Cited by 377Cancer, Hypoxia, and MetabolismCancer Cells and MetastasisOvarian cancer diagnosis and treatment

Hypoxia attenuates the expression of E-cadherin via up-regulation of SNAIL in ovarian carcinoma cells

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Imai, Tsutomu, Horiuchi, Akiko, Wang, Cuiju, Oka, Kenji, Ohira, Satoshi, Nikaido, Toshio, Konishi, Ikuo·2003·The American Journal of Pathology

Abstract

Since ovarian carcinoma cells detach from the primary lesion and metastasize via peritoneal dissemination, we hypothesized that these cells are exposed to hypoxia, which may affect cell attachment and invasiveness. To address this hypothesis, we first examined in vivo the immunohistochemical expression of hypoxia-inducible factor-1alpha (HIF-1alpha) and its topological correlation with E-cadherin expression in ovarian carcinomas. We then examined in vitro the effect of hypoxia on the mRNA and protein expressions of E-cadherin using two ovarian cancer cell lines, SKOV3 and OVCAR3, and normal ovarian surface epithelial (OSE) cells. In addition, hypoxia-induced change in the expression of SNAIL, a transcriptional factor repressing E-cadherin expression, was also analyzed. Finally, we examined the facilitation of invasiveness of ovarian cancer cells under hypoxia using Matrigel invasion assay. Immunohistochemically, nuclear localization of HIF-1alpha was observed in 32 of the 76 (42%) carcinomas studied, and showed a topological correlation with loss of E-cadherin expression. Northern blotting, real-time PCR and Western blotting demonstrated that E-cadherin expression was remarkably decreased under hypoxia in both SKOV3 and OVCAR3 cells, but not in normal OSE cells. mRNA expression of SNAIL was increased under hypoxia in both ovarian cancer cell lines. Invasion assay revealed that hypoxia increases the invasiveness of ovarian cancer cells. Accordingly, the present study demonstrated that hypoxia induces down-regulation of E-cadherin in ovarian carcinoma cells, via up-regulation of the transcriptional repressor SNAIL. These findings suggest that hypoxia plays an important role in the change in intercellular attachment, which may be involved in the initiation of tumor progression of ovarian cancer cells.

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  • Hypoxia and HIFs contribute to EMT by upregulating transcriptional repressors such as SNAIL, TWIST, TCF3, ZFHX1A, and ZFHX1B, whose gene products repress CDH1.

    “Hypoxia and HIFs contribute to EMT by upregulating transcriptional repressors such as SNAIL (Imai et al., 2003), TWIST (Yang et al., 2008), TCF3, ZFHX1A, and ZFHX1B (Krishnamachary et al., 2006), whose gene products in turn repress CDH1.”

    From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Imai et al., 2003

    The Discussion reports that hypoxia increased SNAIL expression in ovarian carcinoma cells while E-cadherin expression fell, and describes SNAIL as an E-cadherin repressor involved in epithelial–mesenchymal transition. It reports an association between nuclear HIF-1α and E-cadherin loss, but does not establish that HIF-1α upregulates SNAIL. (LLM, conf=0.84)

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Cited by

Sorted by citations

Authors
Imai, T., Horiuchi, A., Wang, C., Oka, K., Ohira, S., Nikaido, T., & Konishi, I.
Affiliations
Shinshu University (JP)
Corresponding author
Horiuchi, Akiko
Venue
The American Journal of Pathology
Publisher
Elsevier BV
Published
2003-10
Volume
163
Issue
4
Pages
1437-1447
ISSN
0002-9440 (ISSN-L)
OpenAlex
W2023338540
Cited by
377
References
2
Citations by year
2026: 4 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 24 · 2021: 17 · 2020: 23 · 2019: 10 · 2018: 9 · 2017: 21 · 2016: 24 · 2015: 13 · 2014: 38 · 2013: 22 · 2012: 29
FWCI
3.73
Type
journal article
Language
en
Open access
Locations
  • American Journal Of Pathology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Ministry of Education, Culture, Sports, Science and Technology
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
  • Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
Keywords
hypoxia, E-cadherin, snails, ovarian carcinoma, HIF-1α, tumor invasion, epithelial-mesenchymal transition, peritoneal carcinomatosis, tumor progression, ovarian surface epithelial cells, SKOV3, OVCAR3
MeSH terms
Snail Family Transcription Factors, Hypoxia, DNA-Binding Proteins, Female, Humans, Immunohistochemistry, Neoplasm Invasiveness, Nuclear Proteins, Ovarian Neoplasms, RNA, Messenger, Staining and Labeling, Tissue Distribution, Transcription Factors, Tumor Cells, Cultured, Cadherins, Up-Regulation, Hypoxia-Inducible Factor 1, Hypoxia-Inducible Factor 1, alpha Subunit

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