Hyaluronic acid (HA) is a component of the extracellular matrix (ECM) that
exists as a high molecular weight polymer composed of alternating disacchar
ides, D-glucuronic acid and N-acetyl D-glucosamine. The interaction of hyal
uronidase with HA results in the disruption of basement membrane integrity
and produces an angiogenic response that has been implicated in tumor invas
iveness and metastasis. Although hyaluronidase is present in several neopla
sms, levels of hyaluronidase expression in breast cancer are not known. Thi
s investigation defines the correlation of elevated levels of hyaluronidase
with breast adenocarcinoma invasiveness. Utilizing RT-PCR, RNA was extract
ed from paraffin embedded tissues (n=6) of patients diagnosed with fibrocys
tic breast changes, ductal carcinoma in situ (DCIS), and invasive adenocarc
inoma. After constructing cDNA primers for base pairs 504 and 759 of the PH
-20 gene (which is homologous to the hyaluronidase gene), PCR was performed
and the products were visualized with ethidium bromide using gel electroph
oresis. Invasive breast adenocarcinoma had a significantly higher level of
hyaluronidase expression compared to other breast tissue samples; (32+/-15
vs. 8+/-3; p<0.03). Elevated levels of hyaluronidase correlated with invasi
ve breast adenocarcinoma. Our data suggests that elevated levels of hyaluro
nidase are associated with breast adenocarcinoma invasive potential. Hyalur
onidase may play an integral role in breast cancer invasion and metastasis.