Abstract
Kangai (KAI)-1 (CD82) is a metastasis suppressor gene, which belongs to the family of tetraspanin proteins. A loss of KAI-1 expression is associated with the advanced stages of many human malignancies. The present study was designed to investigate the expression pattern of KAI-1 in the normal endometrium and uterine tumors and to correlate it with the expression of tumor suppressor protein p53. KAI-1 could be found in the normal endometrium throughout the menstrual cycle. Thirteen of 42 endometrial carcinomas demonstrated moderate KAI-1 expression, but low expression of p53. Twenty-nine of 42 endometrial carcinomas showed reduced or absent KAI-1 expression, which correlated with strong expression of p53 (p < 0.001). There were significant correlations between KAI-1 expression and histological type, e.g., 93% of endometrioid carcinomas displayed a low or moderate immunostaining for KAI-1, whereas nearly all of the serous/clear cell carcinomas were KAI-1 negative (p < 0.001); tumor grading, e.g., 73% of high grade tumors showed no KAI-1 expression (p < 0.001). Most of the investigated uterine sarcomas were negative for KAI-1, whereas they displayed a strong immunostaining for p53. In conclusion, KAI-1 and p53 show inverse expression. The reduced KAI-1 expression may be the result of dysregulated p53 function and could be an important step in the endometrial carcinogenesis.
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Adachi M, Taki T, Leki Y, Huang CL, Higashiyama M, Miyake M (1996) Correlation of KAI-1/CD82 gene expression with good prognosis in patients with non small cell lung cancer. Cancer Res 56:1751–1755
Ashcroft M, Vousden KH (1999) Regulation of p53 stability. Oncogene 18:7637–7643
Atkinson B, Ernst CS, Ghrist BF, Herlyn M, Blaszczyk M, Ross AH, Herlyn D, Steplewski Z, Koprowski H (1984) Identification of melanoma-associated antigens using fixed tissue screening of antibodies. Cancer Res 44:2577–2581
Aznavoorian S, Murphy AN, Stetler-Stevenson WG, Liotta LA (1993) Molecular aspects of tumor cell invasion and metastasis. Cancer 71:1368–1383
Bamberger AM, Riethdorf L, Milde-Langosch K, Bamberger CM, Thuneke I, Erdmann I, Schulte HM, Löning T (1999) Strongly reduced expression of the cell cycle inhibitor p27 in endometrial neoplasia. Virchows Arch 434:423–428
Chen Z, Mustafa T, Trjanowicz B, Brauckhoff M, Gimm O, Schmutzler C, Köhrle J, Holzhausen HJ, Kehlen A, Klonisch T, Finke R, Henning D, Hoang-Vu C (2004) CD82, and CD63 in thyroid cancer. Int J Mol Med 14:517–527
Dong JT, Lamb PW, Rinker-Schaeffer CW, Vukanovic J, Ichikawa T, Isaacs JT, Barrett JC (1995) KAI-1, a metastasis suppressor gene for prostate cancer on human chromosome 11p11.2. Science 268:884–886
Dong JT, Suzuki H, Pin SS, Bova GS, Schalken JA, Isaacs WB, Barrett JC, Isaacs JT (1996) Down-regulation of the KAI-1 metastasis suppressor gene during the progression of human prostatic cancer infrequently involves gene mutation or allelic loss. Cancer Res 56:4387–4390
Esteller M, Levine R, Baylin SB, Ellenson LH, Herman JG (1998) MLH1 promoter hypermethylation is associated with the microsatellite instability phenotype in sporadic endometrial carcinomas. Oncogene 17:2413–2417
Fukuchi T, Sakamoto M, Tsuda H, Maruyama K, Nozawa S, Hiroshashi S (1998) β-catenin mutations in carcinoma of the uterine endometrium. Cancer Res 58:3526–3528
Gellersen B, Briese J, Oberndörfer M, Redlin K, Samalecos A, Richter DU, Löning T, Schulte HM, Bamberger AM (2007) Expression of the metastasis suppressor KAI-1 in decidual cells at the human maternal-fetal interface: regulation and functional implications. Am J Pathol 170(1):126–139
Hainaut P, Hernandez T, Robinson A, Rodriguez-Tome P, Flores T, Hollstein M, Harris CC, Montesano R (1998) IARC database of p53 gene mutations in human tumors and cell lines: updated compilation, revised formats and new visualization tools. Nucleic Acids Res 26:205–213
Higashiyama M, Taki T, Ieki Y, Adachi M, Huang CL, Koh T, Kodama K, Doi O, Miyake M (1995) Reduced motility related protein-1 (MRP-1/CD9) gene expression as a factor of poor prognosis in non-small cell lung cancer. Cancer Res 55:6040–6044
Ichikawa T, Ichikawa Y, Isaacs JT (1991) Genetic factors and metastatic potential of prostatic cancer. Cancer Surv 11:35–42
Ioffe OB, Papadimitriou JC, Drachenberg CB (1998) Correlation of proliferation indices, apoptosis, and related oncogene expression (bcl-2 and c-erbB-2) and p53 in proliferative, hyperplastic, and, malignant endometrium. Human Pathol 29:1150–1159
