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1.
Oncotarget ; 6(34): 36219-30, 2015 Nov 03.
Article in English | MEDLINE | ID: mdl-26435481

ABSTRACT

Surgery and radiation are the current standard treatments for cervical cancer. However, there is no effective therapy for metastatic or recurrent cases, necessitating the identification of therapeutic targets. In order to create preclinical models for screening potential therapeutic targets, we established 14 patient-derived xenograft (PDX) models of cervical cancers using subrenal implantation methods. Serially passaged PDX tumors retained the histopathologic and genomic features of the original tumors. Among the 9 molecularly profiled cervical cancer patient samples, a HER2-amplified tumor was detected by array comparative genomic hybridization and targeted next-generation sequencing. We confirmed HER2 overexpression in the tumor and serially passaged PDX. Co-administration of trastuzumab and lapatinib in the HER2-overexpressed PDX significantly inhibited tumor growth compared to the control. Thus, we established histopathologically and genomically homologous PDX models of cervical cancer using subrenal implantation. Furthermore, we propose HER2 inhibitor-based therapy for HER2-amplified cervical cancer refractory to conventional therapy.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/pharmacology , Receptor, ErbB-2/antagonists & inhibitors , Uterine Cervical Neoplasms/enzymology , Adult , Aged , Animals , Female , HeLa Cells , Humans , Lapatinib , Mice , Mice, Inbred BALB C , Middle Aged , Molecular Targeted Therapy , Quinazolines/administration & dosage , Trastuzumab/administration & dosage , Uterine Cervical Neoplasms/genetics , Uterine Cervical Neoplasms/pathology , Xenograft Model Antitumor Assays
2.
PLoS One ; 8(10): e76784, 2013.
Article in English | MEDLINE | ID: mdl-24098561

ABSTRACT

The reproductive system of chickens undergoes dynamic morphological and functional tissue remodeling during the molting period. The present study identified global gene expression profiles following oviductal tissue regression and regeneration in laying hens in which molting was induced by feeding high levels of zinc in the diet. During the molting and recrudescence processes, progressive morphological and physiological changes included regression and re-growth of reproductive organs and fluctuations in concentrations of testosterone, progesterone, estradiol and corticosterone in blood. The cDNA microarray analysis of oviductal tissues revealed the biological significance of gene expression-based modulation in oviductal tissue during its remodeling. Based on the gene expression profiles, expression patterns of selected genes such as, TF, ANGPTL3, p20K, PTN, AvBD11 and SERPINB3 exhibited similar patterns in expression with gradual decreases during regression of the oviduct and sequential increases during resurrection of the functional oviduct. Also, miR-1689* inhibited expression of Sp1, while miR-17-3p, miR-22* and miR-1764 inhibited expression of STAT1. Similarly, chicken miR-1562 and miR-138 reduced the expression of ANGPTL3 and p20K, respectively. These results suggest that these differentially regulated genes are closely correlated with the molecular mechanism(s) for development and tissue remodeling of the avian female reproductive tract, and that miRNA-mediated regulation of key genes likely contributes to remodeling of the avian reproductive tract by controlling expression of those genes post-transcriptionally. The discovered global gene profiles provide new molecular candidates responsible for regulating morphological and functional recrudescence of the avian reproductive tract, and provide novel insights into understanding the remodeling process at the genomic and epigenomic levels.


Subject(s)
Chickens/genetics , Gene Expression Regulation, Developmental , Molting/genetics , Oviducts/metabolism , Reproduction/genetics , Transcriptome , Animals , Chickens/growth & development , Corticosterone/blood , Diet , Estradiol/blood , Female , Gene Expression Profiling , MicroRNAs/genetics , MicroRNAs/metabolism , Microarray Analysis , Progesterone/blood , Testosterone/blood , Zinc/administration & dosage
3.
PLoS One ; 7(11): e49204, 2012.
Article in English | MEDLINE | ID: mdl-23145124

