BackgroundEndometrial cancer is the most common gynecologic malignancy in developed
countries and little is known about the underlying mechanism of stage and
disease outcomes. The goal of this study was to identify differentially
expressed genes (DEG) between late vs. early stage endometrioid
adenocarcinoma (EAC) and uterine serous carcinoma (USC), as well as between
disease outcomes in each of the two histological subtypes.Methodology/Principal FindingGene expression profiles of 20 cancer samples were analyzed
(EAC = 10, USC = 10) using the
human genome wide illumina bead microarrays. There was little overlap in the
DEG sets between late vs. early stages in EAC and USC, and there was an
insignificant overlap in DEG sets between good and poor prognosis in EAC and
USC. Remarkably, there was no overlap between the stage-derived DEGs and the
prognosis-derived DEGs for each of the two histological subtypes. Further
functional annotation of differentially expressed genes showed that the
composition of enriched function terms were different among different DEG
sets. Gene expression differences for selected genes of various stages and
outcomes were confirmed by qRT-PCR with a high validation rate.ConclusionThis data, although preliminary, suggests that there might be involvement of
distinct groups of genes in tumor progression (late vs. early stage) in each
of the EAC and USC. It also suggests that these genes are different from
those involved in tumor outcome (good vs. poor prognosis). These involved
genes, once clinically verified, may be important for predicting tumor
progression and tumor outcome.