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Published in: Journal of Ovarian Research 1/2014

Open Access 01-12-2014 | Research

Novel three-dimensional in vitro models of ovarian endometriosis

Authors: Doerthe Brueggmann, Claire Templeman, Anna Starzinski-Powitz, Nagesh P Rao, Simon A Gayther, Kate Lawrenson

Published in: Journal of Ovarian Research | Issue 1/2014

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Abstract

Background

Endometriosis is characterized by the presence of functional endometrial tissue outside of the uterine cavity. It affects 1 in 10 women of reproductive age. This chronic condition commonly leads to consequences such as pelvic pain, dysmenorrhea, infertility and an elevated risk of epithelial ovarian cancer. Despite the prevalence of endometriosis and its impact on women’s lives, there are relatively few in vitro and in vivo models available for studying the complex disease biology, pathophysiology, and for use in the preclinical development of novel therapies. The goal of this study was to develop a novel three-dimensional (3D) cell culture model of ovarian endometriosis and to test whether it is more reflective of endometriosis biology than traditional two dimensional (2D) monolayer cultures.

Methods

A novel ovarian endometriosis epithelial cell line (EEC16) was isolated from a 34-year old female with severe endometriosis. After characterization of cells using in vitro assays, western blotting and RNA-sequencing, this cell line and a second, already well characterized endometriosis cell line, EEC12Z, were established as in vitro 3D spheroid models. We compared biological features of 3D spheroids to 2D cultures and human endometriosis lesions using immunohistochemistry and real-time semi-quantitative PCR.

Results

In comparison to normal ovarian epithelial cells, EEC16 displayed features of neoplastic transformation in in vitro assays. When cultured in 3D, EEC16 and EEC12Z showed differential expression of endometriosis-associated genes compared to 2D monolayer cultures, and more closely mimicked the molecular and histological features of human endometriosis lesions.

