Malignant tumours often induce a fibroproliferative response in the adjacen
t stroma, characterized by increased expression of type I and type III proc
ollagens. In normal tissues, fibrillar collagens normally undergo extensive
intermolecular cross-linking that provides tensile strength to the tissue.
Here we set out to characterize collagen cross-linking in human ovarian ca
rcinoma tissue in vivo. Biochemical and immunochemical methods were used fo
r cross-linked telopeptides of type I and III collagens in samples of benig
n and malignant serous tumours. The locations and staining patterns of thes
e proteins were visualized immunohistochemically. The contents of both tota
l collagen and the cross-linked type I and type III collagens in the malign
ant samples were only about 20% of those in the benign tumours. The crossli
nked telopeptide antigens derived from the collagens were smaller and more
heterogeneous in size in the malignant than in the benign tumours, indicati
ng a defective cross-linking process scarcely leading to the formation of m
ature cross-links in the collagen fibres in malignancy. Immunostaining reve
aled disorganized type I and type III collagen bundles in carcinomas. These
findings suggest that the collagen cross-linking process is aberrant in ma
lignant tumours, possibly resulting in increased susceptibility of tumour c
ollagens for the proteolysis often associated with tumour invasion. (C)1999
Cancer Research Campaign.