ABSTRACT

S-adenosylhomocysteine hydrolase-like protein 1 (AHCYL1), also known as IP(3) receptor-binding protein released with IP(3) (IRBIT), regulates IP(3)-induced Ca(2+) release into the cytoplasm of cells. AHCYL1 is a critical regulator of early developmental stages in zebrafish, but little is known about the function of AHCYL1 or hormonal regulation of expression of the AHCYL1 gene in avian species. Therefore, we investigated differential expression profiles of the AHCYL1 gene in various adult organs and in oviducts from estrogen-treated chickens. Chicken AHCYL1 encodes for a protein of 540 amino acids that is highly conserved and has considerable homology to mammalian AHCYL1 proteins (>94% identity). AHCYL1 mRNA was expressed abundantly in various organs of chickens. Further, the synthetic estrogen agonist induced AHCYL1 mRNA and protein predominantly in luminal and glandular epithelial cells of the chick oviduct. In addition, estrogen activated AHCYL1 through the ERK1/2 signal transduction cascade and that activated expression of AHCYL1 regulated genes affecting oviduct development in chicks as well as calcium release in epithelial cells of the oviduct. Also, microRNAs, miR-124a, miR-1669, miR-1710 and miR-1782 influenced AHCYL1 expression in vitro via its 3'-UTR which suggests that post-transcriptional events are involved in the regulation of AHCYL1 expression in the chick oviduct. In conclusion, these results indicate that AHCYL1 is a novel estrogen-stimulated gene expressed in epithelial cells of the chicken oviduct that likely affects growth, development and calcium metabolism of the mature oviduct of hens via an estrogen-mediated ERK1/2 MAPK cell signaling pathway.


Subject(s)
Avian Proteins/physiology , Chickens/metabolism , MAP Kinase Signaling System/drug effects , MicroRNAs/genetics , Oviducts/physiology , Adenosylhomocysteinase/chemistry , Adenosylhomocysteinase/genetics , Adenosylhomocysteinase/metabolism , Adenosylhomocysteinase/physiology , Animals , Avian Proteins/chemistry , Avian Proteins/genetics , Avian Proteins/metabolism , Calcium/metabolism , Cell Communication , Chickens/genetics , Chickens/physiology , Estrogens/pharmacology , Female , Gene Expression Profiling , Gene Expression Regulation, Developmental , MicroRNAs/metabolism , RNA, Messenger/metabolism , Sequence Analysis, Protein
4.
PLoS One ; 7(11): e49869, 2012.
Article in English | MEDLINE | ID: mdl-23185467

ABSTRACT

Serine protease inhibitors (SERPINs) appear to be ubiquitously expressed in a variety of species and play important roles in pivotal physiological processes such as angiogenesis, immune responses, blood coagulation and fibronolysis. Of these, squamous cell carcinoma antigen 1 (SCCA1), also known as a SERPINB3, was first identified in squamous cell carcinoma tissue from the cervix of women. However, there is little known about the SERPINB3 expression in human epithelial ovarian cancer (EOC). Therefore, in the present study, we investigated the functional role of SERPINB3 gene in human EOC using chickens, the most relevant animal model. In 136 chickens, EOC was found in 10 (7.4%). SERPINB3 mRNA was induced in cancerous, but not normal ovaries of chickens (P<0.01), and it was abundant only in the glandular epithelium of cancerous ovaries of chickens. Further, several microRNAs, specifically miR-101, miR-1668 and miR-1681 were discovered to influence SERPINB3 expression via its 3'-UTR which suggests that post-transcriptional regulation influences SERPINB3 expression in chickens. SERPINB3 protein was localized predominantly to the glandular epithelium in cancerous ovaries of chickens, and it was abundant in the nucleus of both chicken and human ovarian cancer cell lines. In 109 human patients with EOC, 15 (13.8%), 66 (60.6%) and 28 (25.7%) patients showed weak, moderate and strong expression of SERPINB3 protein, respectively. Strong expression of SERPINB3 protein was a prognostic factor for platinum resistance (adjusted OR; odds ratio, 5.94; 95% Confidence Limits, 1.21-29.15), and for poor progression-free survival (PFS; adjusted HR; hazard ratio, 2.07; 95% CI; confidence interval, 1.03-4.41). Therefore, SERPINB3 may play an important role in ovarian carcinogenesis and be a novel biomarker for predicting platinum resistance and a poor prognosis for survival in patients with EOC.


