Abstract
To date, numerous genes have been identified which are involved in both tumour neovascularisation (angiogenesis) and tumour cell invasion, and most of them are also expressed to some extent under normal physiological conditions. However, little is known about how these genes co-express in these settings. This study was undertaken to quantitate mRNA levels in normal and malignant cervical tissues of nine selected genes (VEGF(121), VEGF(165), VEGF(189), VEGF-C, eIF-4E, b-FGF, TSP-2, MMP-2 and MMP-9) implicated in the above processes using real-time quantitative RT-PCR. In addition, the Spearman's rank correlation was used to determine their co-expression patterns. The transcript levels for the different VEGF-A splice variants (VEGF(121), VEGF(165), VEGF(189)) were at least 10-fold higher in the cancer cases, with the highest levels in the primary tumours demonstrating lympho-vascular space involvement. The lymphangiogenic factor VEGF-C and MMP-9 were upregulated 130- and 80-fold respectively in cervical cancers. The highest levels of VEGF-C mRNA were found in the lymph-node positive group. The transcript levels for b-FGF were similar in normal cervical tissue and early-stage cervical cancer, however, higher levels were found in the cervical cancers with advanced stage disease. Comparing gene transcript levels between recurrent and non-recurrent cervical cancer patients revealed significant differences (P=0.038) in transcript levels for the angiogenesis inhibitor TSP-2, with the highest levels in non-recurrent cases. Co-expression pattern analysis in normal cervical tissue revealed highly significant co-expressions (P<0.0001) between TSP-2 and most other genes analysed (VEGF(121), VEGF(165), VEGF-C, b-FGF and MMP-2). In cervical cancer, TSP-2 appears only to be highly co-expressed with MMP-2 (P<0.0001). In contrast to normal cervical tissue, we found a highly significant co-expression (P<0.0001) between MMP-9 and VEGF(189) in cervical cancer. The combined application of real-time quantitative RT-PCR and Spearman's rank correlation identifies gene transcripts which are simultaneously co-expressed. Our results revealed a significant co-expression between the angiogenesis inhibitor TSP-2 and most other genes analysed in normal cervical tissue. In cervical cancer, we found a strong upregulation of VEGF-C and MMP-9 mRNA, with a highly significant co-expression between MMP-9 and VEGF(189).
MeSH Terms
Cervix Uteri/metabolism
Endothelial Growth Factors/biosynthesis,genetics
Eukaryotic Initiation Factor-4E
Female
Fibroblast Growth Factors/biosynthesis,genetics
Gene Expression Regulation, Neoplastic
Humans
Lymphokines/biosynthesis,genetics
Matrix Metalloproteinase 2/biosynthesis,genetics
Matrix Metalloproteinase 9/biosynthesis,genetics
Models, Genetic
Neoplasm Invasiveness/genetics
Neoplasm Proteins/biosynthesis,genetics
Neoplasm Recurrence, Local
Neovascularization, Pathologic/genetics
Neovascularization, Physiologic/genetics
Peptide Initiation Factors/biosynthesis,genetics
Protein Isoforms/biosynthesis,genetics
RNA, Messenger/biosynthesis
RNA, Ribosomal, 18S/biosynthesis,genetics
Reverse Transcriptase Polymerase Chain Reaction
Transcription, Genetic
Uterine Cervical Neoplasms/genetics,metabolism
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factors
Chemicals
Endothelial Growth Factors
Eukaryotic Initiation Factor-4E
Lymphokines
Neoplasm Proteins
Peptide Initiation Factors
Protein Isoforms
RNA, Messenger
RNA, Ribosomal, 18S
VEGFA protein, human
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factors
Fibroblast Growth Factors
Matrix Metalloproteinase 2
Matrix Metalloproteinase 9
Authors & Affiliations
11 authors, click to expand affiliations / ORCID
Van Trappen P O
Department of Gynaecological Oncology, Cancer Research UK Translational Oncology Laboratory, John Vane Science Centre, Queen Mary University of London, London, UK.
[email protected]
Ryan A
Carroll M
Lecoeur C
Goff L
Gyselman V G
Young B D
Lowe D G
Pepper M S
Shepherd J H
Jacobs I J
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