This study investigated the role of LOX in promoting invasion and
metastasis of
epithelial ovarian cancer in a hypoxic environment and its specific signal transduction pathway. Immunohistochemical detection of HIF-1α and LOX
protein expression was performed on
formalin-fixed
paraffin sections of normal ovary, benign ovarian
tumors, borderline and malignant epithelial ovarian
tumor paraffin sample, using Mann-Whitney U test for independent comparisons and Wilcoxon signed-ranks test for paired comparisons. HIF-1α and LOX were knocked down in
epithelial ovarian cancer cells (EOC), and HIF-1α/LOX regulation mechanism and LOX catalytic activity under
hypoxia/reoxygenation microenvironment were explored. Cell migration and invasion ability in LOX inhibited HO8910 cells were investigated under
hypoxia/reoxygenation conditions, using
matrigel cell invasion and migration assays. We found that HIF-1α and LOX are highly expressed in
epithelial ovarian cancer tissues, and the expression of both
proteins is significantly correlated with the
tumor grade,
tumor diameter and
lymph node metastasis. HIF-1α expression is positively correlated with the expression of LOX. Specifically, the expression of LOX and HIF-1α markedly increases under hypoxic conditions and decreases after reoxygenation.
siRNA knockdown of LOX or β-aminoproprionitrile (βAPN), an inhibitor of LOX activity, that attenuates LOX activity, downregulates HIF-1α
protein expression and inhibits HO8910 migratory and invasive abilities. LOX catalytic activity is significantly reduced under hypoxic conditions. Moreover, EOC cells display a marked increase in LOX-dependent FAK/AKT activation and cell migration following
hypoxia/reoxygenation. Collectively, our study demonstrates that the hypoxia-HIF-1α, LOX-FAK/AKT pathway regulates the migration and invasion of
epithelial ovarian cancer cells under
hypoxia/reoxygenation conditions, thus, promoting
metastasis of
ovarian cancer.