Assessment of the diagnostic and prognostic relevance of ACAT1 and CE levels in plasma, peritoneal fluid and tumor tissue of epithelial ovarian cancer patients - a pilot study.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
10 Apr 2022
Historique:
received: 20 05 2021
accepted: 14 03 2022
entrez: 11 4 2022
pubmed: 12 4 2022
medline: 13 4 2022
Statut: epublish

Résumé

Abnormal accumulation of acyl-CoA cholesterol acyltransferase-1 (ACAT1) and ACAT1-mediated cholesterol esterified with fatty acids (CE) contribute to cancer progression in various cancers. Our findings of increased CE and ACAT1 levels in epithelial ovarian cancer (EOC) cell lines prompted us to investigate whether such an increase occurs in primary clinical samples obtained from human subjects diagnosed with EOC. We evaluated the diagnostic/prognostic potential of ACAT1 and CE in EOC by: 1) assessing ACAT1 and CE levels in plasma, peritoneal fluid, and ovarian/tumor tissues; 2) assessing diagnostic performance by Receiver Operating Characteristic (ROC) analysis; and 3) comparing expression of ACAT1 and CE with that of tumor proliferation marker, Ki67. ACAT1 protein levels in plasma, peritoneal fluid and tissue were measured via enzyme-linked immunosorbent assay. Tissue expression of ACAT1 and Ki67 proteins were confirmed by immunohistochemistry and mRNA transcript levels were evaluated using quantitative real-time polymerase chain reaction (qRT-PCR). CE levels were assessed in plasma, peritoneal fluid (colorimetric assay) and in tissue (thin layer chromatography). Preoperative levels of ACAT1 and CE on the day of surgery were significantly higher in tissue and peritoneal fluid from EOC patients vs. the non-malignant group, which included subjects with benign tumors and normal ovaries; however, no significant differences were observed in plasma. In tissue and peritoneal fluid, positive correlations were observed between CE and ACAT1 levels, as well as between ACAT1/CE and Ki67. ACAT1 and CE accumulation may be linked to the aggressive potential of EOC; therefore, these mediators may be useful biomarkers for EOC prognosis and target-specific treatments.

Sections du résumé

BACKGROUND BACKGROUND
Abnormal accumulation of acyl-CoA cholesterol acyltransferase-1 (ACAT1) and ACAT1-mediated cholesterol esterified with fatty acids (CE) contribute to cancer progression in various cancers. Our findings of increased CE and ACAT1 levels in epithelial ovarian cancer (EOC) cell lines prompted us to investigate whether such an increase occurs in primary clinical samples obtained from human subjects diagnosed with EOC. We evaluated the diagnostic/prognostic potential of ACAT1 and CE in EOC by: 1) assessing ACAT1 and CE levels in plasma, peritoneal fluid, and ovarian/tumor tissues; 2) assessing diagnostic performance by Receiver Operating Characteristic (ROC) analysis; and 3) comparing expression of ACAT1 and CE with that of tumor proliferation marker, Ki67.
METHODS METHODS
ACAT1 protein levels in plasma, peritoneal fluid and tissue were measured via enzyme-linked immunosorbent assay. Tissue expression of ACAT1 and Ki67 proteins were confirmed by immunohistochemistry and mRNA transcript levels were evaluated using quantitative real-time polymerase chain reaction (qRT-PCR). CE levels were assessed in plasma, peritoneal fluid (colorimetric assay) and in tissue (thin layer chromatography).
RESULTS RESULTS
Preoperative levels of ACAT1 and CE on the day of surgery were significantly higher in tissue and peritoneal fluid from EOC patients vs. the non-malignant group, which included subjects with benign tumors and normal ovaries; however, no significant differences were observed in plasma. In tissue and peritoneal fluid, positive correlations were observed between CE and ACAT1 levels, as well as between ACAT1/CE and Ki67.
CONCLUSIONS CONCLUSIONS
ACAT1 and CE accumulation may be linked to the aggressive potential of EOC; therefore, these mediators may be useful biomarkers for EOC prognosis and target-specific treatments.

Identifiants

pubmed: 35399074
doi: 10.1186/s12885-022-09476-6
pii: 10.1186/s12885-022-09476-6
pmc: PMC8994887
doi:

Substances chimiques

Biomarkers, Tumor 0
Fatty Acids 0
Ki-67 Antigen 0
Cholesterol 97C5T2UQ7J
Acyltransferases EC 2.3.-
ACAT1 protein, human EC 2.3.1.9
Acetyl-CoA C-Acetyltransferase EC 2.3.1.9

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

387

Informations de copyright

© 2022. The Author(s).

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Auteurs

Vijayalakshmi Ayyagari (V)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Simmons Cancer Institute, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Maio Li (M)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Zvi Pasman (Z)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Department of Chemistry, Illinois College, Jacksonville, Illinois, USA.

Xinjia Wang (X)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Somaja Louis (S)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Paula Diaz-Sylvester (P)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Center for Clinical Research (CCR), Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Simmons Cancer Institute, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Kathleen Groesch (K)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Center for Clinical Research (CCR), Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Teresa Wilson (T)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Center for Clinical Research (CCR), Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Laurent Brard (L)

Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, Illinois, USA. lbrard@siumed.edu.
Simmons Cancer Institute, Southern Illinois University School of Medicine, Springfield, Illinois, USA. lbrard@siumed.edu.

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Classifications MeSH