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Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
Published on: April 11, 2018
ATP-binding cassette superfamily transporter gene expression in human soft tissue sarcomas
Yoshinao Oda1, Tsuyoshi Saito, Naomi Tateishi
1Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan. oda@surgpath.med.kyushu-u.ac.jp
Abstract:
The phenomenon of multidrug resistance (MDR) in various malignant neoplasms has been reported as being caused by one or multiple expressions of ATP-binding cassette (ABC) superfamily protein, including P-glycoprotein/multidrug resistance (MDR) 1 and the MDR protein (MRP) family. However, their expression levels and distribution within soft tissue sarcomas remain controversial. In 86 cases of surgically resected soft tissue sarcoma, intrinsic mRNA levels of MDR1, MRP1, MRP2 and MRP3 were assessed using a quantitative reverse transcriptase-PCR (RT-PCR) method. Moreover, immunohistochemical protein expressions of P-glycoprotein (P-gp), MRP1, MRP2, MRP3 and p53 protein were evaluated in concordant paraffin-embedded material. The mRNA expression and immunohistochemical expression of ABC superfamily transporters were compared to clinicopathologic parameters and proliferative activities as evaluated by the MIB-1-labeling index (LI). Among the various histologic types, malignant peripheral nerve sheath tumor (MPNST) showed significantly high levels of MDR1 (p=0.017) and MRP3 (p=0.0384) mRNA expression, compared to the other tumor types. When the immunohistochemical method was compared to the RT-PCR technique to assess ABC transported expression at the protein and mRNA levels, a significantly close relationship was found between the 2 methods (p<0.05). P-gp expression was significantly correlated with large tumor size (> or =5 cm, p=0.041) and high AJCC stage (stages III and IV) (p=0.0365). Furthermore, cases with nuclear expression of p53 revealed significantly higher levels of MDR1 mRNA expression, compared to those with negative immunoreaction for p53 (p=0.0328). Our results suggest that MDR1/P-gp expression may have an important role to play in tumor progression in the cases of soft tissue sarcoma, and p53 may be one of the active regulators of the MDR1 transcript. In addition, the high levels of both MDR1 and MRP3 mRNA expression in MPNST may help to explain the poor response of this tumor to anticancer-drugs.
Insights
Multidrug resistance (MDR) proteins like MDR1 and MRP3 are highly expressed in malignant peripheral nerve sheath tumors, contributing to poor drug response. P-glycoprotein (P-gp) expression correlates with advanced soft tissue sarcoma stages and tumor size.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Multidrug resistance (MDR) in cancers is often mediated by ATP-binding cassette (ABC) transporters.
- Expression of MDR-related proteins like P-glycoprotein (P-gp) and MDR-associated proteins (MRPs) in soft tissue sarcomas is not fully understood.
- Understanding these mechanisms is crucial for improving cancer treatment efficacy.
Purpose of the Study:
- To investigate the mRNA and protein expression levels of MDR1, MRP1, MRP2, and MRP3 in soft tissue sarcomas.
- To correlate ABC transporter expression with clinicopathologic parameters and proliferation.
- To explore the role of p53 in regulating MDR1 expression.
Main Methods:
- Quantitative reverse transcriptase-PCR (RT-PCR) for intrinsic mRNA levels of MDR1, MRP1, MRP2, and MRP3.
- Immunohistochemistry for protein expression of P-gp, MRP1, MRP2, MRP3, and p53.
- Comparison of mRNA and protein expression levels with clinicopathologic data and MIB-1 labeling index.
Main Results:
- Malignant peripheral nerve sheath tumors (MPNST) exhibited significantly higher MDR1 and MRP3 mRNA levels compared to other sarcoma types.
- A strong correlation was observed between RT-PCR and immunohistochemical methods for assessing ABC transporter expression.
- P-gp expression was linked to larger tumor size and higher AJCC stage (III/IV).
- Nuclear p53 expression was associated with increased MDR1 mRNA levels.
Conclusions:
- MDR1/P-gp expression plays a significant role in soft tissue sarcoma progression.
- p53 may act as a regulator of MDR1 gene expression.
- Elevated MDR1 and MRP3 mRNA in MPNST likely contributes to their resistance to chemotherapy.
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