Skip to main content

Advertisement

Log in

Annexin A2 plays a critical role in epithelial ovarian cancer

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

Abstract

Purpose

This study aimed at investigating the potential role and prognostic significance of Annexin A2 in human epithelial ovarian cancer (EOC).

Methods

Western blot was used to evaluate the expression of Annexin A2 in nine fresh EOC tissues, and immunohistochemical analysis was performed on formalin-fixed paraffin-embedded sections of 119 cases of ovarian cancers. Then, we used Fisher exact test to analyze the correlation between Annexin A2 and clinicopathological parameters. Starvation refeeding was used to detect the alteration of Annexin A2 in HO8910 cell cycle.

Results

Annexin A2 was overexpressed in carcinoma tissues compared with normal tissue, and the expression levels gradually increased from G1 to G3. Moreover, the staining of tissue microarray was consistent with the result we got from western blot, increasing from G1 to G3 gradually, and it was related to the Figo stage (P = 0.005), histologic grade (P = 0.002), ascite (P < 0.001), malignant tumor cells (P < 0.001), residual tumor size (P = 0.044), Ki-67 (P = 0.003). Kaplan–Meier analysis revealed that high Annexin A2 expression was significantly associated with poor prognoses of the patients (P < 0.001). Multivariate analysis demonstrated that Annexin A2 was an independent prognostic indicator for overall survival. Starvation refeeding indicated that Annexin A2 was related to EOC cell proliferation.

Conclusions

We could hypothesize that Annexin A2 acted a critical role in EOC cell proliferation, and may be used as a potential and novel therapeutic target for EOC. These data suggest that Annexin A2 may promote the progression of EOC and be a therapeutic target for EOC therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Jemal A, Siegel R, Xu J, Ward E (2010) Cancer statistics, 2010. CA Cancer J Clin 60(5):277–300. doi:10.3322/caac.20073

    Article  PubMed  Google Scholar 

  2. Su D, Xu H, Feng J, Gao Y, Gu L, Ying L, Katsaros D, Yu H, Xu S, Qi M (2012) PDCD6 is an independent predictor of progression free survival in epithelial ovarian cancer. J Transl Med 10:31. doi:10.1186/1479-5876-10-31

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Ozols RF (2002) Update on the management of ovarian cancer. Cancer J 8(Suppl 1):S22–S30

    PubMed  Google Scholar 

  4. Chen J, Wang M, Xi B, Xue J, He D, Zhang J, Zhao Y (2012) SPARC is a key regulator of proliferation, apoptosis and invasion in human ovarian cancer. PLoS One 7(8):e42413. doi:10.1371/journal.pone.0042413

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Lokman NA, Ween MP, Oehler MK, Ricciardelli C (2011) The role of annexin A2 in tumorigenesis and cancer progression. Cancer Microenviron 4(2):199–208. doi:10.1007/s12307-011-0064-9

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Liu J, Vishwanatha JK (2007) Regulation of nucleo-cytoplasmic shuttling of human annexin A2: a proposed mechanism. Mol Cell Biochem 303(1–2):211–220. doi:10.1007/s11010-007-9477-7

    Article  CAS  PubMed  Google Scholar 

  7. Zhai H, Acharya S, Gravanis I, Mehmood S, Seidman RJ, Shroyer KR, Hajjar KA, Tsirka SE (2011) Annexin A2 promotes glioma cell invasion and tumor progression. J Neurosci 31(40):14346–14360. doi:10.1523/JNEUROSCI.3299-11.2011

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Sharma MR, Koltowski L, Ownbey RT, Tuszynski GP, Sharma MC (2006) Angiogenesis-associated protein annexin II in breast cancer: selective expression in invasive breast cancer and contribution to tumor invasion and progression. Exp Mol Pathol 81(2):146–156. doi:10.1016/j.yexmp.2006.03.003

    Article  CAS  PubMed  Google Scholar 

  9. Diaz VM, Hurtado M, Thomson TM, Reventos J, Paciucci R (2004) Specific interaction of tissue-type plasminogen activator (t-PA) with annexin II on the membrane of pancreatic cancer cells activates plasminogen and promotes invasion in vitro. Gut 53(7):993–1000

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Shiozawa Y, Havens AM, Jung Y, Ziegler AM, Pedersen EA, Wang J, Lu G, Roodman GD, Loberg RD, Pienta KJ, Taichman RS (2008) Annexin II/annexin II receptor axis regulates adhesion, migration, homing, and growth of prostate cancer. J Cell Biochem 105(2):370–380. doi:10.1002/jcb.21835

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Tressler RJ, Updyke TV, Yeatman T, Nicolson GL (1993) Extracellular annexin II is associated with divalent cation-dependent tumor cell-endothelial cell adhesion of metastatic RAW117 large-cell lymphoma cells. J Cell Biochem 53(3):265–276. doi:10.1002/jcb.240530311

