Abstract. Previously, we demonstrated that follicle stimulating hormone (FSH) enhanced VEGF expression and facilitated ovarian cancer angiogenesis via the PI3K/AKT signaling pathway. In this study, we further investigated the involvement of microRNA-27a: ZBTB10-specificity protein pathway in the mechanism of FSH-induced VEGF, Cox2 and survivin expression. Treatment with FSH resulted in significant increase in the expression of VEGF, Cox2, survivin, Sp1 proteins and microRNA-27a in a dose-dependent manner, whereas reverse protein expression pattern was observed in ZBTB10. Downregulation of microRNA-27a using antisense microRNA27a blocked FSH-induced VEGF, Cox2 and survivin expression. Overexpression of ZBTB10 also attenuated the FSH-induced expression of these molecules. The enhanced expression of VEGF, Cox2 and survivin was also abolished by knocking down Sp1 using small interfering RNA. Collectively, these results indicated that stimulation of ovarian cancer cell VEGF, Cox2 and survivin expression by FSH involves the microRNA-27a: ZBTB10-specificity protein pathway.
IntroductionOvarian cancer is the most lethal gynecological malignancy in women because of occult metastases within the peritoneal cavity and the advanced stage at detection when curative therapy is ineffective. Approximately 80-90% ovarian cancer is origin from ovarian surface epithelium. The etiology of ovarian epithelial cancer (OEC) remains to be clarified, multiple factors involved in OEC development, for example, hormonal, environmental and genetic factors may play a role. Currently, the gonadotropin theory of ovarian cancer proposes that elevated serum gonadotropins, follicle-stimulating hormone (FSH) and luteinizing hormone (LH), contribute significantly to the development of ovarian cancer. In previous study, Choi et al have reported that FSH enhanced ovarian cancer cells proliferation and invasion by PI3K/AKT signal pathway (1,2). Recent study in our laboratory demonstrated that FSH inhibits ovarian cancer cell apoptosis by upregulating survivin and downregulating PDCD6 and DR5 (3). These studies indicate FSH plays an important role in OEC occurrence, especially in postmenopausal women. In our previous work, it was also reported that activation of the PI3K/AKT pathway mediates FSH-stimulated VEGF expression in ovarian serous cystadenocarcinoma (4). This study also showed that survivin and HIF1α are involved in FSH-mediated VEGF expression by PI3K/ AKT signal pathway. Survivin is a member of the inhibitor of apoptosis protein (IAP) family, in addition to the anti-apoptosis function, the role of survivin to regulate VEGF expression has been described in various tumor cell types (5,6). These factors contribute to tumor angiogenesis. Inflammation also facilitate tumor angiogenesis, Cox2 is an important effector molecule of inflammation and was reported to be involve in VEGF expression and tumor angiogenesis. In our recent study, it was found FSH could significantly upregulate Cox2 expression in a dose-dependent manner (unpublish data). Althoug...