Subject(s)
Antigens, Neoplasm , Neoplasms, Glandular and Epithelial , Ovarian Neoplasms , Ovary , Prognosis , Serpins , 3' Untranslated Regions/genetics , Adult , Aged , Aged, 80 and over , Animals , Antigens, Neoplasm/genetics , Antigens, Neoplasm/immunology , Carcinoma, Ovarian Epithelial , Cell Line, Tumor , Cell Transformation, Neoplastic , Chickens/genetics , Chickens/immunology , Disease Models, Animal , Disease-Free Survival , Drug Resistance, Neoplasm/genetics , Female , Gene Expression Regulation, Neoplastic , Humans , Middle Aged , Neoplasm Staging , Neoplasms, Glandular and Epithelial/drug therapy , Neoplasms, Glandular and Epithelial/genetics , Neoplasms, Glandular and Epithelial/metabolism , Neoplasms, Glandular and Epithelial/pathology , Ovarian Neoplasms/drug therapy , Ovarian Neoplasms/genetics , Ovarian Neoplasms/metabolism , Ovarian Neoplasms/pathology , Ovary/metabolism , Ovary/pathology , Platinum/therapeutic use , Serine Proteinase Inhibitors/administration & dosage , Serpins/genetics , Serpins/immunology
5.
Biol Reprod ; 86(6): 172, 2012 Jun.
Article in English | MEDLINE | ID: mdl-22423054

ABSTRACT

Egg formation and embryonic development occur as the yolk passes through the magnum, isthmus, and shell gland of the oviduct before oviposition in hens. The present study identified candidate genes associated with secretory function of the chicken oviduct after ovulation and contributing to egg formation and oviposition. Hens (n = 5 per time point) were euthanized to recover the reproductive tract when the egg was in the magnum (3 h after ovulation) and the shell gland (20 h after ovulation). Total RNA was extracted from each segment of the oviducts and subjected to Affymetrix chicken GeneChip analysis. Quantitative PCR and in situ hybridization analyses of selected genes confirmed the validity of the gene expression patterns detected using microarray analysis. In particular, ACP1, CALB1, CYP26A1, PENK, RCAN1 and SPP1 expression increased significantly in the shell gland between 3 h and 20 h postovulation, whereas only RCNA1 expression increased significantly in the magnum between 3 h and 20 h postovulation. Results of the high-throughput analysis revealed cell-specific and temporal changes in gene expression in the oviduct at 3 h and 20 h postovulation in laying hens provide novel insight into changes at the molecular and cellular levels of candidate genes related to formation of the egg and oviposition.


Subject(s)
Chickens/metabolism , Oviducts/metabolism , Ovulation , Animals , Chickens/genetics , Female , Gene Expression , Oligonucleotide Array Sequence Analysis , Oviparity , Oviposition
6.
Exp Biol Med (Maywood) ; 237(2): 150-9, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22289513

ABSTRACT

As serine and cysteine proteinase inhibitors, serpins, such as SERPINB5, cause ovarian, colorectal and pancreatic adenocarcinomas. We identified SERPINB11 as a novel estrogen-induced gene in chickens during oviduct development. The chicken is a unique animal model for research on human ovarian cancer, because it spontaneously develops epithelial cell-derived ovarian cancer as in women. Therefore, this study investigated the expression pattern, CpG methylation status, and miRNA regulation of the SERPINB11 gene in normal and cancerous ovaries from chickens. Our results indicate that SERPINB11 is most abundant in the glandular epithelium of endometrioid adenocarcinoma of cancerous, but not normal, ovaries of hens. In addition, bisulfite sequencing revealed that about 30% of -110 CpG sites are methylated in ovarian cancer cells, whereas -110 CpG sites are demethylated in normal ovarian cells. Next, we determined whether miR-1582 influences SERPINB11 expression via its 3'UTR and found that it does not directly target the 3'UTR of SERPINB11 mRNA. Therefore, it is unlikely that post-transcriptional regulation influences SERPINB11 expression in the chicken ovary. On the other hand, in human ovarian cancer cells such as OVCAR-3, SKOV-3 and PA-1 cells, immunoreactive SERPINB11 protein was predominant in the cytoplasm and had a similar expression pattern to that in chicken ovarian cancer cells. Collectively, these results suggest that SERPINB11 is a biomarker for chicken ovarian endometrioid carcinoma that could be used for diagnosis and monitoring effects of therapies for the disease in women.


