Ovarian cancer has the highest mortality rate of gynaecological cancers. This is partly due to the lack of effective screening markers. Here, we used oligonucleotide microarrays complementary to B12 000 genes to establish a gene-expression microarray (GEM) profile for normal ovarian tissue, as compared to stage III ovarian serous adenocarcinoma and omental metastases from the same individuals. We found that the GEM profiles of the primary and secondary tumours from the same individuals were essentially alike, reflecting the fact that these tumours had already metastasised and acquired the metastatic phenotype. We have identified a novel biomarker, mammaglobin-2 (MGB2), which is highly expressed specific to ovarian cancer. MGB2, in combination with other putative markers identified here, could have the potential for screening. Ovarian cancer is the leading cause of death from gynaecological malignancy, with an estimated 24 000 and 6800 new cases in the US and UK, respectively, during (Greenlee et al, 2001Swerdlow et al, 2001). Early-stage disease is largely asymptomatic, and most patients are diagnosed when disease has spread beyond the pelvis with an associated 5-year survival of less than 20% (Ozols, 2002). This is partly due to the lack of reliable screening strategies. While around 90% of women with advanced disease have elevated serum CA125, this marker alone is neither sufficiently sensitive nor specific for use as a screening tool (Menon and Jacobs, 2001). Despite new cytotoxic regimens, survival has remained largely unchanged over the past 20 years. Identification of new molecular signatures of early disease is a key goal of ovarian cancer research.Gene-expression microarray (GEM) profiles have previously been used to compare the expression profile of ovarian cancer with that of the normal ovary (Ono et al, 2000;Welsh et al, 2001). We extended this approach by using a more extensive set of probes (Affymetrix U95Av2), and also characterised metastatic disease in a search for molecular markers of progression. We investigated the potential specificity of a number of putative biomarkers by examining their expression in a panel of other epithelial tissues and tumours.
MATERIALS AND METHODS
Ovarian tissue samplesFour snap-frozen normal ovarian samples, and six pairs of primary and omental serous adenocarcinoma (Stage IIIC) from the same individuals were collected at the time of surgery at the University College Hospitals NHS Trust. The six paired samples of primary and secondary ovarian cancer were taken at the time of primary surgery prior to chemotherapeutic intervention. The normal ovarian samples were taken at the time of surgery for benign disease. H&E-stained sections were examined and verified histopathologically to be stage III serous adenocarcinomas. All samples comprised at least 70% tumour, except one omental sample which had 5% tumour content. The normal ovarian samples were verified to be free of any pathology, including benign cysts. Ovarian epithelium was macrodissected from the underlying stroma...