Background. The levels and activity of topoisomerase I were determined
in 35 biopsies from patients with ovarian cancer. Patients and method
s: The activity was defined by the ability to relax supercoiled DNA pl
asmid, and levels were determined by Western blotting and immunohistoc
hemistry. Results. We detected topoisomerase I activity in all samples
, although at different levels. Enzymatic activity was the same in fre
sh and frozen tissues. Western blotting analysis detected topoisomeras
e I in 29 of 35 tumor samples but in the remaining six the levels were
below the detection limit. We analyzed the distribution of topoisomer
ase I in tumor cells and normal infiltrating cells by immunohistochemi
stry. The enzyme was mainly associated with tumor cells although there
were four samples in which tumor cells were negative but ill which no
rmal cells, mainly lymphocytes, yielded a positive result. Conclusions
: The results indicate that topoisomerase I enzymatic activity is dete
ctable in human ovarian tumors, varying among patients. No correlation
s were found between the levels of the enzyme and its activity Because
of the high heterogeneity observed, enzymatic activity assays should
be combined with immunohistochemical evaluation of Topo I in the tumor
and normal cells present in the tissue.