Expression of tumor suppressor programmed cell death 4 in endometrioid endometrial carcinomas and clinicopathological
Yanping Liu1, Han Sun2,3, Hongju Mao4
1Department of Gynecology and Obstetrics, Shandong University School of Medicine, Jinan, Shandong 250012, P.R. China.
Abstract:
Programmed cell death 4 (PDCD4), as a novel tumor suppressor, serves important roles in the pathogenesis of tumors. The expression of PDCD4 is downregulated or lost in various human tumors. However, the expression of PDCD4 in endometrial cancer and the clinicopathological significance remain unclear. The aim of the present study was to investigate the expression of PDCD4 in endometrioid endometrial carcinoma (EEC) and the association with clinicopathological parameters. The expression of PDCD4 in EEC tissues and control endometrium was detected by reverse transcription-quantitative polymerase chain reaction, western blotting and immunohistochemistry. PDCD4 expression was also investigated in control endometrial glandular epithelial cells and the endometrial cancer KLE cell line by immunocytochemistry, and the association between PDCD4 expression and clinicopathological parameters of patients with EEC was analyzed. The results demonstrated that PDCD4-positive staining was mainly located in the cytoplasm of endometrial glandular epithelial cells and EEC cells. The staining index of PDCD4 in the proliferative phase was significantly increased compared with that in the secretory phase of control endometrium (P<0.001). There was significantly decreased PDCD4 expression in grade (G) 2/3 EEC tissues compared with the proliferative phase of control endometrium (P<0.001). PDCD4 expression was significantly associated with tumor grade. The PDCD4 levels in G1 EEC tissues were higher compared with the G2/3 EEC group (P<0.01). The results indicated that PDCD4 is associated with the histological grade of EEC, and that PDCD4 may be a valuable indicator of the degree of tumor malignancy in patients with EEC.
Insights
Programmed cell death 4 (PDCD4) expression is reduced in endometrioid endometrial carcinoma (EEC), particularly in higher-grade tumors. Lower PDCD4 levels correlate with increased tumor malignancy, suggesting its potential as a prognostic marker.
Area of Science:
- Oncology
- Molecular Biology
Background:
- Programmed cell death 4 (PDCD4) is a tumor suppressor implicated in various cancers.
- PDCD4 expression and its clinical significance in endometrial cancer are not well-established.
Purpose of the Study:
- To investigate PDCD4 expression in endometrioid endometrial carcinoma (EEC).
- To analyze the association between PDCD4 expression and clinicopathological parameters in EEC.
Main Methods:
- Reverse transcription-quantitative polymerase chain reaction (RT-qPCR).
- Western blotting.
- Immunohistochemistry and immunocytochemistry.
Main Results:
- PDCD4 expression was detected in the cytoplasm of endometrial cells and EEC cells.
- PDCD4 levels were significantly decreased in grade 2/3 EEC compared to normal endometrium.
- PDCD4 expression was significantly associated with tumor grade, with higher levels in grade 1 EEC.
Conclusions:
- PDCD4 expression is downregulated in EEC, particularly in higher-grade tumors.
- PDCD4 is associated with the histological grade of EEC.
- PDCD4 may serve as a valuable indicator of tumor malignancy in EEC.
Related Concept Videos
Loss of Tumor Suppressor Gene Functions
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Statistical Significance
Autophagic Cell Death
Autophagy and Apoptosis
Autophagy can activate apoptosis. In normal conditions, the autophagy activating protein Beclin-1 and...
Overview of Cell Death
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the...
Chromatin Position Affects Gene Expression
Topologically Associated Domains (TADs)
The 3-dimensional positioning of chromatin in the nucleus influences the...


