Coordinate expression of Cdc25B and ER-α is frequent in low-grade endometrioid endometrial carcinoma but uncommon in high-grade endometrioid and nonendometrioid carcinomas

Weiguo Wu, Brian M. Slomovitz, Joseph Celestino, Linda Chung, Angela Thornton, Karen H. Lu

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29 Scopus citations

Abstract

Overexpression of cdc25B, an important cell cycle regulator, has been shown to result in mammary gland hyperplasia in transgenic mice and to increase steroid hormone responsiveness as a direct coactivator of the estrogen receptor (ER). We investigated the potential role of cdc25B in the pathogenesis of endometrial carcinomas in conjunction with ER-α. We examined the expression of cdc25B and phosphorylated ER-α in 4 archived human specimens of normal endometrium; 7 endometrial hyperplasia with or without atypia; 32 endometrioid endometrial carcinoma (EEC), including 20 low-grade (grade 1) and 12 high-grade (grade 2 or 3) tumors; and 18 endometrial cancers with aggressive histological subtypes (uterine papillary serous carcinoma and clear cell carcinoma, UPSC/CCC) by immunohistochemistry with monoclonal antibodies. Expression of cdc25B and phosphorylated ER-α was increased in endometrial hyperplasia and atypical hyperplasia compared with normal secretory endometrium. Ninety percent (18 of 20) of the low-grade EEC expressed cdc25B at a high level, whereas only 42% (5 of 12) of the high-grade EEC did so (χ2 = 8.7; P < 0.01). Sixty-five percent (13 of 20) of the low-grade EEC expressed phosphorylated ER-α at high levels, but only 17% (2 of 12) of high-grade EEC did so (χ2 = 7.0; P < 0.01). Coordinate high-level expression of phosphorylated ER-α and cdc25B occurred in 65% (13 of 20) of low-grade EEC but in only 17% (2 of 12) of the high-grade EEC (χ2 = 7.0; P < 0.01). In the UPSC/CCC tumors, only 22% (4 of 18) of the tumors expressed phosphorylated ER-α at high-levels. However, 83% (15 of 18) of these carcinomas showed high expression of cdc25B (χ2 = 13.5; P < 0.01). The majority of the UPSC/CCC (15 of 18) did not show coordinate high expression of phosphorylated ER-α and cdc25B. Our findings show that in endometrial hyperplasia and low-grade EEC, coordinate increase in cdc25B and phosphorylated ER-α occurs. However, in UPSC/CCC, cdc25B is highly expressed without coordinate increase in phosphorylated ER-α. Cdc25B may play important roles in the development and progression of EEC and UPSC/CCC by different mechanisms.

Original languageEnglish (US)
Pages (from-to)6195-6199
Number of pages5
JournalCancer Research
Volume63
Issue number19
StatePublished - Oct 1 2003

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ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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