17β-Estradiol sensitizes ovarian surface epithelium to transformation by suppressing Disabled-2 expression

Nhung H Vuong1,2, Omar Salah Salah2, Barbara C Vanderhyden3,4

  • 1Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Canada.

Scientific Reports
|December 3, 2017
PubMed

Insights

Estrogen therapy may accelerate ovarian cancer by increasing microRNA-378, which suppresses the tumor suppressor Disabled-2 (Dab2). This mechanism was observed in mouse ovarian cells and human ovarian cancer cells, highlighting estrogen

Area of Science:

  • Molecular Biology
  • Oncology
  • Endocrinology

Background:

  • Estrogen replacement therapy is linked to increased ovarian cancer risk.
  • Exogenous estradiol accelerates ovarian cancer in mouse models.
  • The precise mechanisms by which estrogen influences ovarian cancer initiation require further elucidation.

Purpose of the Study:

  • To investigate the role of estrogen in ovarian cancer initiation.
  • To identify molecular pathways through which estrogen may promote ovarian tumorigenesis.
  • To examine the regulation of the tumor suppressor Disabled-2 (Dab2) by estrogen.

Main Methods:

  • Primary cultures of mouse ovarian surface epithelium (OSE) were utilized.
  • The ESR1 pathway and microRNA-378 (miR-378) were investigated in relation to estrogen.
  • In vivo studies and experiments with other cell types, including human ovarian cancer cells, were performed.

Main Results:

  • Estrogen up-regulates miR-378 via the ESR1 pathway, leading to down-regulation of the tumor suppressor Dab2.
  • Estrogen-induced suppression of Dab2 was observed in mouse OSE, oviductal epithelium, and human ovarian cancer cells.
  • Dab2 suppression resulted in increased cell proliferation, loss of contact inhibition, dysplasia, and resistance to senescence.

Conclusions:

  • Estrogen may accelerate ovarian cancer initiation by suppressing Dab2 through the miR-378/ESR1 pathway.
  • The down-regulation of Dab2, a tumor suppressor highly expressed in healthy OSE but absent in tumors, is a key finding.
  • This study provides a mechanistic link between estrogen therapy and ovarian cancer initiation, suggesting Dab2 as a critical factor.

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