Conclusions

To our knowledge, this represents the first report of an in vitro spheroid model of endometriosis. 3D endometriosis models represent valuable experimental tools for studying EEC biology and the development of novel therapeutic approaches.
Appendix
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Literature
1.
go back to reference Eskenazi B, Warner ML: Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997,24(2):235–258. 10.1016/S0889-8545(05)70302-8CrossRefPubMed Eskenazi B, Warner ML: Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997,24(2):235–258. 10.1016/S0889-8545(05)70302-8CrossRefPubMed
3.
go back to reference Pearce CL, Templeman C, Rossing MA, Lee A, Near AM, Webb PM, Nagle CM, Doherty JA, Cushing-Haugen KL, Wicklund KG, Chang-Claude J, Hein R, Lurie G, Wilkens LR, Carney ME, Goodman MT, Moysich K, Kjaer SK, Hogdall E, Jensen A, Goode EL, Fridley BL, Larson MC, Schildkraut JM, Palmieri RT, Cramer DW, Terry KL, Vitonis AF, Titus LJ, Ziogas A, et al.: Association between endometriosis and risk of histological subtypes of ovarian cancer: a pooled analysis of case–control studies. Lancet Oncol 2012,13(4):385–394. 10.1016/S1470-2045(11)70404-1PubMedCentralCrossRefPubMed Pearce CL, Templeman C, Rossing MA, Lee A, Near AM, Webb PM, Nagle CM, Doherty JA, Cushing-Haugen KL, Wicklund KG, Chang-Claude J, Hein R, Lurie G, Wilkens LR, Carney ME, Goodman MT, Moysich K, Kjaer SK, Hogdall E, Jensen A, Goode EL, Fridley BL, Larson MC, Schildkraut JM, Palmieri RT, Cramer DW, Terry KL, Vitonis AF, Titus LJ, Ziogas A, et al.: Association between endometriosis and risk of histological subtypes of ovarian cancer: a pooled analysis of case–control studies. Lancet Oncol 2012,13(4):385–394. 10.1016/S1470-2045(11)70404-1PubMedCentralCrossRefPubMed
4.
go back to reference Nisolle M, Donnez J: Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 1997,68(4):585–596. 10.1016/S0015-0282(97)00191-XCrossRefPubMed Nisolle M, Donnez J: Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 1997,68(4):585–596. 10.1016/S0015-0282(97)00191-XCrossRefPubMed
5.
go back to reference Sainz de la Cuesta R, Eichhorn JH, Rice LW, Fuller AF, Nikrui N, Goff BA: Histologic transformation of benign endometriosis to early epithelial ovarian cancer. Gynecol Oncol 1996,60(2):238–244. 10.1006/gyno.1996.0032CrossRefPubMed Sainz de la Cuesta R, Eichhorn JH, Rice LW, Fuller AF, Nikrui N, Goff BA: Histologic transformation of benign endometriosis to early epithelial ovarian cancer. Gynecol Oncol 1996,60(2):238–244. 10.1006/gyno.1996.0032CrossRefPubMed
6.
go back to reference Dzatic-Smiljkovic O, Vasiljevic M, Djukic M, Vugdelic R, Vugdelic J: Frequency of ovarian endometriosis in epithelial ovarian cancer patients. Clin Exp Obstet Gynecol 2011,38(4):394–398.PubMed Dzatic-Smiljkovic O, Vasiljevic M, Djukic M, Vugdelic R, Vugdelic J: Frequency of ovarian endometriosis in epithelial ovarian cancer patients. Clin Exp Obstet Gynecol 2011,38(4):394–398.PubMed
7.
go back to reference Banu SK, Lee J, Starzinski-Powitz A, Arosh JA: Gene expression profiles and functional characterization of human immortalized endometriotic epithelial and stromal cells. Fertil Steril 2008,90(4):972–987. 10.1016/j.fertnstert.2007.07.1358CrossRefPubMed Banu SK, Lee J, Starzinski-Powitz A, Arosh JA: Gene expression profiles and functional characterization of human immortalized endometriotic epithelial and stromal cells. Fertil Steril 2008,90(4):972–987. 10.1016/j.fertnstert.2007.07.1358CrossRefPubMed
8.
go back to reference Banu SK, Starzinski-Powitz A, Speights VO, Burghardt RC, Arosh JA: Induction of peritoneal endometriosis in nude mice with use of human immortalized endometriosis epithelial and stromal cells: a potential experimental tool to study molecular pathogenesis of endometriosis in humans. Fertil Steril 2009,91(5 Suppl):2199–2209.CrossRefPubMed Banu SK, Starzinski-Powitz A, Speights VO, Burghardt RC, Arosh JA: Induction of peritoneal endometriosis in nude mice with use of human immortalized endometriosis epithelial and stromal cells: a potential experimental tool to study molecular pathogenesis of endometriosis in humans. Fertil Steril 2009,91(5 Suppl):2199–2209.CrossRefPubMed
