Abstract. Voltage-gated sodium channels (VGSC) play important roles in the development and progression of many cancers. We report the possible roles of VGSC in human ovarian cancer. Relative mRNA expression levels of Nav1.1, Nav1.3, Nav1.4 and Nav1.5, analyzed by RT-PCR, were significantly higher in ovarian cancers cells compared with normal ovarian tissues; relative mRNA expression levels of Nav1.2, Nav1.4, Nav1.5 and Nav1.7 were significantly increased in highly metastatic ovarian cancer cells (Caov-3 and SKOV-3) compared with low-metastatic ovarian cancer cells (Anglne). Treatment of 30 μM tetrodotoxin reduced by 50-60% migration and invasion of Caov-3 and SKOV-3 without affecting proliferation. Real-time PCR, Western blot analysis and immunohistochemistry assays revealed that functional expression levels of Nav1.5 might be correlated with the grade and metastasis of ovarian cancer. Our findings suggested that abnormal expression of Nav1.5 could be an integral component of the metastatic process in human ovarian cancer and might serve as a therapeutic target in ovarian cancer treatment.
IntroductionOvarian cancer is the most fatal cancer in women in the world. The overwhelming majority of patients are found at advanced disease stage because of no obvious symptoms. Therefore, it is necessary to find effective diagnosis and therapy methods (1).Ion channels are functionally expressed in almost all tissues and cell types as the main signaling molecules (2). With the development of patch clamp technique and molecular biology, recent studies have revealed that ion channels were associated with different aspects of carcinogenic process by involving in cell proliferation, multidrug resistance, migration and invasion (3,4). The functional expression levels of potassium, calcium and chloride channels had been widely investigated over the past few decades, but little is known about the sodium channels in ovarian cancer (5,6).Voltage-gated sodium channel (VGSC) mediates an inward sodium current during the initial phase of potential action in excitable cells, composed of principal · subunit (VGSC·) and auxiliary ß subunits (VGSCß) (7). A window of voltage has been found at cancer cellular normal membrane potential, where there is a continuous entry of sodium because of the partial opening of VGSC·, the entry sodium might be responsible for the disrupting intracellular ion homeostasis (6,8). Therefore, it is important to investigate the roles of VGSC· in carcinogenic process. The functional subunits of VGSC· are the Nav1 family (Nav1.1-1.9), each member of the Nav1 family consists of 4 homologous domains (D1-D4) and every domain has 6 transmembrane segments (S1-S6) (9). Tetrodotoxin (TTX) is the specific blocker of VGSC, according to the sensitivity to TTX, VGSC is described TTX-sensitive (TTX-S; Nav1.1-1.4, Nav1.6-1.7) and TTX-resistant (TTX-R; Nav1.5, Nav1.8-1.9) (10). Among the family, Nav1.5 and Nav1.7 have been found to potentiate metastasis of many cancers (11-13).The aim of this study was to investigate the function...