Expressão da heparanase no epitélio ovariano normal e no de neoplasias benigna e maligna do ovário
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Data
2007
Autores
Moura Junior, Joel Pereira de [UNIFESP]
Orientadores
Nicolau, Sergio Mancini [UNIFESP]
Tipo
Tese de doutorado
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Introdução: Durante a progressão da neoplasia maligna, as células tumorais desenvolvem a habilidade de invadir 0 tecido normal adjacente e de formar novos focos à distância. Recentemente, pesquisas tem destacado as alterações que ocorrem no ambiente entre a célula e a matriz extracelular durante 0 processo de expansão neoplásica. A enzima heparanase-1 possui a capacidade de degradar 0 heparam sulfato, um importante polissacarídeo que participa da estrutura da matriz extracelular e da membrana basal. Diversos artigos associam 0 aumento de sua expressão ao potencial invasor, angiogênico e metastático de diversos tumores malignos. A heparanase-2, provavelmente, esta relacionada com a perda da adesividade celular. Objetivo: Associar novos conhecimentos a respeito desta isoforma poderá ser útil para esclarecer as inúmeras mudanças que ocorrem nas neoplasias. Métodos: Analisamos 75 espécimes de ovários de pacientes atendidas no Departamento de Ginecologia da Unifesp-EPM. Selecionamos 23 (30,66%) pacientes com neoplasia ovariana epitelial maligna; destas, cinco tinham neoplasia restrita aos ovários - estádios IA e 1B (FIGO) e 17 tinham neoplasia nos estádios IC ou superior. Outras 35 mulheres (46,66%) apresentavam neoplasia ovariana epitelial benigna e as 17 (22,66%) restantes, tinham 0 diagnóstico histológico de ovário não neoplásico. Utilizamos duas técnicas metodológicas para avaliar a imunoexpressão da heparanase¬2. A primeira, obedecendo ao critério qualitativo de positivo ou negativo em relação a expressão da enzima e, a segunda, realizando, nas mesmas laminas, quantificação computadorizada desta expressão. Resultados: Na análise quantitativa, encontramos índice de positividade (IP) de expressão de heparanase-2 de 72,24% e 87,34% nas amostras de neoplasias benigna e maligna, respectivamente. Nelas, a intensidade de expressão e 0 índice de expressão foram de, respectivamente, 147,24 e 121,29 para as neoplasias benignas e de 134,15 e 118,01 para as neoplasias malignas. Qualitativamente, a expressão da heparanase-2 foi de intensidade forte ou moderada em 44,2% dos tumores benignos e 78,2% dos malignos. Todas as amostras não neoplásicas foram negativas para a expressão da enzima, com exceção de uma amostra em que a análise qualitativa foi fracamente positiva. Conclusões: Pudemos observar a importância desta enzima na expansão tumoral, devido a evidente diferença entre os grupos de neoplasias comparados com 0 grupo de amostras de tecido ovariano não neoplásico. Entretanto, não verificamos variação significativa entre as neoplasias quanta à presença e intensidade de reação imunohistoquímica entre a neoplasia benigna e maligna, nas duas técnicas de análise..
