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On the role of endothelin-converting enzyme-1 (ECE-1) and neprilysin in human breast cancer

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Abstract

Endothelin-1 (ET-1) and its receptors, ETAR and ETBR, are overexpressed in breast carcinomas. However, little is known about the relevance of endothelin-converting enzyme-1 (ECE-1) and ET-1 degrading neprilysin (NEP). In this study, expression of ECE-1 and NEP was determined in 600 breast cancer tissue samples by immunohistochemistry; staining results were correlated with clinicopathological parameters. For ECE-1 expression, we found a significant correlation with VEGF (P < 0.001) and ETAR expression (P = 0.048). While patients with ECE-1 overexpressing tumours had more frequent disease recurrence (P = 0.03), NEP overexpression correlated with improved disease-free survival (DFS) (P = 0.023) and less frequent metastasis (P = 0.046). Also, a decrease of NEP expression with malignant progression (G1–G3) was found. ECE-1 inhibition using the selective ECE-1 inhibitor RO 67-7447 in MCF-7 breast cancer cells led to a significantly decreased ET-1 expression and reduced cell invasiveness (54.3% of controls, P = 0.014). Our results indicate that overexpression of ECE-1 is associated with unfavourable outcome, whereas NEP positively influences survival. Thus, expression of ECE-1 and NEP may have prognostic relevance. Due to the anti-invasive effect of the selective ECE-1 inhibitor, targeting ECE-1 may represent an innovative option in future breast cancer therapy.

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Acknowledgements

We thank Barbara Kloke and Birgit Pers for excellent technical assistance. Funding was provided by Münster University Hospital “Innovative Medizinische Forschung” IMF grants WÜ 120332 and WÜ 110527. Work in G.W.Y.’s lab is supported by Grants NMRC/0772/2003 and NMRC/1023/2005 from the National Medical Research Council, Singapore.

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Correspondence to Pia Wülfing.

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Smollich, M., Götte, M., Yip, G.W. et al. On the role of endothelin-converting enzyme-1 (ECE-1) and neprilysin in human breast cancer. Breast Cancer Res Treat 106, 361–369 (2007). https://doi.org/10.1007/s10549-007-9516-9

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  • DOI: https://doi.org/10.1007/s10549-007-9516-9

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