Abstract

We sought to assess the effect of progestin on the apoptosis of epithelial ovarian cancer cell line SKOV-3 and via regulation of phosphorylation signaling in. Epithelial ovarian cancer cell line SKOV-3 was treated with medroxyprogestogen, phosphatidylinositol 3-kinase inhibitor LY294002 and vehicle control. Akt, phospho-Akt, Bcl-2 and phospho-Bad proteins were examined by immunoblotting assays. Medroxyprogestogen-induced apoptosis was assessed by MTT assays and Annexin V apoptosis assay. We found no significant difference in Akt and Bad expression in both the medroxyprogestogen groups and the control group. The levels of phospho-Akt, Bcl-2 and phospho-Bad were decreased in all the medroxyprogestogen groups and significantly decreased in the high dose mitogen-activated protein (MAP) group (10 µmol/L). Viability of SKOV-3 was reduced and apparent apoptosis of SKOV-3 cells was observed with increased doses of MAP. The findings suggest that medroxyprogestogen can induce SKOV-3 cell apoptosis by inhibiting Akt phosphorylation.

Highlights

  • Ovarian carcinoma is the second most common and the most deadly malignancy of the female reproductive system[1]

  • To determine whether MAPinduced cytotoxicity was due to induction of apoptotic cell death in SKOV-3 cells, we examined the levels of the apoptosis-associated proteins Bcl-2, Bcl-2associated death promoter (Bad) and phospho-Bad by Western blot analysis

  • Ovarian cancer is chemosensitive, tumors eventually recur in two-thirds of patients, even after optimal surgical debulking followed by chemotherapy with platinum and taxane compounds

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Summary

Introduction

Ovarian carcinoma is the second most common and the most deadly malignancy of the female reproductive system[1]. The molecular mechanisms of ovarian oncogenesis are poorly understood. A previous study revealed that while postmenopausal estrogen replacement therapy using non-progestin regimens was a risk factor of carcinogenesis in ovarian cancer, hormone replacement therapy (HRT) with progestin did not in-. Crease the incidence of ovarian cancer[2]. The use of combination oral contraceptives (estrogen combined with progestin) is associated with a decrease in the incidence of ovarian cancer[3,4]. A high dose of progestin reduces the risk of ovarian cancer to a greater extent than low-dose progestin formulations in women[5], suggesting a protective effect of progesterone against ovarian carcinogenesis. The underlying mechanisms for the correlation between the use of progesterone and ovarian carcinogenesis remain unclear

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