Abstract
HER2/neu and TGF-β1 are over-expressed in various types of malignancies. It appears that they play an important role in the biologic behavior of tumors and have prognostic value. Gestational tropoblastic diseases (GTDs) comprise of a heterogeneous group characterized by abnormally proliferating trophoblastic tissues, ranging from benign to malignant. The objective of this study was to measure and compare the serum levels of s-HER2 and TGF-β between patients with GTDs and pregnant and non-pregnant controls. Serum levels of s-HER2 and TGF-β1 were determined by ELISA method in 95 GTD patients (55 complete moles, 32 persistent moles, and 8 choriocarcinoma), 30 normal pregnant controls, and 22 normal non-pregnant controls. Mean serum level of s-HER2 did not differ significantly between patients and controls. TGF-β1 serum level was significantly higher in GTD patients (20.29 ± 10.68 pg/ml with 95% confidence interval (CI) of 18.10–22.48 pg/ml) compared with pregnant controls (10.26 ± 11.84 pg/ml with 95% CI of 5.75–14.76 pg/ml) and non-pregnant controls (7.27 ± 9.61 pg/ml with 95% CI of 3.01–11.53 pg/ml) (P < 0.001). Our findings suggest that TGF-β1 serum levels in GTD patients may represent a potential prognostic marker. Further investigations with larger sample size and more frequent sampling are required to elucidate this issue.
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Genest DR, Berkowitz RS, Fisher RA, Newlands ES, Fehr M (2003) Gestational trophoblastic disease. In: Tavassoli FA, Devilee P (eds) World Health Organization Classification of Tumors. Pathology and Genetics. Tumors of the Breast and Female Genital Organs. IARC, Lyon, pp 250–254
Sivanesaratnam V (2003) Management of gestational trophoblastic disease in developing countries. Best Pract Res Clin Obstet Gynaecol 17:925–42
Hung MC, Lau YK (1999) Basic science of HER2/neu: a review. Semin Oncol 26:51–59
Hung MC, Schechter AL, Chevray PY, Stern DF, Weinberg RA (1986) Molecular cloning of the neu gene: absence of gross structural alteration in oncogenic alleles. Proc Natl Acad Sci U S A 83:261–264
Worthylake R, Opresko LK, Wiley HS (1999) ErbB-2 amplification inhibits down-regulation and induces constitutive activation of both ErbB-2 and epidermal growth factor receptors. J Biol Chem 274:8865–8874
Nunes RA, Harris LN (2002) The HER2 extracellular domain as a prognostic and predictive factor in breast cancer. Clin Breast Cancer 3:125–135
Tsuda H, Hirohashi S, Shimosato Y, Tanaka Y, Hirota T, Tsugane S, Shiraishi M, Toyoshima K, Yamamoto T, Terada M (1990) Immunohistochemical study on overexpression of c-erbB-2 protein in human breast cancer: its correlation with gene amplification and long-term survival of patients. Jpn J Cancer Res 81:327–332
Cirisano FD, Karlan BY (1996) The role of the HER2/neu oncogene in gynecologic cancers. J Soc Gynecol Investig 3:99–105
Blobe GC, Schiemann WP, Lodish HF (2000) Role of transforming growth factor beta in human disease. N Engl J Med 342:1350–1358
Romagnani S (2006) Regulation of the T cell response. Clin Exp Allergy 36:1357–1366
Desruisseau S, Palmari J, Giusti C, Romain S, Martin PM, Berthois Y (2006) Determination of TGFbeta1 protein level in human primary breast cancers and its relationship with survival. Br J Cancer 94:239–246
Lin Y, Kikuchi S, Obata Y, Yagyu K, Tokyo Research Group on Prevention of Gastric Cancer (2006) Serum levels of transforming growth factor beta1 are significantly correlated with venous invasion in patients with gastric cancer. J Gastroenterol Hepatol 21:432–437
Ivanovic V, Melman A, Davis-Joseph B, Valcic M, Geliebter J (1995) Elevated plasma levels of TGF-b 1 in patients with invasive prostate cancer. Nat Med 1:282–284
Shim KS, Kim KH, Han WS, Park EB (1999) Elevated serum levels of transforming growth factor-b1 in patients with colorectal carcinoma: its association with tumor progression and its significant decrease after curative surgical resection. Cancer 85:554–561
Tuncer ZS, Vegh GL, Fulop V, Genest DR, Mok SC, Berkowitz RS (2000) Expression of epidermal growth factor receptor-related family products in gestational trophoblastic diseases and normal placenta and its relationship with development of postmolar tumor. Gynecol Oncol 77:389–393
Yang X, Zhang Z, Jia C, Li J, Yin L, Jiang S (2002) The relationship between expression of c-ras, c-erbB-2, nm23, and p53 gene products and development of trophoblastic tumor and their predictive significance for the malignant transformation of complete hydatidiform mole. Gynecol Oncol 85:438–444
Pang ZJ, Xing FQ (2003) Expression of transforming growth factor-beta and insulin-like growth factor in molar and placental tissues. Arch Gynecol Obstet 269:1–4
Hegab HM, Schindler AE, Rizk M, Ramadan M (2003) Evaluation of tumour markers in molar pregnancy. Arch Gynecol Obstet 268:151–154
Kohorn EI (2000) Measurement of CA-125 in trophoblastic disease. Gynecol Oncol 78:39–42
Hojo M, Morimoto T, Maluccio M, Asano T, Morimoto K, Lagman M, Shimbo T, Suthanthiran M (1999) Cyclosporine induces cancer progression by a cell-autonomous mechanism. Nature 397:530–534
Massague J (1990) The transforming growth factor-b family. Annu Rev Cell Biol 6:597–641
Norgaard P, Hougaard S, Poulsen HS, Spang-Thomsen M (1995) Transforming growth factor b and cancer. Cancer Treat Rev 21:367–403
Saito H, Tsuj itani S, Oka S, Kondo A, Ikeguchi M, Maeta M, Kaibara N (2000) An elevated serum level of TGF-β1 significantly correlated with lymph node metastasis and poor prognosis in patients with gastric carcinoma. Anticancer Res 20:4489–4493
Fukuchi M, Miyazaki T, Fukai Y, Nakajima M, Sohda M, Masuda N, Manda R, Tsukada K, Kato H, Kuwano H (2004) Plasma level of transforming growth factor beta1 measured from the azygos vein predicts prognosis in patients with esophageal cancer. Clin Cancer Res 10:2738–2741
Glick AB, Kulkarni AB, Tennenbaum T, Hennings H, Flanders KC, O'Reilly M (1993) Loss of expression of transforming growth factor beta in skin and skin tumors is associated with hyperproliferation and a high risk for malignant conversion. Proc Natl Acad Sci U S A 90:6076–6080
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This work was financially supported by a grant from Shiraz University of Medical Sciences (grant No.82-1791) and in part by Shiraz Institute for Cancer Research.
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Dehaghani, A.S., Rad, N.R., Fattahi, M.J. et al. Investigation of Soluble HER2 and Transforming Growth Factor Beta-1 Serum Levels in Gestational Trophoblastic Disease. Pathol. Oncol. Res. 15, 37–40 (2009). https://doi.org/10.1007/s12253-008-9115-z
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DOI: https://doi.org/10.1007/s12253-008-9115-z