Differential expression of PAGE family member 4 in human epithelial ovarian cancer.
Epithelial ovarian cancer (EOC) is the most lethal gynecologic cancer (1). We performed discovery of genes associated with epithelial ovarian cancer and of the high-grade serous ovarian cancer (HGSC) subtype, using published and public microarray data (2, 3) to compare global gene expression profiles of normal ovary or fallopian tube with that of primary tumors from women diagnosed with epithelial ovarian cancer or HGSC. We identified the gene encoding PAGE family member 4, PAGE4, as among the genes whose expression was most different in epithelial ovarian cancer as compared to the normal fallopian tube. PAGE4 expression was significantly lower in high-grade serous ovarian tumors relative to normal fallopian tube. PAGE4 expression correlated with progression-free survival in patients with p53 mutant ovarian cancer. These data indicate that expression of PAGE4 is perturbed in epithelial ovarian cancers broadly and in ovarian cancers of the HGSC subtype. PAGE4 may be relevant to pathways underlying ovarian cancer initiation (transformation) or progression.