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Single nucleotide polymorphisms of the EpCAM-coding gene TACSTD1 in patients with ovarian cancer and their potential translational aspects

  • Gynecologic Oncology
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

EpCAM is overexpressed in many neoplasms including ovarian cancer. We screened the EpCAM-coding gene TACSTD1 for single nucleotide polymorphisms (SNPs), which could alter ovarian cancer risk, impact upon disease progression, or alter binding of the therapeutic EpCAM-binding antibody, catumaxomab.

Methods

DNA fragments of 10 healthy volunteers were analyzed to identify SNPs. Subsequently, DNA of ovarian cancer patients (n = 117) and age-matched healthy controls (n = 115) was genotyped by restriction fragment length polymorphism and pyrosequencing. TACSTD1 genotypes 4461T>C were cloned into a gene expression vector; Hek293 cells were subsequently used for stable transfection. FACS analysis of the transfected Hek293 cells was conducted with HO-3—the EpCAM binding site of catumaxomab—to determine antibody binding.

Results

One SNP was detected in exon 3 (4461T>C; rs1126497), resulting in an amino acid exchange at position 115 (Met115Thr). Another polymorphism was found in the 3′UTR (17225A>G; rs1421). Genotyping of patients and controls for these SNPs did not reveal significant differences in genotype distribution. Regarding 17225A>G, the homozygous AA-genotype was associated with diminished progression-free survival (PFS; p = 0.032). Overall survival, FIGO-stage, grading, and age did not differ significantly between genotypes. FACS analysis of transfected Hek293 cells overexpressing EpCAM 115Met/Thr showed binding of HO-3 to both proteins.

Conclusions

The AA-genotype of 17225A>G seems to be associated with diminished PFS in ovarian cancer patients. The amino acid exchange resulting from 4461T>C does not appear to alter binding of HO-3, suggesting that treatment with catumaxomab can be offered to patients regardless of their TACSTD1-genotype.

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References

  1. Goodman MT, Howe HL, Tung KH, Hotes J, Miller BA, Coughlin SS, Chen VW (2003) Incidence of ovarian cancer by race and ethnicity in the United States, 1992–1997. Cancer 97:2676–2685

    Article  PubMed  Google Scholar 

  2. Litvinov SV, Velders MP, Bakker HA, Fleuren GJ, Warnaar SO (1994) Ep-CAM: a human epithelial antigen is a homophilic cell-cell adhesion molecule. J Cell Biol 125:437–446

    Article  CAS  PubMed  Google Scholar 

  3. Momburg F, Moldenhauer G, Hammerling GJ, Moller P (1987) Immunohistochemical study of the expression of a Mr 34,000 human epithelium-specific surface glycoprotein in normal and malignant tissues. Cancer Res 47:2883–2891

    CAS  PubMed  Google Scholar 

  4. Munz M, Kieu C, Mack B, Schmitt B, Zeidler R, Gires O (2004) The carcinoma-associated antigen EpCAM upregulates c-myc and induces cell proliferation. Oncogene 23:5748–5758

    Article  PubMed  Google Scholar 

  5. Litvinov SV, Balzar M, Winter MJ, Bakker HA, Briaire-de Bruijn I, Prins F, Fleuren GJ, Warnaar SO (1997) Epithelial cell adhesion molecule (Ep-CAM) modulates cell-cell interactions mediated by classic cadherins. J Cell Biol 139:1337–1348

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Winter MJ, Nagtegaal ID, van Krieken JH, Litvinov SV (2003) The epithelial cell adhesion molecule (Ep-CAM) as a morphoregulatory molecule is a tool in surgical pathology. Am J Pathol 163:2139–2148

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Litvinov SV, van Driel W, van Rhijn CM, Bakker HA, van Krieken H, Fleuren GJ, Warnaar SO (1996) Expression of Ep-CAM in cervical squamous epithelia correlates with an increased proliferation and the disappearance of markers for terminal differentiation. Am J Pathol 148:865–875

    PubMed Central  CAS  PubMed  Google Scholar 

  8. Spizzo G, Went P, Dirnhofer S, Obrist P, Moch H, Baeuerle PA, Mueller-Holzner E, Marth C, Gastl G, Zeimet AG (2006) Overexpression of epithelial cell adhesion molecule (Ep-CAM) is an independent prognostic marker for reduced survival of patients with epithelial ovarian cancer. Gynecol Oncol 103:483–488

    Article  CAS  PubMed  Google Scholar 

  9. Pietzner K, Woopen H, Richter R, Joens T, Braicu EI, Dimitrova D, Mellstedt H, Darb-Esfahani S, Denkert C, Lindhofer H, Fotopoulou C, Sehouli J (2013) Expression of epithelial cell adhesion molecule in paired tumor samples of patients with primary and recurrent serous ovarian cancer. Int J Gynecol Cancer 23(5):797–802

