) Enhanced expressions of matrix metalloproteinase (MMP)-2 and–9 and vascular endothelial growth factors (VEGF) and increased microvascular density in the endometrial hyperplasia of women with anovulatory dysfunctional uterine bleeding. Fertil Steril 93(7):2362–2367CrossRefPubMed
22.
go back to reference Matsuzaki S, Canis M, Pouly J, Dechelotte P, Okamura K, Mage G (2005) The macrophage stimulating protein/RON system: a potential novel target for prevention and treatment of endometriosis. Mol Hum Reprod 11(5):345–349CrossRefPubMed Matsuzaki S, Canis M, Pouly J, Dechelotte P, Okamura K, Mage G (2005) The macrophage stimulating protein/RON system: a potential novel target for prevention and treatment of endometriosis. Mol Hum Reprod 11(5):345–349CrossRefPubMed
23.
go back to reference Matsuzaki S, Canis M, Vaurs-Barrière C, Boespflug-Tanguy O, Dastugue B, Mage G (2005) DNA microarray analysis of gene expression in eutopic endometrium from patients with deep endometriosis using laser capture microdissection. Fertil Steril 84:1180–1190CrossRefPubMed Matsuzaki S, Canis M, Vaurs-Barrière C, Boespflug-Tanguy O, Dastugue B, Mage G (2005) DNA microarray analysis of gene expression in eutopic endometrium from patients with deep endometriosis using laser capture microdissection. Fertil Steril 84:1180–1190CrossRefPubMed
24.
go back to reference Huang X, Chen L, Fu G, Xu H, Zhang X (2012) Decreased expression of pigment epithelium-derived factor and increased microvascular density in ovarian endometriotic lesions in women with endometriosis. Euro J Obstet Gynecol Reprod Biol 165(1):104–109CrossRef Huang X, Chen L, Fu G, Xu H, Zhang X (2012) Decreased expression of pigment epithelium-derived factor and increased microvascular density in ovarian endometriotic lesions in women with endometriosis. Euro J Obstet Gynecol Reprod Biol 165(1):104–109CrossRef
25.
go back to reference Romero I, Bast RC Jr (2012) Minireview: human ovarian cancer: biology, current management, and paths to personalizing therapy. Endocrinology 153(4):1593–1602CrossRefPubMedPubMedCentral Romero I, Bast RC Jr (2012) Minireview: human ovarian cancer: biology, current management, and paths to personalizing therapy. Endocrinology 153(4):1593–1602CrossRefPubMedPubMedCentral
26.
go back to reference Neto JS, Kho RM, dos Santos Siufi DF, Baracat EC, Anderson KS, Abrão MS (2014) Cellular, histologic, and molecular changes associated with endometriosis and ovarian cancer. J Mini Invasive Gynecol 21(1):55–63CrossRef Neto JS, Kho RM, dos Santos Siufi DF, Baracat EC, Anderson KS, Abrão MS (2014) Cellular, histologic, and molecular changes associated with endometriosis and ovarian cancer. J Mini Invasive Gynecol 21(1):55–63CrossRef
27.
go back to reference Maggiora P, Lorenzato A, Fracchioli S, Costa B, Castagnaro M, Arisio R et al (2003) The RON and MET oncogenes are co-expressed in human ovarian carcinomas and cooperate in activating invasiveness. Exp Cell Res 288(2):382–389CrossRefPubMed Maggiora P, Lorenzato A, Fracchioli S, Costa B, Castagnaro M, Arisio R et al (2003) The RON and MET oncogenes are co-expressed in human ovarian carcinomas and cooperate in activating invasiveness. Exp Cell Res 288(2):382–389CrossRefPubMed
28.
go back to reference Otsuka J, Okuda T, Sekizawa A, Amemiya S, Saito H, Okai T et al (2004) K-ras mutation may promote carcinogenesis of endometriosis leading to ovarian clear cell carcinoma. Med Electron Microsc 37(3):188–192CrossRefPubMed Otsuka J, Okuda T, Sekizawa A, Amemiya S, Saito H, Okai T et al (2004) K-ras mutation may promote carcinogenesis of endometriosis leading to ovarian clear cell carcinoma. Med Electron Microsc 37(3):188–192CrossRefPubMed
29.
