PMID- 20492406 OWN - NLM STAT- MEDLINE DCOM- 20100820 LR - 20211203 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 36 IP - 2 DP - 2010 Apr TI - Granulosa cell tumor with activated mTOR-HIF-1alpha-VEGF pathway. PG - 448-53 LID - 10.1111/j.1447-0756.2009.01127.x [doi] AB - The DNA-binding activity of hypoxia-inducible factor-1 alpha (HIF-1alpha) has been analyzed for various gynecological tumors. Among the tumors that were studied, there was a finding of a high level of DNA-binding HIF-1alpha activity, although it was limited to one case of adult type granulosa cell tumor (GCT). In this case a 60-year-old female had marked immunohistochemical expression of HIF-1alpha. The expressions of the mammalian target of rapamycin (mTOR) and phosphorylated-mTOR (p-mTOR) were also marked, and vascular endothelial growth factor (VEGF) was moderately expressed. To compare the expression profiles, 11 consecutive cases with adult type GCT were used. All cases showed marked expressions of HIF-1alpha and mTOR, but p-mTOR expression was moderately to markedly observed in four of the 12 cases. VEGF was expressed in all cases in varying degrees. Based on the evidence that downregulation of the mTOR pathway due to treatment with rapamycin (everolimus) would suppress tumor cell growth, an experimental study using the GCT cell line was designed to clarify whether HIF-1alpha and VEGF expressions decline. As a result, the expressions of p-mTOR, HIF-1alpha and VEGF were suppressed, but those of mTOR were not. It was concluded that mTOR-targeted therapy may represent a promising strategy for some GCT with an activated mTOR-HIF-1alpha-VEGF pathway. FAU - Miyazawa, Masaki AU - Miyazawa M AD - Department of Pathology, Tokai University School of Medicine, Kanagawa, Japan. FAU - Yasuda, Masanori AU - Yasuda M FAU - Fujita, Mariko AU - Fujita M FAU - Hirabayashi, Kenichi AU - Hirabayashi K FAU - Hirasawa, Takeshi AU - Hirasawa T FAU - Kajiwara, Hiroshi AU - Kajiwara H FAU - Muramatsu, Toshinari AU - Muramatsu T FAU - Miyazaki, Sayuri AU - Miyazaki S FAU - Harasawa, Makiko AU - Harasawa M FAU - Matsui, Naruaki AU - Matsui N FAU - Ogane, Naoki AU - Ogane N FAU - Murakami, Masaru AU - Murakami M FAU - Mikami, Mikio AU - Mikami M FAU - Yanase, Toshihiko AU - Yanase T FAU - Osamura, R Yoshiyuki AU - Osamura RY LA - eng PT - Case Reports PT - Journal Article PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Blotting, Western MH - Cell Line, Tumor MH - Female MH - Granulosa Cell Tumor/*metabolism/surgery MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Immunohistochemistry MH - Intracellular Signaling Peptides and Proteins/*metabolism MH - Middle Aged MH - Ovarian Neoplasms/*metabolism/surgery MH - Protein Serine-Threonine Kinases/*metabolism MH - Signal Transduction/physiology MH - TOR Serine-Threonine Kinases MH - Vascular Endothelial Growth Factor A/*metabolism EDAT- 2010/05/25 06:00 MHDA- 2010/08/21 06:00 CRDT- 2010/05/25 06:00 PHST- 2010/05/25 06:00 [entrez] PHST- 2010/05/25 06:00 [pubmed] PHST- 2010/08/21 06:00 [medline] AID - JOG1127 [pii] AID - 10.1111/j.1447-0756.2009.01127.x [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2010 Apr;36(2):448-53. doi: 10.1111/j.1447-0756.2009.01127.x.