Abstract. The WAP four-disulfide core domain protein 2 (WFDC2) is frequently overexpressed in epithelial ovarian cancer cells and has been proposed as a potential biomarker. The biological function of WFDC2 in tumor progression remains unclear. In this study, the stable expression of short hairpin RNA (shRNA) against WFDC2 in the human ovarian SKOV3 cell line was established. Cell proliferation in vitro was determined by MTT assay. Cell cycle and apoptosis were analyzed by FACS. The expression of genes related to cell proliferation and survival was detected by real-time RT-PCR and western blotting. In vivo tumor growth assay was performed by establishing WFDC2-knockdown xenografts in nude mice and monitoring tumor growth. The expression of WFDC2, Ki67 and activated caspase-3 was analyzed by immunohistochemistry in order to determine the role of WFDC2 in proliferation and apoptosis. Our results revealed that the silencing of WFDC2 abolished ovarian cancer cell proliferation, suppressing tumor formation and growth in ovarian cancer cells both in vitro and in vivo. The knockdown of WFDC2 induced upregulation of Fasl and the downregulation of cyclin D1 activated caspase-3 and Ki67. These results indicate that WFDC2 plays a crucial role in tumor formation and growth in ovarian cancer cells. WFDC2 may be a potential therapeutic target for epithelial ovarian cancer.
IntroductionOvarian cancer is one of the most common cancers among women, and it is the leading cause of mortality among gynecological malignancies worldwide. WAP four-disulfide core domain protein 2 (WFDC2) was first identified in the epithelium of the distal epididymis and was originally predicted as a protease inhibitor involved in sperm maturation. Recent interest in WFDC2 has been generated by the consistent demonstration of its overexpression in ovarian carcinomas in comparison to normal ovarian tissue (1-3). This gene, also known as human epididymis 4 (HE4), has been consistently identified as being upregulated in ovarian carcinoma by gene expression profiling studies and has been proposed as a putative serum biomarker for malignant ovarian masses (1,4-6).The WFDC2 gene is located on human chromosome 20q12-13.1. The amplification of 20q12-13 has been demonstrated specifically in breast and ovarian carcinomas (2,7). Fourteen genes which encode proteins with a WAP-type four-disulfide core (WFDC) domain have been identified on this region. Two of these genes, SLPI and p13, encoded as antileukoproteinase 1 and elafin, which are co-expressed with WFDC2 play a role in the development or progression of various types of carcinomas (8,9). This led us to investigate whether WFDC2, a member of the WAP cluster, overexpressed in ovarian cancer, may also be involved with this disease.The most studied WAP proteins, p13 and SLPI, both identified as serine-proteinase inhibitors, are reported to be associated with aggressive, high-risk, or metastatic cancer originating from various organs (10,11). The expression of SLPI was positively correlated with the increased exp...