Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer

The role of hyaluronan (HA), serum-derived HA-associated protein (SHAP)-HA complex and hyaluronan synthase (HAS) in endometrial carcinomas was investigated. The relationship of metalloproteinase (MMP) and its inhibitor (TIMP) with HA and the SHAP-HA complex was also examined. The expression of HAS1...

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Main Authors: Hiromitsu Yabushita, Keita Iwasaki, Kouhei Kanyama, Yukihiko Obayashi, Lisheng Zhuo, Naoki Itano, Koji Kimata, Akihiko Wakatsuki
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2011/739150
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author Hiromitsu Yabushita
Keita Iwasaki
Kouhei Kanyama
Yukihiko Obayashi
Lisheng Zhuo
Naoki Itano
Koji Kimata
Akihiko Wakatsuki
author_facet Hiromitsu Yabushita
Keita Iwasaki
Kouhei Kanyama
Yukihiko Obayashi
Lisheng Zhuo
Naoki Itano
Koji Kimata
Akihiko Wakatsuki
author_sort Hiromitsu Yabushita
collection DOAJ
description The role of hyaluronan (HA), serum-derived HA-associated protein (SHAP)-HA complex and hyaluronan synthase (HAS) in endometrial carcinomas was investigated. The relationship of metalloproteinase (MMP) and its inhibitor (TIMP) with HA and the SHAP-HA complex was also examined. The expression of HAS1 was related to the depth of myometrial invasion and lymph-vascular space involvement. The serum levels of HA, SHAP-HA complex, MMP-9, and TIMP-1 were increased in related with the depth of myometrial invasion, histological grade and lymph-vascular space involvement. They were also higher in the HAS1-positive group compared to -negative group. The serum concentrations of HA and SHAP-HA complex had a significant correlation with the MMP-9 and TIMP-1. The patients with elevated SHAP-HA complex had the shorter disease-free survival. The multivariate analysis revealed that the SHAP-HA complex was the independent variable for disease-free survival of endometrial cancer patients. In conclusion, the elevation of serum SHAP-HA complex depended on the HAS1 expression and the SHAP-HA complex is a useful marker to predict disease recurrence in endometrial cancer patients. The SHAP-HA complex may promote the lymph-vascular space involvement and the synthesis and activation of MMP-9 and TIMP-1 in the progression of endometrial cancer.
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spelling doaj-art-f0ee17a217574502a314b07becf56fee2025-02-03T01:12:25ZengWileyObstetrics and Gynecology International1687-95891687-95972011-01-01201110.1155/2011/739150739150Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial CancerHiromitsu Yabushita0Keita Iwasaki1Kouhei Kanyama2Yukihiko Obayashi3Lisheng Zhuo4Naoki Itano5Koji Kimata6Akihiko Wakatsuki7Department of Obstetrics and Gynecology, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanDepartment of Obstetrics and Gynecology, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanDepartment of Obstetrics and Gynecology, Toyokawa City Hospital, Toyakawa, Aichi 422-8561, JapanDepartment of Obstetrics and Gynecology, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanResearch Complex for the Medicine Frontiers, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanDepartment of Molecular Biosciences, Faculty of Life Sciences, Kyoto Sangyo University, Motoyama, Kamigamo, Kita-ku, Kyoto 603-8555, JapanResearch Complex for the Medicine Frontiers, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanDepartment of Obstetrics and Gynecology, School of Medicine, Aichi Medical University, Nagakute-cho, Aichi 480-1195, JapanThe role of hyaluronan (HA), serum-derived HA-associated protein (SHAP)-HA complex and hyaluronan synthase (HAS) in endometrial carcinomas was investigated. The relationship of metalloproteinase (MMP) and its inhibitor (TIMP) with HA and the SHAP-HA complex was also examined. The expression of HAS1 was related to the depth of myometrial invasion and lymph-vascular space involvement. The serum levels of HA, SHAP-HA complex, MMP-9, and TIMP-1 were increased in related with the depth of myometrial invasion, histological grade and lymph-vascular space involvement. They were also higher in the HAS1-positive group compared to -negative group. The serum concentrations of HA and SHAP-HA complex had a significant correlation with the MMP-9 and TIMP-1. The patients with elevated SHAP-HA complex had the shorter disease-free survival. The multivariate analysis revealed that the SHAP-HA complex was the independent variable for disease-free survival of endometrial cancer patients. In conclusion, the elevation of serum SHAP-HA complex depended on the HAS1 expression and the SHAP-HA complex is a useful marker to predict disease recurrence in endometrial cancer patients. The SHAP-HA complex may promote the lymph-vascular space involvement and the synthesis and activation of MMP-9 and TIMP-1 in the progression of endometrial cancer.http://dx.doi.org/10.1155/2011/739150
spellingShingle Hiromitsu Yabushita
Keita Iwasaki
Kouhei Kanyama
Yukihiko Obayashi
Lisheng Zhuo
Naoki Itano
Koji Kimata
Akihiko Wakatsuki
Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
Obstetrics and Gynecology International
title Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
title_full Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
title_fullStr Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
title_full_unstemmed Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
title_short Clinicopathological Role of Serum-Derived Hyaluronan-Associated Protein (SHAP)-Hyaluronan Complex in Endometrial Cancer
title_sort clinicopathological role of serum derived hyaluronan associated protein shap hyaluronan complex in endometrial cancer
url http://dx.doi.org/10.1155/2011/739150
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