    Article  CAS  PubMed  Google Scholar 

  12. Ito Y, Arai K, Nozawa R, Yoshida H, Higashiyama T, Takamura Y, Miya A, Kobayashi K, Kuma K, Miyauchi A (2007) S100A10 expression in thyroid neoplasms originating from the follicular epithelium: contribution to the aggressive characteristic of anaplastic carcinoma. Anticancer Res 27(4C):2679–2683

    CAS  PubMed  Google Scholar 

  13. Wang CY, Chen CL, Tseng YL, Fang YT, Lin YS, Su WC, Chen CC, Chang KC, Wang YC, Lin CF (2012) Annexin A2 silencing induces G2 arrest of non-small cell lung cancer cells through p53-dependent and -independent mechanisms. J Biol Chem 287(39):32512–32524. doi:10.1074/jbc.M112.351957

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Lokman NA, Elder AS, Ween MP, Pyragius CE, Hoffmann P, Oehler MK, Ricciardelli C (2013) Annexin A2 is regulated by ovarian cancer-peritoneal cell interactions and promotes metastasis. Oncotarget 4(8):1199–1211

    PubMed Central  PubMed  Google Scholar 

  15. Uchida F, Uzawa K, Kasamatsu A, Takatori H, Sakamoto Y, Ogawara K, Shiiba M, Tanzawa H, Bukawa H (2012) Overexpression of cell cycle regulator CDCA3 promotes oral cancer progression by enhancing cell proliferation with prevention of G1 phase arrest. BMC Cancer 12:321. doi:10.1186/1471-2407-12-321

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Siegel R, Naishadham D, Jemal A (2013) Cancer statistics, 2013. CA Cancer J Clin 63(1):11–30. doi:10.3322/caac.21166

    Article  PubMed  Google Scholar 

  17. Zhang Q, Ye Z, Yang Q, He X, Wang H, Zhao Z (2012) Upregulated expression of annexin II is a prognostic marker for patients with gastric cancer. World J Surg Oncol 10:103. doi:10.1186/1477-7819-10-103

    Article  PubMed Central  PubMed  Google Scholar 

  18. Frances R, Tumang JR, Rothstein TL (2007) Extreme skewing of annexin II and S100A6 expression identified by proteomic analysis of peritoneal B-1 cells. Int Immunol 19(1):59–65. doi:10.1093/intimm/dxl122

    Article  CAS  PubMed  Google Scholar 

  19. Waisman DM (1995) Annexin II tetramer: structure and function. Mol Cell Biochem 149–150:301–322

    Article  PubMed  Google Scholar 

  20. Puisieux A, Ji J, Ozturk M (1996) Annexin II up-regulates cellular levels of p11 protein by a post-translational mechanisms. Biochem J 313(Pt 1):51–55

    PubMed Central  CAS  PubMed  Google Scholar 

  21. Matsumoto T, Murao S, Kito K, Kihana T, Matsuura S, Ueda N (1997) Modulation of S-100 genes response to growth conditions in human epithelial tumor cells. Pathol Int 47(6):339–346

    Article  CAS  PubMed  Google Scholar 

  22. Huang Y, Jin Y, Yan CH, Yu Y, Bai J, Chen F, Zhao YZ, Fu SB (2008) Involvement of Annexin A2 in p53 induced apoptosis in lung cancer. Mol Cell Biochem 309(1–2):117–123. doi:10.1007/s11010-007-9649-5

    Article  CAS  PubMed  Google Scholar 

  23. Vishwanatha JK, Chiang Y, Kumble KD, Hollingsworth MA, Pour PM (1993) Enhanced expression of annexin II in human pancreatic carcinoma cells and primary pancreatic cancers. Carcinogenesis 14(12):2575–2579

    Article  CAS  PubMed  Google Scholar 

  24. Bao H, Jiang M, Zhu M, Sheng F, Ruan J, Ruan C (2009) Overexpression of Annexin II affects the proliferation, apoptosis, invasion and production of proangiogenic factors in multiple myeloma. Int J Hematol 90(2):177–185. doi:10.1007/s12185-009-0356-8

    Article  CAS  PubMed  Google Scholar 

  25. Braden AR, Kafka MT, Cunningham L, Jones H, Vishwanatha JK (2009) Polymeric nanoparticles for sustained down-regulation of annexin A2 inhibit prostate tumor growth. J Nanosci Nanotechnol 9(5):2856–2865

    Article  CAS  PubMed  Google Scholar 

  26. Madureira PA, Hill R, Miller VA, Giacomantonio C, Lee PW, Waisman DM (2011) Annexin A2 is a novel cellular redox regulatory protein involved in tumorigenesis. Oncotarget 2(12):1075–1093

    PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by the National Natural Science Foundation of China (No. 81302285).

Conflict of interest

The authors declare that they have no conflict of interests.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Chunhui Tang or Yingying Wang.

Additional information

Y. Deng and C. Chen contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Deng, Y., Chen, C., Hua, M. et al. Annexin A2 plays a critical role in epithelial ovarian cancer. Arch Gynecol Obstet 292, 175–182 (2015). https://doi.org/10.1007/s00404-014-3598-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-014-3598-5

Keywords

Navigation