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Copenhagen, Denmark
19 - 22 June 2005

Microarray and real-time PCR analysis: comparison between ovarian endometriosis and ovarian cancer

C Banz [1], H Xu [1], U Ungethuem [2], RJ Kuban [3],
F Köster [1], R Felberbaum [1], K Diedrich [1], D Hornung [1]

[1] Universität Lübeck
Frauenklinik
Lübeck, Germany

[2] Charite, Labor für funktionelle Genomforschung
Berlin, Germany

[3] Charite, Biochemisches Institut
Berlin, Germany

Introduction
Women with endometriosis have an increased risk to develop endometrioid or clear-cell ovarian cancer. If endometriosis patients suffer additionally from primary infertility, the incidence rate is increased more than four times. To identify possible differences in gene expression between ovarian endometriosis, ovarian cancer and benign ovaries, we used total RNA in microarray technology.

Materials and methods
Total RNA was extracted from 5 samples each of ovarian endometriosis, ovarian cancer and normal ovaries, cRNA samples hybridized to the Affymetrix HG-U133A microarray chip and mRNA levels of over 22,000 genes assessed. Random genes were validated by real time PCR, including additional samples to enlarge the number of patients.

Results
Eight hundred and twenty-three genes were statistically differentially expressed in all three tissues types, with the following biological groups being differentially expressed with the highest percentage per group: regulation of G-protein coupled receptor protein signaling pathway, angiogenesis, cell cycle arrest, MAPKKK cascade,protein kinase cascade and cytokinesis. Genes like Angiopoietin 1,small inducible cytokine A2 (SICA2) and small inducible cytokine subfamily A member 14 (CCL14) showed significant differences within the three examined groups.

Conclusions
Our study described several genes differentially expressed in ovarian endometriosis, ovarian cancer and healthy ovaries. Other genes that are equally expressed in ovarian endometriosis and ovarian cancer, might be involved in the development and progression of these diseases. Further studies are necessary to show if it is possible to identify endometriosis patients with a higher risk for ovarian cancer later in life, and offer prophylactic treatment. Therefore, we are planning to investigate gene expression in ovarian cancer of former endometriosis patients.

This abstract has been reprinted with the kind permission of Human Reproduction (the Oxford University Press) and ESHRE, who retain copyright. This abstract [or parts thereof] may not be reproduced without the written permission of ESHRE.

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