PMID- 17876052 OWN - NLM STAT- MEDLINE DCOM- 20071127 LR - 20200930 IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 6 IP - 9 DP - 2007 Sep TI - Apoptosis-inducing antitumor efficacy of hexokinase II inhibitor in hepatocellular carcinoma. PG - 2554-62 AB - Hypoxia stimulates hepatocellular carcinoma (HCC) cell growth via hexokinase (HK) II induction, and alternatively, HK II inhibition induces apoptosis by activating mitochondrial signaling. This study was to investigate whether the induction of HK II by hypoxia is associated with enhanced mitochondrial stability and to confirm the apoptosis-inducing efficacy of HK II inhibitor in an in vivo model of HCC. Mitochondrial stability was examined by treating isolated mitochondria with deoxycholate, a permeability-enhancing agent. Alteration of permeability transition pore complex composition was analyzed by immunoprecipitation and immunoblotting. An in vivo model of HCC was established in C3H mice i.d. implanted with MH134 cells. The antitumor efficacy of i.p. given 3-bromopyruvate (3-BrPA), a HK II inhibitor, was evaluated by measuring tumor volumes and quantifying apoptosis using terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling staining and (99m)Tc-hydrazinonicotinamide-Annexin V scans. Hypoxia enhanced mitochondrial stability, and this was inhibited by 3-BrPA treatment. In particular, HK II levels in permeability transition pore complex immunoprecipitates were reduced after 3-BrPA treatment. In mice treated with 3-BrPA, mean tumor volumes and tumor volume growth were found to be significantly reduced. Moreover, percentages of terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling-positive cells were significantly increased in 3-BrPA-treated mice, and this apoptosis-inducing efficacy was reflected in vivo by (99m)Tc-hydrazinonicotinamide-Annexin V imaging. Our results show that hypoxia enhances mitochondrial stability via HK II induction and that HK II inhibitor treatment exhibits an in vivo antitumor effect by inducing apoptosis. Therefore, HK II inhibitors may be therapeutically useful for the treatment of advanced infiltrative hypovascular HCCs, which are growing in a hypoxic environment. FAU - Kim, Won AU - Kim W AD - Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea. FAU - Yoon, Jung-Hwan AU - Yoon JH FAU - Jeong, Jae-Min AU - Jeong JM FAU - Cheon, Gi-Jeong AU - Cheon GJ FAU - Lee, Tae-Sup AU - Lee TS FAU - Yang, Jong-In AU - Yang JI FAU - Park, Su-Cheol AU - Park SC FAU - Lee, Hyo-Suk AU - Lee HS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Annexin A5) RN - 0 (Azirines) RN - 0 (Enzyme Inhibitors) RN - 0 (Phosphatidylcholines) RN - 0 (Pyruvate Dehydrogenase Complex) RN - 0 (Pyruvates) RN - 63JMV04GRK (bromopyruvate) RN - 86013-84-5 (1-palmitoyl-2-(10-(4-((trifluoromethyl)diazirinyl)phenyl)-8-oxadecanoyl)-sn-glycero-3-phosphocholine) RN - EC 2.7.1.1 (Hexokinase) SB - IM MH - Animals MH - Annexin A5/metabolism MH - Apoptosis/*drug effects MH - Azirines MH - Carcinoma, Hepatocellular/*drug therapy/enzymology/metabolism MH - Enzyme Inhibitors/pharmacokinetics/*pharmacology MH - Flow Cytometry MH - Hexokinase/*antagonists & inhibitors/metabolism MH - Humans MH - Hypoxia MH - Immunoblotting MH - Immunoprecipitation MH - Liver Neoplasms, Experimental/*drug therapy/enzymology/metabolism MH - Male MH - Mice MH - Mice, Inbred C3H MH - Mitochondria/drug effects/metabolism MH - Phosphatidylcholines MH - Pyruvate Dehydrogenase Complex/antagonists & inhibitors MH - Pyruvates/pharmacokinetics/*pharmacology MH - Tissue Distribution MH - Tumor Cells, Cultured EDAT- 2007/09/19 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/09/19 09:00 PHST- 2007/09/19 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/09/19 09:00 [entrez] AID - 6/9/2554 [pii] AID - 10.1158/1535-7163.MCT-07-0115 [doi] PST - ppublish SO - Mol Cancer Ther. 2007 Sep;6(9):2554-62. doi: 10.1158/1535-7163.MCT-07-0115.