To study Human epididymis
protein 4 (HE4) surface fucosylation and to determine the effects and significance of
Lewis y antigen on HE4-mediated invasion and
metastasis of
ovarian cancer cells, we investigated four types of
ovarian cancer cells and found that six fucosylated
antigens (Lewis y, Lewis x, Lewis a, Lewis b, sLewis a, and sLewis x) were identified on HE4 in
ovarian cancer cells. Moreover, modification of the type II
sugar chain (Lewis y, Lewis x, and sLewis x) was significantly higher than the type I
sugar chain (Lewis a, Lewis b, sLewis a) of the
lactose series. To confirm the effects of
Lewis y antigen on HE4-mediated invasion and
metastasis of
ovarian cancer cells, the CaoV-3 cells with high
Lewis y antigen on the HE4 surface and ES-2 cells, with high
Lewis x antigen but low
Lewis y antigen, were investigated. We found that the expression levels of HE4 and Lewis y increased in both cell lines while the level of Lewis x didn't have any change after transfection. Furthermore, the high expression of
Lewis y antigen significantly enhanced the HE4-mediated invasion and
metastasis of
ovarian cancer cells. The invasion and
metastasis capacities were significantly decreased after Lewis y antibody blocking. This study demonstrates that overexpression of the
Lewis y antigen on HE4 promotes
ovarian cancer cell invasion and
metastasis, which is likely to be used as a target for the clinical treatment of
ovarian cancer.