Subject(s)
Endometrial Neoplasms/metabolism , Gene Expression Regulation, Neoplastic , Ovarian Neoplasms/metabolism , 3' Untranslated Regions , Animals , Binding Sites , Biopsy/methods , Cell Line, Tumor , Chickens , CpG Islands , Female , Humans , In Situ Hybridization , Microscopy, Fluorescence/methods , Models, Biological , Serpins/biosynthesis , Transcription Factors/metabolism
7.
Gen Comp Endocrinol ; 175(1): 65-73, 2012 Jan 01.
Article in English | MEDLINE | ID: mdl-22026959

ABSTRACT

Serine protease inhibitors (SERPINs) comprise the largest superfamily of protease inhibitors and appear to be ubiquitously expressed in a variety of species. Of these, squamous cell carcinoma antigen 1 (SCCA1), also known as a SERPINB3, was first identified in squamous cell carcinoma tissue from the cervix of women. However, there is little known about the expression and hormonal regulation of SERPINB3 in chickens. Therefore, the avian SERPINB3 gene was compared with those of other species with respect to structure, phylogenetic evolution and tissue- and cell-specific expression in hens. Chicken SERPINB3 has moderate homology to mammalian SERPINB3 proteins (36-47%). Of particular note, SERPINB3 mRNA was most abundant in the chicken oviduct and cell-specific expression was in glandular (GE) and luminal (LE) epithelial cells of the oviduct of laying hens. Treatment of young chicks with DES (diethylstilbestrol, a synthetic nonsteroidal estrogen) induced SERPINB3 mRNA and protein in GE and LE, but not in other cell types of the oviduct. Western blot analyses determined that immunoreactive SERPINB3 protein was also increased by DES in LE and GE of the oviduct of chicks. Collectively, these results indicate that SERPINB3 is an estrogen-induced gene expressed only in LE and GE of the chicken oviduct and implicate SERPINB3 in regulation of oviduct development and egg formation.


Subject(s)
Antigens, Neoplasm/metabolism , Chickens/metabolism , Estrogens/metabolism , Oviducts/metabolism , Serpins/metabolism , Amino Acid Sequence , Animals , Antigens, Neoplasm/analysis , Antigens, Neoplasm/genetics , Diethylstilbestrol/pharmacology , Epithelial Cells/cytology , Epithelial Cells/drug effects , Epithelial Cells/metabolism , Estrogens, Non-Steroidal/pharmacology , Female , Humans , Molecular Sequence Data , Organ Specificity , Oviducts/cytology , Oviducts/drug effects , Phylogeny , RNA, Messenger/metabolism , Serpins/analysis , Serpins/genetics
8.
Gen Comp Endocrinol ; 175(1): 194-205, 2012 Jan 01.
Article in English | MEDLINE | ID: mdl-22137914

ABSTRACT

The ERBB receptor feedback inhibitor 1 (ERRFI1) is a scaffolding adaptor protein, that plays a pivotal role in the epidermal growth factor receptor (EGFR) cell signaling cascade as a negative regulator affecting many important physiological processes. It was recently reported that ERRFI1 is a critical regulator of the response of the endometrium to estrogen regulation of tissue homeostasis in mice. But, very little is known about ERRF11 and hormonal regulation of the ERRFI1 gene in chickens. Therefore, in the present study, ERRFI1 gene was cloned and its differential expression profile analyzed at different embryonic stages, in various adult organs, and in oviducts from estrogen-treated chickens. Chicken ERRFI1 has an open-reading frame of 2848 nucleotides that encode for a protein of 465 amino acids that has considerable homology to mammalian ERRFI1 proteins (>62% identity). Importantly, ERRFI1 mRNA is abundantly distributed in various organs from chickens. We then determined that DES (diethylstilbestrol, a synthetic nonsteroidal estrogen) induced ERRFI1 mRNA and protein predominantly in luminal and glandular epithelial cells of the oviduct. Further, we determined whether microRNAs, specifically miR-200b, miR-429 and miR-1639, influence ERRFI1 expression via its 3'UTR and found that it does not directly target the 3'UTR of ERRFI1 mRNA. Therefore, it is unlikely that post-transcriptional regulation influences ERRFI1 expression in the chicken oviduct. In conclusion, our results indicate that ERRFI1 is a novel estrogen-stimulated gene expressed in epithelial cells of the chicken oviduct that likely plays an important role in oviduct growth and differentiation during early development of the chicken.


