Role of endothelin-1 in neovascularization of ovarian carcinoma

Am J Pathol. 2000 Nov;157(5):1537-47. doi: 10.1016/S0002-9440(10)64791-8.


Endothelin-1 (ET-1) is overexpressed in ovarian carcinomas and acts, via ET(A) receptors (ET(A)R), as an autocrine growth factor. In this study we investigate the role of ET-1 in the neovascularization of ovarian carcinoma. Archival specimens of primary (n = 40) and metastatic (n = 8) ovarian tumors were examined by immunohistochemistry for angiogenic factor and receptor expression and for microvessel density using antibodies against CD31, ET-1, vascular endothelial growth factor (VEGF), and their receptors. ET-1 expression correlated with neovascularization and with VEGF expression. The localization of functional ET(A)R and ET(A)R mRNA expression, as detected by autoradiography and in situ hybridization, was evident in tumors and in intratumoral vessels, whereas ET(B)R were expressed mainly in endothelial cells. High levels of ET-1 were detected in the majority of ascitic fluids of patients with ovarian carcinoma and significantly correlated with VEGF ascitic concentration. Furthermore ET-1, through ET(A)R, stimulated VEGF production in an ovarian carcinoma cell line, OVCA 433, by an extent comparable to hypoxia. Finally, conditioned media from OVCA 433 as well as ascitic fluids caused an increase in endothelial cell migration and the ET-1 receptor blockade significantly inhibited this angiogenic response. These findings indicate that ET-1 could modulate tumor angiogenesis, acting directly and in part through VEGF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / blood supply*
  • Adenocarcinoma / metabolism
  • Adult
  • Aged
  • Ascitic Fluid / metabolism
  • Blood Vessels / pathology
  • Carcinoma / blood supply*
  • Carcinoma / metabolism
  • Cell Movement / physiology
  • Endothelial Growth Factors / metabolism
  • Endothelin-1 / pharmacology
  • Endothelin-1 / physiology*
  • Endothelium, Vascular / pathology
  • Endothelium, Vascular / physiopathology
  • Female
  • Humans
  • Lymphokines / metabolism
  • Middle Aged
  • Neovascularization, Pathologic / physiopathology*
  • Ovarian Neoplasms / blood supply*
  • Ovarian Neoplasms / metabolism
  • Receptor, Endothelin A
  • Receptor, Endothelin B
  • Receptors, Endothelin / metabolism
  • Tumor Cells, Cultured
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors


  • Endothelial Growth Factors
  • Endothelin-1
  • Lymphokines
  • Receptor, Endothelin A
  • Receptor, Endothelin B
  • Receptors, Endothelin
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors