MMP-14 and CD44 in Epithelial-to-Mesenchymal Transition (EMT) in ovarian cancer

  • M.C. Vos
  • , E. Hollemans
  • , N.P.M. Ezendam
  • , H. Feijen
  • , D. Boll
  • , B. Pijlman
  • , H. van der Putten
  • , P. Klinkhamer
  • , T.H. Kuppevelt
  • , A.A. van de Wurff
  • , L.F. Massuger

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background
To investigate the expression of MMP-14 and CD44 as well as epithelial-to-mesenchymal transition(EMT)-like changes in ovarian cancer and to determine correlations with clinical outcome.
Methods
In 97 patients with ovarian cancer, MMP-14 and CD44 expression as determined by immunohistochemistry was investigated in relation to EMT-like changes. To determine this, immunohistochemical staining of E-cadherin and vimentin was performed.
Results
Patients with expression of both MMP-14 and CD44 in their tumors had a poor prognosis despite complete debulking. Serous histology in advanced-stage tumors (FIGO IIB-IV) correlated with CD44 (rho .286, p < 0.01). Also, CD44 correlated with percentage vimentin expression (rho .217, p < 0.05).In logistic regression analysis with complete debulking as the outcome parameter, CD44 expression was found to be significant (OR 3,571 (95 % Confidence Interval 1,112–11,468) p = 0.032), though this was not the case for MMP-14 and EMT parameters.
Conclusion
The subgroup of patients with double expression of MMP-14 and CD44 had a poor prognosis despite complete debulking. Serous subtype in advanced-stage patients and CD44 expression were found to be correlated with vimentin expression, and CD44 expression was found to be significantly correlated with complete debulking. However, a significant correlation between EMT and clinical parameters was not found.KeywordsMMP-14, CD44, Epithelial-to-mesenchymal transition, Ovarian cancer
Original languageEnglish
Article number53
JournalJournal of Ovarian Research
Volume9
Issue number1
DOIs
Publication statusPublished - 2 Sept 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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