Subject(s)
Adaptor Proteins, Signal Transducing/physiology , Chickens/physiology , Epithelial Cells/physiology , Estrogens/physiology , Oviducts/physiology , Adaptor Proteins, Signal Transducing/analysis , Adaptor Proteins, Signal Transducing/genetics , Amino Acid Sequence , Animals , Chickens/genetics , Diethylstilbestrol/pharmacology , Epithelial Cells/cytology , Female , Gene Expression Regulation/drug effects , Humans , MicroRNAs/physiology , Molecular Sequence Data , Oviducts/cytology , Phylogeny , Signal Transduction/physiology
9.
Biol Reprod ; 85(6): 1260-8, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21849706

ABSTRACT

Serpins, a group of proteins with similar structural and functional properties, were first identified based on their unique mechanism of action: their inhibition of proteases. While most serpins have inhibitory roles, certain serpins are not involved in canonical proteolytic cascades but perform diverse functions including storage of ovalbumin in egg white, transport of hormones (thyroxine- and cortisol-binding globulin), and suppression of tumors. Of these, serpin peptidase inhibitor, clade B, member 11 (SERPINB11) is not an inhibitor of known proteases in humans and mice, and its function is unknown. In the present study, the SERPINB11 gene was cloned, and its expression profile was analyzed in various tissues from chickens. The chicken SERPINB11 gene has an open reading frame of 1346 nucleotides that encode a protein of 388 amino acids that has moderate homology (38.8%-42.3%) to mammalian SERPINB11 proteins. Importantly, SERPINB11 mRNA is most abundant in the chicken oviduct, specifically luminal and glandular epithelia, but it was not detected in any other chicken tissues of either sex. We then determined effects of diethylstilbestrol (DES; a synthetic nonsteroidal estrogen) on SERPINB11 expression in the chicken oviduct. Treatment of young chicks with DES induced SERPINB11 mRNA and protein only in luminal and glandular epithelial cells of the oviduct. Collectively, these results indicate that the novel estrogen-induced SERPINB11 gene is expressed only in epithelial cells of the chicken oviduct and implicate SERPINB11 in regulation of oviduct development and differentiated functions.


Subject(s)
Avian Proteins/genetics , Estrogens/metabolism , Serpins/genetics , Animals , Avian Proteins/chemistry , Avian Proteins/metabolism , Chickens , Diethylstilbestrol , Estrogens, Non-Steroidal , Female , Gene Expression Regulation, Developmental , Male , Oviducts/growth & development , Oviducts/metabolism , Phylogeny , RNA, Messenger/metabolism , Sequence Alignment , Serpins/chemistry , Serpins/metabolism
10.
Oncol Lett ; 2(6): 1047-1051, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22848266

ABSTRACT

Matrix metalloproteinases (MMPs) are involved in the degradation of the extracellular matrix and basement membranes. Due to this, MMPs have been thought to promote invasion and metastasis of cancer cells and angiogenesis in tumors. Even though the chicken is a useful animal model for studying human ovarian cancer, no reports exist of the MMP expression pattern in chicken ovarian cancer. Therefore, we investigated the expression pattern of MMPs in chicken ovarian cancer. Results of RT-PCR and quantitative RT-PCR analyses showed MMP3 to be over-expressed in cancerous hen ovaries. In situ hybridization analysis of cancerous chicken ovaries showed that MMP3 mRNA was predominantly localized in the stroma, which is similar to MMP3 expression in human cancers. The results suggest that the expression pattern of MMP3 mRNA in chicken ovarian cancer is similar to that in various types of human cancer. Moreover, MMP3 potentially plays a significant role in developing ovarian cancer in chickens. The cell type-specific expression of MMP3 makes this gene a unique marker for ovarian cancer in chickens.

