PMID- 31485769 OWN - NLM STAT- MEDLINE DCOM- 20191003 LR - 20210723 IS - 1432-1335 (Electronic) IS - 0171-5216 (Linking) VI - 145 IP - 10 DP - 2019 Oct TI - EP3 receptor is a prognostic factor in TA-MUC1-negative ovarian cancer. PG - 2519-2527 LID - 10.1007/s00432-019-03017-8 [doi] AB - PURPOSE: Prostaglandin-mediated inflammatory reactions play a major role in different cancers. Recently, it has been observed that prostaglandin E2-receptor 3 (EP3) might be an independent prognostic factor for overall survival in cervical and endometrial cancer. The role of EP3 expression in ovarian cancer is currently unknown. METHODS: EP3 expression was analyzed by immunohistochemistry in 156 patient samples using the IR-scoring system. Expression levels were correlated with clinical and pathological parameters and with overall survival (OS) to assess for prognostic relevance. Data analysis was performed using Spearman's correlations, Kruskal-Wallis test and Kaplan-Meier estimates. RESULTS: EP3 expression was significantly higher in clear-cell carcinoma (p < 0.001) compared to the other histological subtypes. No further correlations with clinical parameters could be found. EP3 expression correlated significantly with FSH-receptor expression (p < 0.001), galectin-1 expression in the tumor (p = 0.012) and with cytoplasmatic TA-MUC1 expression (p = 0.001). None of these parameters showed significant correlation with OS. In the TA-MUC1 negative subgroup, EP3 negative patients showed significantly longer OS (median OS: 102 months vs. 34 months in EP3 positive patients, p = 0.035), while EP3 did not appear to have prognostic relevance in the TA-MUC1-positive subgroup. CONCLUSION: The potential prognostic relevance of EP3 expression for OS in TA-MUC1 negative patients might reflect an interplay between the COX and the MUC1 pathway, as it has been shown that MUC1 could induce COX2 expression. Our findings support the importance of the prostanoid signaling in TA-MUC1 negative ovarian cancer; however, future studies are necessary to characterize specific pathways and possible interactions. FAU - Czogalla, Bastian AU - Czogalla B AUID- ORCID: 0000-0001-6589-4736 AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Kuhn, Christina AU - Kuhn C AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Heublein, Sabine AU - Heublein S AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. AD - Department of Gynecology and Obstetrics, University of Heidelberg, 69120, Heidelberg, Germany. FAU - Schmockel, Elisa AU - Schmockel E AD - Department of Pathology, Ludwig-Maximilians University of Munich, 81337, Munich, Germany. FAU - Mayr, Doris AU - Mayr D AD - Department of Pathology, Ludwig-Maximilians University of Munich, 81337, Munich, Germany. FAU - Kolben, Thomas AU - Kolben T AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Trillsch, Fabian AU - Trillsch F AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Burges, Alexander AU - Burges A AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Mahner, Sven AU - Mahner S AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. FAU - Jeschke, Udo AU - Jeschke U AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. udo.jeschke@med.uni-muenchen.de. FAU - Hester, Anna AU - Hester A AD - Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. LA - eng PT - Journal Article DEP - 20190904 PL - Germany TA - J Cancer Res Clin Oncol JT - Journal of cancer research and clinical oncology JID - 7902060 RN - 0 (Biomarkers, Tumor) RN - 0 (MUC1 protein, human) RN - 0 (Mucin-1) RN - 0 (PTGER3 protein, human) RN - 0 (Receptors, Prostaglandin E, EP3 Subtype) SB - IM MH - Biomarkers, Tumor MH - Cell Line, Tumor MH - Female MH - Humans MH - Immunohistochemistry MH - Mucin-1/*metabolism MH - Neoplasm Grading MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Ovarian Neoplasms/*metabolism/*mortality/pathology MH - Prognosis MH - Receptors, Prostaglandin E, EP3 Subtype/*metabolism MH - Survival Analysis OTO - NOTNLM OT - EP3 OT - Gatipotuzumab OT - Ovarian cancer OT - Prognostic factor OT - TA-MUC1 EDAT- 2019/09/06 06:00 MHDA- 2019/10/08 06:00 CRDT- 2019/09/06 06:00 PHST- 2019/08/10 00:00 [received] PHST- 2019/08/30 00:00 [accepted] PHST- 2019/09/06 06:00 [pubmed] PHST- 2019/10/08 06:00 [medline] PHST- 2019/09/06 06:00 [entrez] AID - 10.1007/s00432-019-03017-8 [pii] AID - 10.1007/s00432-019-03017-8 [doi] PST - ppublish SO - J Cancer Res Clin Oncol. 2019 Oct;145(10):2519-2527. doi: 10.1007/s00432-019-03017-8. Epub 2019 Sep 4.