    Article  PubMed  Google Scholar 

  10. Warneke VS, Behrens HM, Haag J, Krüger S, Simon E, Mathiak M, Ebert MP, Röcken C (2013) Members of the EpCAM signalling pathway are expressed in gastric cancer tissue and are correlated with patient prognosis. Br J Cancer 109(8):2217–2227

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Maetzel D, Denzel S, Mack B, Canis M, Went P, Benk M, Kieu C, Papior P, Baeuerle PA, Munz M, Gires O (2009) Nuclear signalling by tumour-associated antigen EpCAM. Nat Cell Biol 11:162–171

    Article  CAS  PubMed  Google Scholar 

  12. Simon M, Stefan N, Plückthun A, Zangemeister-Wittke U (2013) Epithelial cell adhesion molecule-targeted drug delivery for cancer therapy. Expert Opin Drug Deliv 10(4):451–468

    Article  CAS  PubMed  Google Scholar 

  13. Burges A, Wimberger P, Kumper C et al (2007) Effective relief of malignant ascites in patients with advanced ovarian cancer by a trifunctional anti-EpCAM × anti-CD3 antibody: a phase I/II study. Clin Cancer Res 13:3899–3905

    Article  CAS  PubMed  Google Scholar 

  14. Lee KR, Russell P, Tavassoli FA, Buckley CH, Prat J, Pisani P, Dietel M, Schwartz P, Gersell DJ, Goldgar DE, Karseladze AI, Silva E, Hauptmann S, Caduff R, Rutgers J, Kubik-Huch RA (2003) Surface epithelial-stromal tumours. World Health Organization classification of tumours. Tumours of the breast and female genital organs. IARC Press, Lyon, pp 117–145

    Google Scholar 

  15. Silverberg SG (2000) Histopathologic grading of ovarian carcinoma: a review and proposal. Int J Gynecol Pathol 19:7–15

    Article  CAS  PubMed  Google Scholar 

  16. Ruf P, Gires O, Jager M, Fellinger K, Atz J, Lindhofer H (2007) Characterisation of the new EpCAM-specific antibody HO-3: implications for trifunctional antibody immunotherapy of cancer. Br J Cancer 97:315–321

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Barrett JC, Fry B, Maller J, Daly MJ (2005) Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21:263–265

    Article  CAS  PubMed  Google Scholar 

  18. Battista MJ, Cotarelo C, Jakobi S, Steetskamp J, Makris G, Sicking I, Weyer V, Schmidt M (2014) Overexpression of epithelial cell adhesion molecule protein is associated with favorable prognosis in an unselected cohort of ovarian cancer patients. J Cancer Res Clin Oncol 140(7):1097–1102

    Article  CAS  PubMed  Google Scholar 

  19. Woopen H, Pietzner K, Richter R, Fotopoulou C, Joens T, Braicu EI, Mellstedt H, Mahner S, Lindhofer H, Darb-Esfahani S, Denkert C, Sehouli J (2014) Overexpression of the epithelial cell adhesion molecule is associated with a more favorable prognosis and response to platinum-based chemotherapy in ovarian cancer. J Gynecol Oncol. 25(3):221–228

    Article  PubMed Central  PubMed  Google Scholar 

  20. Jojovic M, Adam E, Zangemeister-Wittke U, Schumacher U (1998) Epithelial glycoprotein-2 expression is subject to regulatory processes in epithelial-mesenchymal transitions during metastases: an investigation of human cancers transplanted into severe combined immunodeficient mice. Histochem J 30:723–729

    Article  CAS  PubMed  Google Scholar 

  21. Jiang L, Zhang C, Li Y, Yu X, Zheng J, Zou P, Li Y, Bin X, Lu J, Zhou Y (2011) A non-synonymous polymorphism Thr115Met in the EpCAM gene is associated with an increased risk of breast cancer in Chinese population. Breast Cancer Res Treat 126(2):487–495

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest

This manuscript has been approved by all authors. There are no relationships that may present conflicts of interest.

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Correspondence to Martin Heubner.

Additional information

Martin Heubner has been supported by the IFORES program of the University of Essen.

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Heubner, M., Wimberger, P., Kasimir-Bauer, S. et al. Single nucleotide polymorphisms of the EpCAM-coding gene TACSTD1 in patients with ovarian cancer and their potential translational aspects. Arch Gynecol Obstet 292, 1367–1372 (2015). https://doi.org/10.1007/s00404-015-3802-2

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  • DOI: https://doi.org/10.1007/s00404-015-3802-2

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