Kohler MF, Berchuck A, Davidoff AM, Humphrey PA, Dodge RK, Iglehart JD, Soper JT, Clarke- Pearson DL, Bast RC Jr, Marks JR (1992) Overexpression and mutation of p53 in endometrial carcinoma. Cancer Res 52:1622–1627
Kurman RJ (1987) Endometrial carcinoma. Springer Verlag, New York
Lax SF (2004) Molecular genetic pathways in various types of endometrial carcinoma: from a phenotypical to a molecular-based classification. Virchows Arch 444:213–223
Levine AJ (1997) p53, the cellular gatekeeper for growth and division. Cell 88:323–331
Liotta LA, Steeg PS, Stetler-Stevenson WG (1991) Cancer metastasis and angiogenesis: an imbalance of positive and negative regulation. Cell 64:327–336
Liu FS, Dong JT, Chen JT, Hsieh YT, Ho ES, Hung MJ (2000) Frequent down-regulation and lack of mutation of the KAI-1 metastasis suppressor gene in epithelial ovarian carcinoma. Gynecol Oncol 78:10–15
Liu FS, Dong JT, Chen JT, Hsieh YT, Lin AJ, Ho ES, Hung MJ, Lu CH, Chiou LC (2003) KAI-1 metastasis suppressor protein is down-regulated during the progression of human endometrial cancer. Clin Cancer Res 9:1393–1398
Maecker HT, Todd SC, Levy S (1997) The tetraspanin superfamily: molecular facilitators. FASEB J 11:428–442
Marreiros A, Dudgeon K, Dao V, Grimm MO, Czolij R, Crossley M, Jackson P (2006) KAI-1 promoter activity is dependent on p53, junB and AP2: evidence for a possible mechanism underlying loss of KAI-1 expression in cancer cells. Oncogene 24:637–649
Marth C, Daxenbichler G (1996) Prognostic factors in endometrial cancer. In: Pasqualini JR, Katzenellenbogen BS (eds) Hormone-dependent cancer. Marcel Dekker, New York, pp 499–508
Mashimo T, Watabe M, Hirota S, Hosobe S, Miura K, Tegtmeyer PJ, Rinker-Schaeffer CW, Watabe K (1998) The expression of the KAI-1 gene, a tumor metastasis suppressor, is directly activated by p53. Proc Natl Acad Sci 95:11307–11311
Milde-Langosch K, Riethdorf L, Bamberger AM, Löning T (1999) P16/MTS1 and pRB expression in endometrial carcinomas. Virchows Arch 434:23–28
Mueck AO, Seeger H (2004) Hormone therapy after endometrial cancer. Horm Res 62:40–48
Murphy GP, Lawrence W Jr, Lenhard RE Jr (eds) (1995) In: American Cancer Society textbook of clinical oncology. 2nd edn. American Cancer Society, Atlanta, GA, pp 573–574
Ono M, Handa K, Withers DA, Hakomori SI (1999) Motility inhibition and apoptosis are induced by metastasis-suppressing gene product CD82 and its analogue CD9, with concurrent glycosylation. Cancer Res 59:2335–2339
Press MF, Scully RE (1985) Endometrial “sarcomas” complicating ovarian thecoma, polycystic ovarian disease and estrogen therapy. Gynecol Oncol 21:135–154
Pohnke Y, Schneider-Merck T, Fahnenstich J, Kempf R, Christian M, Milde-Langosch K, Brosens JJ, Gellersen B (2004) Wild-type p53 protein is up-regulated upon cyclic adenosine monophosphate-induced differentiation of human endometrial stromal cells. J Clin Endocrinol Metab 89:5233–5244
Riethdorf L, Begemann C, Riethdorf S, Milde-Langosch K, Löning T (1996) Comparison of benign and malignant endometrial lesions for their p53 state, using immunohistochemistry and temperature-gradient gel electrophoresis. Virchows Arch 428:47–51
Takaoka A, Hinoda Y, Sato S, Itoh F, Adachi M, Hareyama M, Imai K (1998) Reduced invasive and metastatic potentials of KAI-1-transfected melanoma cells. Jpn J Cancer Res 89:397–404
Wade K, Quinn MA, Hammond I (1990) Uterine sarcoma: steroid receptors and response to hormonal therapy. Gynecol Oncol 39:364–367
Wright MD, Tomlinson MG (1994) The ins and outs of the transmembrane 4 superfamily. Immunol Today 15:588–594
Acknowledgements
The authors would like to thank Mr. J. Koppelmeyer for the help with the photographic work and Mrs. B. Kelp and I. Brand for the technical assistance. This work was supported in part by a grant from the Deutsche Krebshilfe foundation to AM.B. (Grant No. 107170).
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00428-008-0625-6
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Briese, J., Schulte, H.M., Sajin, M. et al. Correlations between reduced expression of the metastasis suppressor gene KAI-1 and accumulation of p53 in uterine carcinomas and sarcomas. Virchows Arch 453, 89–96 (2008). https://doi.org/10.1007/s00428-008-0608-7
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DOI: https://doi.org/10.1007/s00428-008-0608-7