Ovarian carcinoma ascites spheroids adhere to extracellular matrix components and mesothelial cell monolayers

KM Burleson, RC Casey, KM Skubitz… - Gynecologic …, 2004 - Elsevier
KM Burleson, RC Casey, KM Skubitz, SE Pambuccian, TR Oegema Jr, APN Skubitz
Gynecologic oncology, 2004Elsevier
Objective. Ovarian carcinoma cells form multicellular aggregates, or spheroids, in the
peritoneal cavity of patients with advanced disease. The current paradigm that ascites
spheroids are non-adhesive leaves their contribution to ovarian carcinoma dissemination
undefined. Here, spheroids obtained from ovarian carcinoma patients' ascites were
characterized for their ability to adhere to molecules encountered in the peritoneal cavity,
with the goal of establishing their potential to contribute to ovarian cancer spread. Methods …
Objective
Ovarian carcinoma cells form multicellular aggregates, or spheroids, in the peritoneal cavity of patients with advanced disease. The current paradigm that ascites spheroids are non-adhesive leaves their contribution to ovarian carcinoma dissemination undefined. Here, spheroids obtained from ovarian carcinoma patients' ascites were characterized for their ability to adhere to molecules encountered in the peritoneal cavity, with the goal of establishing their potential to contribute to ovarian cancer spread.
Methods
Spheroids were recovered from the ascites fluid of 11 patients with stage III or stage IV ovarian carcinoma. Adhesion assays to extracellular matrix (ECM) proteins and human mesothelial cell monolayers were performed for each of the ascites spheroid samples. Subsequently, inhibition assays were performed to identify the cell receptors involved.
Results
Most ascites samples adhered moderately to fibronectin and type I collagen, with reduced adhesion to type IV collagen and laminin. Monoclonal antibodies against the β1 integrin subunit partially inhibited this adhesion. Ascites spheroids also adhered to hyaluronan. Additionally, spheroids adhered to live, but not fixed, human mesothelial cell monolayers, and this adhesion was partially mediated by β1 integrins.
Conclusions
The cellular content of the ascites fluid has often been considered non-adhesive, but our findings are the first to suggest that patient-derived ascites spheroids can adhere to mesothelial extracellular matrix via β1 integrins, indicating that spheroids should not be ignored in the dissemination of ovarian cancer.
Elsevier