Perturbation of Rb, p53, and Brca1 or Brca2 cooperate in inducing metastatic serous epithelial ovarian cancer

L Szabova, C Yin, S Bupp, TM Guerin, JJ Schlomer… - Cancer research, 2012 - AACR
L Szabova, C Yin, S Bupp, TM Guerin, JJ Schlomer, DB Householder, ML Baran, M Yi…
Cancer research, 2012AACR
The majority of human high-grade serous epithelial ovarian cancer (SEOC) is characterized
by frequent mutations in p53 and alterations in the RB and FOXM1 pathways. A subset of
human SEOC harbors a combination of germline and somatic mutations as well as
epigenetic dysfunction for BRCA1/2. Using Cre-conditional alleles and intrabursal induction
by Cre-expressing adenovirus in genetically engineered mice, we analyzed the roles of
pathway perturbations in epithelial ovarian cancer initiation and progression. Inactivation of …
Abstract
The majority of human high-grade serous epithelial ovarian cancer (SEOC) is characterized by frequent mutations in p53 and alterations in the RB and FOXM1 pathways. A subset of human SEOC harbors a combination of germline and somatic mutations as well as epigenetic dysfunction for BRCA1/2. Using Cre-conditional alleles and intrabursal induction by Cre-expressing adenovirus in genetically engineered mice, we analyzed the roles of pathway perturbations in epithelial ovarian cancer initiation and progression. Inactivation of RB-mediated tumor suppression induced surface epithelial proliferation with progression to stage I carcinoma. Additional biallelic inactivation and/or missense p53 mutation in the presence or absence of Brca1/2 caused progression to stage IV disease. As in human SEOC, mice developed peritoneal carcinomatosis, ascites, and distant metastases. Unbiased gene expression and metabolomic profiling confirmed that Rb, p53, and Brca1/2-triple mutant tumors aligned with human SEOC, and not with other intraperitoneal cancers. Together, our findings provide a novel resource for evaluating disease etiology and biomarkers, therapeutic evaluation, and improved imaging strategies in epithelial ovarian cancer. Cancer Res; 72(16); 4141–53. ©2012 AACR.
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