11.
Reprod Biol Endocrinol ; 8: 100, 2010 Aug 21.
Article in English | MEDLINE | ID: mdl-20727192

ABSTRACT

BACKGROUND: Cysteine cathepsins (CTSs) are involved in the degradation and remodeling of the extracellular matrix and are associated with cell transformation, differentiation, motility, and adhesion. These functions are also related to cancer cell invasion and metastasis. Chickens spontaneously develop epithelial ovarian cancer and are therefore a good animal model for human ovarian cancer. However, no studies have investigated the expression of CTSs in chickens with ovarian cancer. METHODS: Cancerous (n = 5) and normal (n = 3) ovaries were collected from 2-to 3-year-old hens, and ovarian tissue samples were collected for study. Ovarian cancers were evaluated with hematoxylin and eosin staining. Reverse transcriptase and quantitative PCR analyses, in situ hybridization analysis were performed to examine the mRNA expression pattern of three CTSs in detail, and protein expression of CTSB was evaluated. RESULTS: The CTSB, CTSC, and CTSS genes were highly expressed in cancerous chicken ovaries. Messenger RNAs for the three CTSs were localized to a nodule area, a major characteristic of cancerous ovaries, but the three CTSs showed no specific localization in normal ovaries. Immunoreactive CTSB protein was present in the nodule area of cancerous ovaries. CONCLUSION: Our results suggest that CTSB, CTSC, and CTSS have important functions in the development of epithelial ovarian cancer.


Subject(s)
Carcinoma/pathology , Cathepsins/genetics , Chickens , Ovarian Neoplasms/pathology , Ovary/metabolism , Poultry Diseases/pathology , Animals , Carcinoma/genetics , Carcinoma/metabolism , Cathepsins/metabolism , Chickens/genetics , Chickens/metabolism , Cysteine Proteases/genetics , Cysteine Proteases/metabolism , Disease Models, Animal , Female , Gene Expression Regulation, Enzymologic , Gene Expression Regulation, Neoplastic , Humans , Ovarian Neoplasms/genetics , Ovarian Neoplasms/metabolism , Ovary/pathology , Poultry Diseases/genetics , Poultry Diseases/metabolism , Tissue Distribution
12.
Int J Gynecol Cancer ; 20(9): 1465-73, 2010 Dec.
Article in English | MEDLINE | ID: mdl-21370593

ABSTRACT

INTRODUCTION: The aim of this study was to investigate the expression profiles of claudin (CLDN) gene family members between normal and cancerous ovaries of White Leghorn hens. METHODS: For the detection of ovarian cancer, 120-week-old White Leghorn hens (n = 40) that could not produce eggs for at least 2 months were humanely killed, and candidate cancerous ovaries were stained with hematoxylin and eosin. The existence of CLDN genes in normal and cancerous ovaries was confirmed by reverse transcription-polymerase chain reaction (RT-PCR) analysis. Quantitative real-time PCR was performed to investigate the fold change in CLDN1, CLDN5, and CLDN10 messenger RNA (mRNA) expression levels. In situ hybridization was performed to further confirm the localization of CLDN10 mRNA in normal and cancerous ovaries. RESULTS: In total, we obtained 3 normal and 5 cancerous ovaries from the experimental hens. Among the claudin family genes, CLDN1, CLDN5, and CLDN10 were detected in normal and/or cancerous ovaries by RT-PCR analysis. According to quantitative real-time PCR analysis, CLDN1 and CLDN5 mRNA expression levels were not significantly different between normal and cancerous ovaries, whereas the CLDN10 mRNA expression level significantly increased in cancerous ovaries compared with normal ovaries. CLDN10 mRNA was specifically detected in cancerous ovaries. CONCLUSIONS: Our study indicates that CLDN10 is a novel biomarker for detecting ovarian cancer in the chicken. We provide new insight into using the chicken as a suitable animal model for investigating the effect and function of CLDN in human ovarian cancer.


Subject(s)
Biomarkers, Tumor/genetics , Chickens , Disease Models, Animal , Membrane Proteins/genetics , Neoplasms, Glandular and Epithelial/pathology , Animals , Biomarkers, Tumor/analysis , Biomarkers, Tumor/metabolism , Carcinoma, Ovarian Epithelial , Chickens/genetics , Chickens/metabolism , Claudin-1 , Claudin-5 , Claudins , Female , Gene Expression Regulation, Neoplastic , Humans , Membrane Proteins/metabolism , Neoplasms, Glandular and Epithelial/genetics , Neoplasms, Glandular and Epithelial/metabolism , Ovarian Neoplasms/genetics , Ovarian Neoplasms/metabolism , Ovarian Neoplasms/pathology , Ovary/metabolism , Ovary/pathology , Tissue Distribution
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