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Scientific Presentations Summer 2009 - Dana-Farber/Harvard ...

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Determination of Elafin’s role in cellular proliferation<br />

in the ovarian cancer microenvironment<br />

Amber Channer<br />

Mentor: Ronny Drapkin, MD, PhD<br />

<strong>Scientific</strong> Advisor: Adam Clauss, PhD<br />

<strong>Dana</strong>-<strong>Farber</strong> Cancer Institute<br />

Ovarian cancer is a major cause of cancer-related mortality in women worldwide.<br />

Unfortunately, the lack of efficient screening methods results in the majority of patients<br />

being diagnosed with late stage ovarian cancer, when a surgical cure is highly<br />

unlikely. Although most patients with advanced stage disease initially respond to<br />

chemotherapy, the majority ultimately relapse with chemo-resistant tumors. Therefore,<br />

there is a pressing need to develop serum biomarkers for early detection. We<br />

have previously described two potential biomarkers: HE4 and Elafin. Both are located<br />

in the WAP locus on chromosome 20q13, a region frequently amplified in<br />

ovarian cancers. The FDA recently approved the HE4 ELISA test, in conjunction<br />

with CA125, to monitor patients with ovarian cancer for recurrence. Elafin is a secreted<br />

serine protease inhibitor, which has shown to specifically inhibit Elastase, a<br />

serine protease. We know that the protease function of Elastase is important to release<br />

TGF-ß and thereby active it. TGF-ß (Transforming Growth Factor) is a secreted<br />

protein that mainly functions to inhibit epithelial proliferation, tumor development<br />

and morphogenesis. During oncogenesis, TGF-ß is silenced and cannot control the<br />

cell cycle, thus enabling cells to grow uncontrollably. This work aims to characterize<br />

the role Elafin plays in the ovarian cancer microenvironment. We hypothesize that<br />

by inhibiting Elastase, Elafin prevents the release of active TGF-ß. To analyze we will<br />

transform a panel of ovarian cell-lines with either wild type Elafin, which has been<br />

previously shown to increase cellular proliferation, or two mutated forms of Elafin<br />

(M25K and M25G). The mutation of methionine to a lysine or a glycine generates<br />

a protein that no longer functions as a serine protease inhibitor. By comparing the<br />

proliferation effect of the wild type Elafin versus the mutated counterpart, we will be<br />

able to tell whether the serine protease inhibitor function of Elafin is necessary for its<br />

role in increasing cellular proliferation.

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