LAPTM4B is a novel tumor-associated gene. To date, there have been no published data regarding the role of LAPTM4B expression in epithelial ovarian carcinoma metastasis. Therefore, this study was performed to determine whether LAPTM4B overexpression is a new predictor of epithelial ovarian carcinoma metastasis. LAPTM4B expression was evaluated in 22 normal ovarian specimens and 139 ovarian carcinomas by western blotting analyses and immunohistochemistry. Univariate and multivariate analyses were used to determine the association between LAPTM4B expression and epithelial ovarian carcinoma metastasis. Western blotting analysis demonstrated that LAPTM4B was overexpressed in metastatic tissues from patients with ovarian cancers, and immunohistochemistry results revealed that among 59 patients with LAPTM4B overexpression, 57 (96.6%) presented intraperitoneal metastasis and 31 (52.5%) had lymph node metastasis. The results of the univariate and multivariate analyses demonstrated that LAPTM4B overexpression correlated with metastasis. The odds ratio of high-to-low expression for intraperitoneal metastasis was 11.410 (95% CI: 2.357, 55.239) and that for lymph node metastasis was 6.332 (95% CI: 2.533, 15.831). For intraperitoneal metastasis, the sensitivity and specificity of LAPTM4B overexpression were 48.7% and 90.9%; for lymph node metastasis, they were 73.8%% and 71.1%, respectively. LAPTM4B overexpression is a new predictor of epithelial ovarian carcinoma metastasis and an important potential biomarker for the early diagnosis of ovarian carcinoma.Ovarian carcinoma is the leading cause of death among gynecologic cancers.1 Epithelial ovarian carcinomas (EOC) account for almost 90% of all ovarian cancers. Because of a lack of early screening tools and effective biomarkers for the general population, the majority of patients with EOC present with widely intraperitoneal and/or lymph node metastatic disease at diagnosis.2 Despite primary surgical cytoreduction and systematic administration of chemotherapy regimens, the 5-year survival rate for patients with advanced disease remains below 20%.3,4 Therefore, there is a critical need to find effective biomarkers for ovarian carcinoma metastasis that could predict the progression of advanced ovarian carcinoma and provide targets for chemoprevention.Lysosome-associated protein transmembrane-4 beta (LAPTM4B), a novel tumor-associated gene, has been successfully cloned in hepatocellular carcinomas HCCs. 5,6 It is highly overexpressed in a variety of human tumors, exhibiting the strongest expression levels in the ovary and uterus.
7These results strongly indicated that LAPTM4B might play important roles in the initiation, promotion and metastasis of tumors.8 In addition, positive expression was found to occur more often in tumors with progressive and invasive phenotypes, a low differentiation grade, and the presence of lymph node and perineural invasion.9,10 Thus, the LAPTM4B gene potentially could be used as a new predictor for metastasis in ovarian carcinomas.To date, there hav...