PMID- 22498943 OWN - NLM STAT- MEDLINE DCOM- 20121025 LR - 20211203 IS - 1538-7151 (Electronic) IS - 0277-1691 (Linking) VI - 31 IP - 3 DP - 2012 May TI - Aberrant expression of the mammalian target of rapamycin, hypoxia-inducible factor-1alpha, and glucose transporter 1 in the development of ovarian clear-cell adenocarcinoma. PG - 254-63 LID - 10.1097/PGP.0b013e318237d66c [doi] AB - Ovarian clear-cell adenocarcinoma (CCA) is known to be a type of cancer in humans with a high frequency of expression of the mammalian target of rapamycin (mTOR), hypoxia-inducible factor-1 (HIF-1), and glucose transporter 1 (Glut1). In this study, we aimed to determine how these alterations contribute to tumor development of CCAs. Immunohistochemical expressions of phosphorylated-mTOR (p-mTOR), HIF-1alpha, and Glut1 were analyzed in 36 CCAs and 60 coexistent putative precursor lesions: 19 nonatypical and 16 atypical endometriotic lesions, and 11 benign and 14 borderline clear-cell adenofibroma (CCAF) components. Twenty-one cases with solitary endometriosis were also examined. The frequencies of immunopositivity for p-mTOR (in cytoplasm or nucleus), HIF-1alpha (in nucleus), and Glut1 increased in accordance with higher cytological atypia in the putative precursors: 58%, 5%, and 16% in the nonatypical endometriosis; 63%, 37%, and 50% in the atypical endometriosis; 77%, 95%, and 95% in the endometriosis-associated CCAs; 27%, 0%, and 0% in the benign-CCAF components; 64%, 79%, and 43% in the borderline CCAF components; and 71%, 100%, and 93% in the CCAF-associated CCAs, respectively. p-mTOR, HIF-1alpha (in the nucleus), and Glut1 were positive in 10%, 5%, and 19% of the solitary endometriosis, respectively. In the putative precursor lesions coexisting with CCA, a strong correlation in the expression between p-mTOR and HIF-1alpha and between HIF-1alpha and Glut1 was identified. Expressions of p-mTOR, HIF-1alpha, and Glut1 have already been evident in the putative precursor lesions of CCA, and these alterations cumulatively occur in the development of ovarian CCA. FAU - Kato, Masafumi AU - Kato M AD - Departments of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama, Japan. FAU - Yamamoto, Sohei AU - Yamamoto S FAU - Takano, Masashi AU - Takano M FAU - Matsubara, Osamu AU - Matsubara O FAU - Furuya, Kenichi AU - Furuya K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Gynecol Pathol JT - International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists JID - 8214845 RN - 0 (Biomarkers, Tumor) RN - 0 (Glucose Transporter Type 1) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (SLC2A1 protein, human) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adenocarcinoma, Clear Cell/*metabolism/pathology MH - Adenofibroma/metabolism/pathology MH - Biomarkers, Tumor/metabolism MH - Endometriosis/metabolism/pathology MH - Female MH - Gene Expression Regulation, Neoplastic MH - Glucose Transporter Type 1/*metabolism MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Ovarian Neoplasms/*metabolism/pathology MH - Retrospective Studies MH - TOR Serine-Threonine Kinases/*metabolism EDAT- 2012/04/14 06:00 MHDA- 2012/10/26 06:00 CRDT- 2012/04/14 06:00 PHST- 2012/04/14 06:00 [entrez] PHST- 2012/04/14 06:00 [pubmed] PHST- 2012/10/26 06:00 [medline] AID - 10.1097/PGP.0b013e318237d66c [doi] PST - ppublish SO - Int J Gynecol Pathol. 2012 May;31(3):254-63. doi: 10.1097/PGP.0b013e318237d66c.