go back to reference Dinulescu DM, Ince TA, Quade BJ, Shafer SA, Crowley D, Jacks T (2005) Role of K-ras and Pten in the development of mouse models of endometriosis and endometrioid ovarian cancer. Nat Med 11(1):63–70CrossRefPubMed Dinulescu DM, Ince TA, Quade BJ, Shafer SA, Crowley D, Jacks T (2005) Role of K-ras and Pten in the development of mouse models of endometriosis and endometrioid ovarian cancer. Nat Med 11(1):63–70CrossRefPubMed
30.
go back to reference Yamamoto S, Tsuda H, Takano M, Iwaya K, Tamai S, Matsubara O (2011) PIK3CA mutation is an early event in the development of endometriosis-associated ovarian clear cell adenocarcinoma. J Pathol 225(2):189–194CrossRefPubMed Yamamoto S, Tsuda H, Takano M, Iwaya K, Tamai S, Matsubara O (2011) PIK3CA mutation is an early event in the development of endometriosis-associated ovarian clear cell adenocarcinoma. J Pathol 225(2):189–194CrossRefPubMed
31.
go back to reference Lin K, Zhan H, Ma J, Xu K, Wu R, Zhou C et al (2014) Increased steroid receptor RNA activator protein (SRAP) accompanied by decreased estrogen receptor-beta (ER-β) levels during the malignant transformation of endometriosis associated ovarian clear cell carcinoma. Acta Histochem 116(5):878–882CrossRefPubMed Lin K, Zhan H, Ma J, Xu K, Wu R, Zhou C et al (2014) Increased steroid receptor RNA activator protein (SRAP) accompanied by decreased estrogen receptor-beta (ER-β) levels during the malignant transformation of endometriosis associated ovarian clear cell carcinoma. Acta Histochem 116(5):878–882CrossRefPubMed
32.
go back to reference De Bortoli M, Di Renzo MF, Costantino A, Sismondi P, Comoglio PM (1998) Overexpression of the RON gene in human breast carcinoma. Oncogene 16:2927–2933CrossRefPubMed De Bortoli M, Di Renzo MF, Costantino A, Sismondi P, Comoglio PM (1998) Overexpression of the RON gene in human breast carcinoma. Oncogene 16:2927–2933CrossRefPubMed
33.
go back to reference Chen Y-Q, Zhou Y-Q, Angeloni D, Kurtz AL, Qiang X-Z, Wang M-H (2000) Overexpression and activation of the RON receptor tyrosine kinase in a panel of human colorectal carcinoma cell lines. Exp Cell Res 261(1):229–238CrossRefPubMed Chen Y-Q, Zhou Y-Q, Angeloni D, Kurtz AL, Qiang X-Z, Wang M-H (2000) Overexpression and activation of the RON receptor tyrosine kinase in a panel of human colorectal carcinoma cell lines. Exp Cell Res 261(1):229–238CrossRefPubMed
34.
go back to reference Wang M-H, Kurtz AL, Chen Y-Q (2000) Identification of a novel splicing product of the RON receptor tyrosine kinase in human colorectal carcinoma cells. Carcinogenesis 21(8):1507–1512CrossRefPubMed Wang M-H, Kurtz AL, Chen Y-Q (2000) Identification of a novel splicing product of the RON receptor tyrosine kinase in human colorectal carcinoma cells. Carcinogenesis 21(8):1507–1512CrossRefPubMed
35.
go back to reference Cheng H, Liu H, Lin Y, Chen HH, Hsu P, Chang T et al (2005) Co-expression of RON and MET is a prognostic indicator for patients with transitional-cell carcinoma of the bladder. Br J Cancer 92(10):1906–1914CrossRefPubMedPubMedCentral Cheng H, Liu H, Lin Y, Chen HH, Hsu P, Chang T et al (2005) Co-expression of RON and MET is a prognostic indicator for patients with transitional-cell carcinoma of the bladder. Br J Cancer 92(10):1906–1914CrossRefPubMedPubMedCentral
36.
