J 2020

WNT signaling inducing activity in ascites predicts poor outcome in ovarian cancer

KOTRBOVÁ, Anna, Petra OVESNÁ, Tomáš GYBEĽ, Tomasz Witold RADASZKIEWICZ, Markéta BEDNAŘÍKOVÁ et. al.

Basic information

Original name

WNT signaling inducing activity in ascites predicts poor outcome in ovarian cancer

Authors

KOTRBOVÁ, Anna (203 Czech Republic, belonging to the institution), Petra OVESNÁ (203 Czech Republic, belonging to the institution), Tomáš GYBEĽ (703 Slovakia, belonging to the institution), Tomasz Witold RADASZKIEWICZ (616 Poland, belonging to the institution), Markéta BEDNAŘÍKOVÁ (203 Czech Republic, belonging to the institution), Jitka HAUSNEROVÁ (203 Czech Republic, belonging to the institution), Eva JANDÁKOVÁ (203 Czech Republic, belonging to the institution), Luboš MINÁŘ (203 Czech Republic, belonging to the institution), Igor CRHA (203 Czech Republic, belonging to the institution), Vít WEINBERGER (203 Czech Republic, belonging to the institution), Ludek ZAVESKY (203 Czech Republic), Vítězslav BRYJA (203 Czech Republic, belonging to the institution) and Vendula POSPÍCHALOVÁ (203 Czech Republic, guarantor, belonging to the institution)

Edition

Theranostics, Lake Haven, Ivyspring International Publisher, 2020, 1838-7640

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Australia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 11.556

RIV identification code

RIV/00216224:14310/20:00114067

Organization unit

Faculty of Science

DOI

http://dx.doi.org/10.7150/thno.37423

UT WoS

000498874200005

Keywords in English

ascites; casein kinase 1; high grade serous carcinoma of the ovary; fallopian tube and peritoneum; planar cell polarity pathway; WNT signaling

Tags

14110212, 14110230, 14110411, 14110611, 14119612, GPK, GPKonko, podil, rivok

Tags

International impact, Reviewed
Změněno: 1/12/2020 12:38, Mgr. Marie Šípková, DiS.

Abstract

V originále

High grade serous carcinoma of the ovary, fallopian tube, and peritoneum (HGSC) is the deadliest gynecological disease which results in a five-year survival rate of 30% or less. HGSC is characterized by the early and rapid development of metastases accompanied by a high frequency of ascites i.e. the pathological accumulation of fluid in peritoneum. Ascites constitute a complex tumor microenvironment and contribute to disease progression by largely unknown mechanisms. Methods: Malignant ascites obtained from HGSC patients who had undergone cytoreductive surgery were tested for their ability to induce WNT signaling in the Kuramochi cell line, a novel and clinically relevant in vitro model of HGSC. Next, cancer spheroids (the main form of metastatic cancer cells in ascites) were evaluated with respect to WNT signaling. Kuramochi cells were used to determine the role of individual WNT signaling branches in the adoption of metastatic stem cell-like behavior by HGSC cells. Furthermore, we analyzed genomic and transcriptomic data on WNT/Planar Cell Polarity (PCP) components retrieved from public cancer databases and corroborated with primary patient samples and validated antibodies on the protein level. Results: We have shown that ascites are capable of inducing WNT signaling in primary HGSC cells and HGSC cell line, Kuramochi. Importantly, patients whose ascites cannot activate WNT pathway present with less aggressive disease and a considerably better outcome including overall survival (OS). Functionally, the activation of non-canonical WNT/PCP signaling by WNT5A (and not canonical WNT/beta-catenin signaling by WNT3A) promoted the metastatic stem-cell (metSC) like behavior (i.e. self-renewal, migration, and invasion) of HGSC cells. The pharmacological inhibition of casein kinase 1 (CK1) as well as genetic ablation (dishevelled 3 knock out) of the pathway blocked the WNT5A-induced effect. Additionally, WNT/PCP pathway components were differentially expressed between healthy and tumor tissue as well as between the primary tumor and metastases. Additionally, ascites which activated WNT/PCP signaling contained the typical WNT/PCP ligand WNT5A and interestingly, patients with high levels of WNT5A protein in their ascites exhibited poor progression-free survival (PFS) and OS in comparison to patients with low or undetectable ascitic WNT5A. Together, our results suggest the existence of a positive feedback loop between tumor cells producing WNT ligands and ascites that distribute WNT activity to cancer cells in the peritoneum, in order to promote their pro-metastatic features and drive HGSC progression. Conclusions: Our results highlight the role of WNT/PCP signaling in ovarian cancerogenesis, indicate a possible therapeutic potential of CK1 inhibitors for HGSC, and strongly suggest that the detection of WNT pathway inducing activity ascites (or WNT5A levels in ascites as a surrogate marker) could be a novel prognostic tool for HGSC patients.

Links

GJ17-11776Y, research and development project
Name: Funkční a biochemická analýza extracelulárních váčků z ascitů pacientek s karcinomem vaječníku
Investor: Czech Science Foundation
MUNI/E/0532/2019, interní kód MU
Name: Význam signální dráhy Wnt v patogenezi ovariálním karcinomu
Investor: Masaryk University, Promoting quality excellence
Displayed: 1/11/2024 08:02