9.
go back to reference Wu Y, Starzinski-Powitz A, Guo SW: Trichostatin A, a histone deacetylase inhibitor, attenuates invasiveness and reactivates E-cadherin expression in immortalized endometriotic cells. Reprod Sci 2007,14(4):374–382. 10.1177/1933719107302913CrossRefPubMed Wu Y, Starzinski-Powitz A, Guo SW: Trichostatin A, a histone deacetylase inhibitor, attenuates invasiveness and reactivates E-cadherin expression in immortalized endometriotic cells. Reprod Sci 2007,14(4):374–382. 10.1177/1933719107302913CrossRefPubMed
11.
go back to reference Schreiner A, Ruonala M, Jakob V, Suthaus J, Boles E, Wouters F, Starzinski-Powitz A: Junction protein shrew-1 influences cell invasion and interacts with invasion-promoting protein CD147. Mol Biol Cell 2007,18(4):1272–1281. 10.1091/mbc.E06-07-0637PubMedCentralCrossRefPubMed Schreiner A, Ruonala M, Jakob V, Suthaus J, Boles E, Wouters F, Starzinski-Powitz A: Junction protein shrew-1 influences cell invasion and interacts with invasion-promoting protein CD147. Mol Biol Cell 2007,18(4):1272–1281. 10.1091/mbc.E06-07-0637PubMedCentralCrossRefPubMed
13.
go back to reference Grun B, Benjamin E, Sinclair J, Timms JF, Jacobs IJ, Gayther SA, Dafou D: Three-dimensional in vitro cell biology models of ovarian and endometrial cancer. Cell Prolif 2009,42(2):219–228. 10.1111/j.1365-2184.2008.00579.xCrossRefPubMed Grun B, Benjamin E, Sinclair J, Timms JF, Jacobs IJ, Gayther SA, Dafou D: Three-dimensional in vitro cell biology models of ovarian and endometrial cancer. Cell Prolif 2009,42(2):219–228. 10.1111/j.1365-2184.2008.00579.xCrossRefPubMed
14.
go back to reference Lawrenson K, Benjamin E, Turmaine M, Jacobs I, Gayther S, Dafou D: In vitro three-dimensional modelling of human ovarian surface epithelial cells. Cell Prolif 2009,42(3):385–393. 10.1111/j.1365-2184.2009.00604.xCrossRefPubMed Lawrenson K, Benjamin E, Turmaine M, Jacobs I, Gayther S, Dafou D: In vitro three-dimensional modelling of human ovarian surface epithelial cells. Cell Prolif 2009,42(3):385–393. 10.1111/j.1365-2184.2009.00604.xCrossRefPubMed
15.
go back to reference Lee JM, Mhawech-Fauceglia P, Lee N, Parsanian LC, Lin YG, Gayther SA, Lawrenson K: A three-dimensional microenvironment alters protein expression and chemosensitivity of epithelial ovarian cancer cells in vitro. Lab Invest 2013,93(5):528–542. 10.1038/labinvest.2013.41CrossRefPubMed Lee JM, Mhawech-Fauceglia P, Lee N, Parsanian LC, Lin YG, Gayther SA, Lawrenson K: A three-dimensional microenvironment alters protein expression and chemosensitivity of epithelial ovarian cancer cells in vitro. Lab Invest 2013,93(5):528–542. 10.1038/labinvest.2013.41CrossRefPubMed
16.
go back to reference Li NF, Wilbanks G, Balkwill F, Jacobs IJ, Dafou D, Gayther SA: A modified medium that significantly improves the growth of human normal ovarian surface epithelial (OSE) cells in vitro. Lab Invest 2004,84(7):923–931. 10.1038/labinvest.3700093CrossRefPubMed Li NF, Wilbanks G, Balkwill F, Jacobs IJ, Dafou D, Gayther SA: A modified medium that significantly improves the growth of human normal ovarian surface epithelial (OSE) cells in vitro. Lab Invest 2004,84(7):923–931. 10.1038/labinvest.3700093CrossRefPubMed
17.
go back to reference Zeitvogel A, Baumann R, Starzinski-Powitz A: Identification of an invasive, N-cadherin-expressing epithelial cell type in endometriosis using a new cell culture model. Am J Pathol 2001,159(5):1839–1852. 10.1016/S0002-9440(10)63030-1PubMedCentralCrossRefPubMed Zeitvogel A, Baumann R, Starzinski-Powitz A: Identification of an invasive, N-cadherin-expressing epithelial cell type in endometriosis using a new cell culture model. Am J Pathol 2001,159(5):1839–1852. 10.1016/S0002-9440(10)63030-1PubMedCentralCrossRefPubMed
18.
