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[Cancer Research 66, 7983-7990, August 15, 2006]
© 2006 American Association for Cancer Research


Cell, Tumor, and Stem Cell Biology

Hypoxia Enhances Lysophosphatidic Acid Responsiveness in Ovarian Cancer Cells and Lysophosphatidic Acid Induces Ovarian Tumor Metastasis In vivo

Kwan-Sik Kim1,3, Saubhik Sengupta1,2, Michael Berk1, Yong-Geun Kwak4, Pedro F. Escobar2, Jerome Belinson2, Samuel C. Mok5 and Yan Xu1,2,6

1 Department of Cancer Biology, Lerner Research Institute, and 2 Department of Obstetrics and Gynecology, Gynecological Oncology Section, Cleveland Clinic, Cleveland, Ohio; 3 Department of Obstetrics and Gynecology, Research Institute of Clinic Medicine, and 4 Department of Pharmacology, Chonbuk National University Medical School, Chonju, Chonbuk, Korea; 5 Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts; and 6 Department of Obstetrics and Gynecology, Indiana University, Indianapolis, Indiana

Requests for reprints: Yan Xu, Department of Obstetrics and Gynecology, Indiana University, 975 West Walnut Street, IB355A, Indianapolis, IN 46202. Phone: 317-274-3972; Fax: 317-278-2884; E-mail: xu2{at}iupui.edu.

Lysophosphatidic acid (LPA) is elevated in ascites of ovarian cancer patients and stimulates growth and other activities of ovarian cancer cells in vitro. Tissue hypoxia is a critical factor for tumor aggressiveness and metastasis in cancers. We tested whether the ascites of ovarian cancer is hypoxic and whether hypoxia influences the effects of LPA on ovarian cancer cells. We found that ovarian ascitic fluids were hypoxic in vivo. Enhanced cellular responsiveness to LPA, including migration and/or invasion of ovarian cancer cells, was observed under hypoxic conditions. This enhancement could be completely blocked by geldanamycin or a small interfering RNA targeting hypoxia-inducible factor 1{alpha} (HIF1{alpha}). LPA-induced cell migration required cytosolic phospholipase A2 (cPLA2) and LPA stimulates cPLA2 phosphorylation in a HIF1{alpha}-dependent manner under hypoxia conditions. Furthermore, we show for the first time that exogenous LPA enhances tumor metastasis in an orthotopic ovarian cancer model and HIF{alpha} expression in tumors. 17-Dimethylaminoethylamino-17-demethoxygeldanamycin (an inhibitor of the heat shock protein 90) effectively blocked LPA-induced tumor metastasis in vivo. Together, our data indicate that hypoxic conditions are likely to be pathologically important for ovarian cancer development. HIF1{alpha} plays a critical role in enhancing and/or sensitizing the role of LPA on cell migration and invasion under hypoxic conditions, where cPLA2 is required for LPA-induced cell migration. (Cancer Res 2006; 66(16): 7983-90)




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