Abstract

recurrence. The main molecular alterations defining high risk tumors were identified by Ingenuity Pathways Analyses software. We further validated the experimental approach and characterized the effects of TGF-b1 and the TGF-b1 receptor kinase inhibitor SB-431542 in an in vitro invasion assay with Hec1A endometrial cell line. Results: Gene expression profiling identified a number of molecular pathways associated with high risk of recurrence in endometrial cancer, and designated a prominent role to TGF-b signaling in the acquisition of an aggressive phenotype. We showed that TGF-b1 promoted morphologic and molecular alterations consistent with an epithelial to mesenchymal transition in Hec1A cells. Moreover, TGF-b1 was able to promote Hec1A cells invasion and SB-431542 reversed these effects. We further demonstrated in a 3D inverted invasion assay that the TGF-b pathway represents a key molecular event in the initial steps of carcinoma invasion. Conclusion: Our study indicates that the acquisition of a high risk of recurrence phenotype in endometrial carcinomas strongly relies on TGF-b1. The results highlight the promising utility of TGF-b pathway inhibitors for the development of targeted therapies in endometrial cancer.

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