go back to reference Neve RM, Chin K, Fridlyand J, Yeh J, Baehner FL, Fevr T, Clark L, Bayani N, Coppe JP, Tong F, Speed T, Spellman PT, DeVries S, Lapuk A, Wang NJ, Kuo WL, Stilwell JL, Pinkel D, Albertson DG, Waldman FM, McCormick F, Dickson RB, Johnson MD, Lippman M, Ethier S, Gazdar A, Gray JW: A collection of breast cancer cell lines for the study of functionally distinct cancer subtypes. Cancer Cell 2006,10(6):515–527. 10.1016/j.ccr.2006.10.008PubMedCentralCrossRefPubMed Neve RM, Chin K, Fridlyand J, Yeh J, Baehner FL, Fevr T, Clark L, Bayani N, Coppe JP, Tong F, Speed T, Spellman PT, DeVries S, Lapuk A, Wang NJ, Kuo WL, Stilwell JL, Pinkel D, Albertson DG, Waldman FM, McCormick F, Dickson RB, Johnson MD, Lippman M, Ethier S, Gazdar A, Gray JW: A collection of breast cancer cell lines for the study of functionally distinct cancer subtypes. Cancer Cell 2006,10(6):515–527. 10.1016/j.ccr.2006.10.008PubMedCentralCrossRefPubMed
19.
go back to reference van der Linden PJ, Dunselman GA, de Goeij AF, van der Linden EP, Evers JL, Ramaekers FC: Epithelial cells in peritoneal fluid–of endometrial origin? Am J Obstet Gynecol 1995,173(2):566–570. 10.1016/0002-9378(95)90283-XCrossRefPubMed van der Linden PJ, Dunselman GA, de Goeij AF, van der Linden EP, Evers JL, Ramaekers FC: Epithelial cells in peritoneal fluid–of endometrial origin? Am J Obstet Gynecol 1995,173(2):566–570. 10.1016/0002-9378(95)90283-XCrossRefPubMed
20.
go back to reference Gaetje R, Kotzian S, Herrmann G, Baumann R, Starzinski-Powitz A: Nonmalignant epithelial cells, potentially invasive in human endometriosis, lack the tumor suppressor molecule E-cadherin. Am J Pathol 1997,150(2):461–467.PubMedCentralPubMed Gaetje R, Kotzian S, Herrmann G, Baumann R, Starzinski-Powitz A: Nonmalignant epithelial cells, potentially invasive in human endometriosis, lack the tumor suppressor molecule E-cadherin. Am J Pathol 1997,150(2):461–467.PubMedCentralPubMed
21.
go back to reference Bono Y, Kyo S, Takakura M, Maida Y, Mizumoto Y, Nakamura M, Nomura K, Kiyono T, Inoue M: Creation of immortalised epithelial cells from ovarian endometrioma. Br J Cancer 2012,106(6):1205–1213. 10.1038/bjc.2012.26PubMedCentralCrossRefPubMed Bono Y, Kyo S, Takakura M, Maida Y, Mizumoto Y, Nakamura M, Nomura K, Kiyono T, Inoue M: Creation of immortalised epithelial cells from ovarian endometrioma. Br J Cancer 2012,106(6):1205–1213. 10.1038/bjc.2012.26PubMedCentralCrossRefPubMed
22.
go back to reference Ferguson-Smith AC, Sasaki H, Cattanach BM, Surani MA: Parental-origin-specific epigenetic modification of the mouse H19 gene. Nature 1993,362(6422):751–755. 10.1038/362751a0CrossRefPubMed Ferguson-Smith AC, Sasaki H, Cattanach BM, Surani MA: Parental-origin-specific epigenetic modification of the mouse H19 gene. Nature 1993,362(6422):751–755. 10.1038/362751a0CrossRefPubMed
23.
go back to reference Hao Y, Crenshaw T, Moulton T, Newcomb E, Tycko B: Tumour-suppressor activity of H19 RNA. Nature 1993,365(6448):764–767. 10.1038/365764a0CrossRefPubMed Hao Y, Crenshaw T, Moulton T, Newcomb E, Tycko B: Tumour-suppressor activity of H19 RNA. Nature 1993,365(6448):764–767. 10.1038/365764a0CrossRefPubMed
24.
go back to reference Pagliardini L, Gentilini D, Vigano’ P, Panina-Bordignon P, Busacca M, Candiani M, Di Blasio AM: An Italian association study and meta-analysis with previous GWAS confirm WNT4, CDKN2BAS and FN1 as the first identified susceptibility loci for endometriosis. J Med Genet 2013,50(1):43–46. 10.1136/jmedgenet-2012-101257CrossRefPubMed Pagliardini L, Gentilini D, Vigano’ P, Panina-Bordignon P, Busacca M, Candiani M, Di Blasio AM: An Italian association study and meta-analysis with previous GWAS confirm WNT4, CDKN2BAS and FN1 as the first identified susceptibility loci for endometriosis. J Med Genet 2013,50(1):43–46. 10.1136/jmedgenet-2012-101257CrossRefPubMed
25.