Introduction: During the progression of malignant neoplasia, the tumor cells develop the ability to invade the adjacent normal tissue and form new foci at a distance. Recently, studies have highlighted the changes that take place in the environment between the cell and the extracellular matrix during the process of neoplastic expansion. The enzyme heparanase-1 has the capacity to degrade heparan sulfate, which is an important polysaccharide that participates in the structure of the extracellular matrix and the basal membrane. Several papers have made an association between increased expression of this enzyme and the invasive, angiogenic and metastatic potential of various malignant tumors. Heparanase-2 is probably related to loss of cell adhesion. Objective: Making associations with new knowledge on this isoform may be useful for explaining the large number of changes that occur in neoplasia. Methods: We analyzed 75 ovary specimens from patients attended at the Department of Gynecology of Unifesp-EPM. We selected 23 patients (30.66%) with malignant epithelial ovarian neoplasia. Of these, five had neoplasia that was restricted to the ovaries, in FIGO stages IA and IB, and 17 had neoplasia in stages IC or higher. Another 35 women (46.66%) presented benign epithelial ovarian neoplasia and the histological diagnosis for the remaining 17 (22.66%) was that their ovaries were not neoplastic. We used two methodological techniques for evaluating the immunoexpression of heparanase-2. The first followed the qualitative criterion of positive or negative in relation to expression of the enzyme, and the second involved computerized quantification of this expression, performed on the same slides. Results: In the quantitative analysis, we found positivity indices for heparanase-2 expression of 72.24% and 87.34% in the samples of benign and malignant neoplasias, respectively. In these, the intensity of expression and the express index were, respectively, 147.24 and 121.29 for the benign neoplasias and 134.15 and 118.01 for the malignant neoplasias. Qualitatively, the expression of heparanase-2 was strong or moderate in intensity in 44.2% of the benign tumors and 78.2% of the malignant tumors. All the nonneoplastic samples were negative for the expression of this enzyme, with the exception of one sample in which the qualitative analysis was weakly positive. Conclusions: We were able to observe the importance of this enzyme in tumor expansion because of the evident difference between the neoplastic groups and the non-neoplastic group of ovarian tissue samples. However, we did not find any significant variation among the neoplasias with regard to the presence and intensity of the immunohistochemical reaction, between benign and malignant neoplasia, for either of the analysis techniques.
Introduction: During the progression of malignant neoplasia, the tumor cells develop the ability to invade the adjacent normal tissue and form new foci at a distance. Recently, studies have highlighted the changes that take place in the environment between the cell and the extracellular matrix during the process of neoplastic expansion. The enzyme heparanase-1 has the capacity to degrade heparan sulfate, which is an important polysaccharide that participates in the structure of the extracellular matrix and the basal membrane. Several papers have made an association between increased expression of this enzyme and the invasive, angiogenic and metastatic potential of various malignant tumors. Heparanase-2 is probably related to loss of cell adhesion. Objective: Making associations with new knowledge on this isoform may be useful for explaining the large number of changes that occur in neoplasia. Methods: We analyzed 75 ovary specimens from patients attended at the Department of Gynecology of Unifesp-EPM. We selected 23 patients (30.66%) with malignant epithelial ovarian neoplasia. Of these, five had neoplasia that was restricted to the ovaries, in FIGO stages IA and IB, and 17 had neoplasia in stages IC or higher. Another 35 women (46.66%) presented benign epithelial ovarian neoplasia and the histological diagnosis for the remaining 17 (22.66%) was that their ovaries were not neoplastic. We used two methodological techniques for evaluating the immunoexpression of heparanase-2. The first followed the qualitative criterion of positive or negative in relation to expression of the enzyme, and the second involved computerized quantification of this expression, performed on the same slides. Results: In the quantitative analysis, we found positivity indices for heparanase-2 expression of 72.24% and 87.34% in the samples of benign and malignant neoplasias, respectively. In these, the intensity of expression and the express index were, respectively, 147.24 and 121.29 for the benign neoplasias and 134.15 and 118.01 for the malignant neoplasias. Qualitatively, the expression of heparanase-2 was strong or moderate in intensity in 44.2% of the benign tumors and 78.2% of the malignant tumors. All the nonneoplastic samples were negative for the expression of this enzyme, with the exception of one sample in which the qualitative analysis was weakly positive. Conclusions: We were able to observe the importance of this enzyme in tumor expansion because of the evident difference between the neoplastic groups and the non-neoplastic group of ovarian tissue samples. However, we did not find any significant variation among the neoplasias with regard to the presence and intensity of the immunohistochemical reaction, between benign and malignant neoplasia, for either of the analysis techniques.
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MOURA JUNIOR, Joel Pereira de. Expressão da heparanase no epitélio ovariano normal e no de neoplasias benigna e maligna do ovário. 2007. 71 f. Tese (Doutorado em Ciências) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2007.