Exopeptidases, in contrast to endopeptidases (proteinases) have been m
uch less studied in relation to cancer. The aim of this study was to i
nvestigate one such enzyme, dipeptidyl peptidase III (DPP III), in gyn
aecological tissues, by measuring both the enzyme activity and enzyme
content. DPP III activity was assessed in normal (n = 65), benign (n =
9) and malignant (n = 51) gynaecological tissues. A statistically sig
nificant higher DPP III activity was observed in endometrial (n = 40,
P = 4.6 x 10(-7)) and ovarian (n = 11, P = 8.1 x 10(-4)) malignant tum
ours, whereas no significant difference was detected for leiomyomas (n
= 8), if compared to the activity in normal tissue. A matched pair an
alysis of normal and cancerous endometrial tissue confirmed the signif
icance of the DPP III activity increase in the transformed tissue (n =
7, P = 0.022). Western blot analysis revealed a significantly (P = 0.
014) increased level of DPP III in endometrial cancer. Further, regres
sion analysis showed a positive correlation between the activity and t
he content of DPP III in normal tissue (r = 0.637, P = 0.047) and in e
ndometrial cancer (r = 0.574, P < 0.007). The increase of the DPP III
activity was observed in the endometrial carcinomas of various histolo
gical types, grade or the depth of myometrial invasion. The easy-to-pe
rform determination of this exopeptidase activity may serve as a poten
tial indicator of endometrial and ovarian malignancies. (C) 1998 Elsev
ier Science Ltd. All rights reserved.