go back to reference Xu X-M, Wang D, Shen Q, Chen Y-Q, Wang M-H (2004) RNA-mediated gene silencing of the RON receptor tyrosine kinase alters oncogenic phenotypes of human colorectal carcinoma cells. Oncogene 23(52):8464–8474CrossRefPubMed Xu X-M, Wang D, Shen Q, Chen Y-Q, Wang M-H (2004) RNA-mediated gene silencing of the RON receptor tyrosine kinase alters oncogenic phenotypes of human colorectal carcinoma cells. Oncogene 23(52):8464–8474CrossRefPubMed
37.
go back to reference Chang K, Karnad A, Zhao S, Freeman JW (2015) Roles of c-Met and RON kinases in tumor progression and their potential as therapeutic targets. Oncotarget 6(6):3507–3518CrossRefPubMedPubMedCentral Chang K, Karnad A, Zhao S, Freeman JW (2015) Roles of c-Met and RON kinases in tumor progression and their potential as therapeutic targets. Oncotarget 6(6):3507–3518CrossRefPubMedPubMedCentral
38.
39.
go back to reference Xiangming X, Yun Q, Guoliang Z, Jianjiang L, Lisong T (2011) Mechanisms of RON-mediated epithelial-mesenchymal transition in MDCK cells through the MAPK pathway. Brazilian J Medical and Biol Res = Revista brasileira de pesquisas médicas e biológicas/Sociedade Brasileira de Biofísica [et al] 44(7):634–641 Xiangming X, Yun Q, Guoliang Z, Jianjiang L, Lisong T (2011) Mechanisms of RON-mediated epithelial-mesenchymal transition in MDCK cells through the MAPK pathway. Brazilian J Medical and Biol Res = Revista brasileira de pesquisas médicas e biológicas/Sociedade Brasileira de Biofísica [et al] 44(7):634–641
40.
go back to reference Qi M, Guin S, Padhye SS, Zhou YQ, Zhang RW, Wang MH (2011) Ribosomal Protein S6 Kinase (RSK)-2 as a central effector molecule in RON receptor tyrosine kinase mediated epithelial to mesenchymal transition induced by macrophage-stimulating protein. Mol Cancer 10(1):1–15CrossRef Qi M, Guin S, Padhye SS, Zhou YQ, Zhang RW, Wang MH (2011) Ribosomal Protein S6 Kinase (RSK)-2 as a central effector molecule in RON receptor tyrosine kinase mediated epithelial to mesenchymal transition induced by macrophage-stimulating protein. Mol Cancer 10(1):1–15CrossRef
41.
go back to reference Minetto M (1998) Point mutations in the tyrosine kinase domain release the oncogenic and metastatic potential of the ron receptor. Oncogene 17(6):741–749CrossRefPubMed Minetto M (1998) Point mutations in the tyrosine kinase domain release the oncogenic and metastatic potential of the ron receptor. Oncogene 17(6):741–749CrossRefPubMed
42.
go back to reference Zhou YQ, He C, Chen YQ, Wang D, Wang MH (2003) Altered expression of the RON receptor tyrosine kinase in primary human colorectal adenocarcinomas: generation of different splicing RON variants and their oncogenic potential. Oncogene 22(2):186–197CrossRefPubMed Zhou YQ, He C, Chen YQ, Wang D, Wang MH (2003) Altered expression of the RON receptor tyrosine kinase in primary human colorectal adenocarcinomas: generation of different splicing RON variants and their oncogenic potential. Oncogene 22(2):186–197CrossRefPubMed
Metadata
Title
Elevated RON protein expression in endometriosis and disease-associated ovarian cancers
Authors
Ping Xu
Shaojie Ding
Libo Zhu
Fang Le
Xiufeng Huang
Yonghong Tian
Xinmei Zhang
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 3/2017
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-016-4248-x

Other articles of this Issue 3/2017

Archives of Gynecology and Obstetrics 3/2017 Go to the issue