go back to reference Nyholt DR, Low SK, Anderson CA, Painter JN, Uno S, Morris AP, MacGregor S, Gordon SD, Henders AK, Martin NG, Attia J, Holliday EG, McEvoy M, Scott RJ, Kennedy SM, Treloar SA, Missmer SA, Adachi S, Tanaka K, Nakamura Y, Zondervan KT, Zembutsu H, Montgomery GW: Genome-wide association meta-analysis identifies new endometriosis risk loci. Nat Genet 2012,44(12):1355–1359. 10.1038/ng.2445PubMedCentralCrossRefPubMed Nyholt DR, Low SK, Anderson CA, Painter JN, Uno S, Morris AP, MacGregor S, Gordon SD, Henders AK, Martin NG, Attia J, Holliday EG, McEvoy M, Scott RJ, Kennedy SM, Treloar SA, Missmer SA, Adachi S, Tanaka K, Nakamura Y, Zondervan KT, Zembutsu H, Montgomery GW: Genome-wide association meta-analysis identifies new endometriosis risk loci. Nat Genet 2012,44(12):1355–1359. 10.1038/ng.2445PubMedCentralCrossRefPubMed
26.
go back to reference Wiegand KC, Lee AF, Al-Agha OM, Chow C, Kalloger SE, Scott DW, Steidl C, Wiseman SM, Gascoyne RD, Gilks B, Huntsman DG: Loss of BAF250a (ARID1A) is frequent in high-grade endometrial carcinomas. J Pathol 2011,224(3):328–333. 10.1002/path.2911CrossRefPubMed Wiegand KC, Lee AF, Al-Agha OM, Chow C, Kalloger SE, Scott DW, Steidl C, Wiseman SM, Gascoyne RD, Gilks B, Huntsman DG: Loss of BAF250a (ARID1A) is frequent in high-grade endometrial carcinomas. J Pathol 2011,224(3):328–333. 10.1002/path.2911CrossRefPubMed
27.
go back to reference Lowery WJ, Schildkraut JM, Akushevich L, Bentley R, Marks JR, Huntsman D, Berchuck A: Loss of ARID1A-associated protein expression is a frequent event in clear cell and endometrioid ovarian cancers. Int J Gynecol Cancer 2012,22(1):9–14. 10.1097/IGC.0b013e318231f140PubMedCentralCrossRefPubMed Lowery WJ, Schildkraut JM, Akushevich L, Bentley R, Marks JR, Huntsman D, Berchuck A: Loss of ARID1A-associated protein expression is a frequent event in clear cell and endometrioid ovarian cancers. Int J Gynecol Cancer 2012,22(1):9–14. 10.1097/IGC.0b013e318231f140PubMedCentralCrossRefPubMed
28.
go back to reference Tsuchiya A, Sakamoto M, Yasuda J, Chuma M, Ohta T, Ohki M, Yasugi T, Taketani Y, Hirohashi S: Expression profiling in ovarian clear cell carcinoma: identification of hepatocyte nuclear factor-1 beta as a molecular marker and a possible molecular target for therapy of ovarian clear cell carcinoma. Am J Pathol 2003,163(6):2503–2512. 10.1016/S0002-9440(10)63605-XPubMedCentralCrossRefPubMed Tsuchiya A, Sakamoto M, Yasuda J, Chuma M, Ohta T, Ohki M, Yasugi T, Taketani Y, Hirohashi S: Expression profiling in ovarian clear cell carcinoma: identification of hepatocyte nuclear factor-1 beta as a molecular marker and a possible molecular target for therapy of ovarian clear cell carcinoma. Am J Pathol 2003,163(6):2503–2512. 10.1016/S0002-9440(10)63605-XPubMedCentralCrossRefPubMed
29.
go back to reference Obata K, Morland SJ, Watson RH, Hitchcock A, Chenevix-Trench G, Thomas EJ, Campbell IG: Frequent PTEN/MMAC mutations in endometrioid but not serous or mucinous epithelial ovarian tumors. Cancer Res 1998,58(10):2095–2097.PubMed Obata K, Morland SJ, Watson RH, Hitchcock A, Chenevix-Trench G, Thomas EJ, Campbell IG: Frequent PTEN/MMAC mutations in endometrioid but not serous or mucinous epithelial ovarian tumors. Cancer Res 1998,58(10):2095–2097.PubMed
30.
go back to reference Dit Faute MA, Laurent L, Ploton D, Poupon MF, Jardillier JC, Bobichon H: Distinctive alterations of invasiveness, drug resistance and cell-cell organization in 3D-cultures of MCF-7, a human breast cancer cell line, and its multidrug resistant variant. Clin Exp Metastasis 2002,19(2):161–168. 10.1023/A:1014594825502CrossRefPubMed Dit Faute MA, Laurent L, Ploton D, Poupon MF, Jardillier JC, Bobichon H: Distinctive alterations of invasiveness, drug resistance and cell-cell organization in 3D-cultures of MCF-7, a human breast cancer cell line, and its multidrug resistant variant. Clin Exp Metastasis 2002,19(2):161–168. 10.1023/A:1014594825502CrossRefPubMed
Metadata
Title
Novel three-dimensional in vitro models of ovarian endometriosis
Authors
Doerthe Brueggmann
Claire Templeman
Anna Starzinski-Powitz
Nagesh P Rao
Simon A Gayther
Kate Lawrenson
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Ovarian Research / Issue 1/2014
Electronic ISSN: 1757-2215
DOI
https://doi.org/10.1186/1757-2215-7-17

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