PMID- 25060325 OWN - NLM STAT- MEDLINE DCOM- 20141117 LR - 20211021 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 105 IP - 9 DP - 2014 Sep TI - Combined evaluation of hexokinase 2 and phosphorylated pyruvate dehydrogenase-E1alpha in invasive front lesions of colorectal tumors predicts cancer metabolism and patient prognosis. PG - 1100-8 LID - 10.1111/cas.12487 [doi] AB - Although numerous studies have shown the significance of cancer-specific aerobic glycolysis, how glycolysis contributes to tumor invasion, a critical phenomenon in metastasis, remains unclear. With regard to colorectal cancer (CRC), we studied two critical gate enzymes, hexokinase 2 (HK2), which is involved in glycolysis, and phosphorylated pyruvate dehydrogenase-E1alpha (p-PDH), which is involved in oxidative phosphorylation (OxPhos). Immunohistochemical analyses using anti-HK2 and p-PDH antibodies were performed on surgically resected CRC samples (n = 104), and the expression in invasive front lesions of tumors was assessed. Positive HK2 expression correlated with extensive tumor diameter (P = 0.0460), advanced tumor depth (P = 0.0395), and presence of lymph node metastasis (P = 0.0409). Expression of p-PDH tended to be higher in right-sided CRCs than in left-sided CRCs (P = 0.0883). In survival analysis, the combined evaluation of positive HK2 and negative p-PDH was associated with reduced recurrence-free survival (RFS) (P = 0.0169 in all stages and P = 0.0238 in Stage II and III patients, respectively). This evaluation could predict RFS more precisely than the independent evaluation. The present study indicated that high HK2 expression combined with low p-PDH expression in the invasive front lesions of CRC tumors is predictive of tumor aggressiveness and survival of CRC cases. CI - (c) 2014 The Authors. Cancer Science published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Cancer Association. FAU - Hamabe, Atsushi AU - Hamabe A AD - Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan. FAU - Yamamoto, Hirofumi AU - Yamamoto H FAU - Konno, Masamitsu AU - Konno M FAU - Uemura, Mamoru AU - Uemura M FAU - Nishimura, Junichi AU - Nishimura J FAU - Hata, Taishi AU - Hata T FAU - Takemasa, Ichiro AU - Takemasa I FAU - Mizushima, Tsunekazu AU - Mizushima T FAU - Nishida, Naohiro AU - Nishida N FAU - Kawamoto, Koichi AU - Kawamoto K FAU - Koseki, Jun AU - Koseki J FAU - Doki, Yuichiro AU - Doki Y FAU - Mori, Masaki AU - Mori M FAU - Ishii, Hideshi AU - Ishii H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140916 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Phosphoproteins) RN - EC 1.2.4.1 (Pyruvate Dehydrogenase (Lipoamide)) RN - EC 1.2.4.1 (pyruvate dehydrogenase E1alpha subunit) RN - EC 2.7.1.1 (Hexokinase) SB - IM MH - Adenocarcinoma/*enzymology/mortality/pathology MH - Aged MH - Cell Line, Tumor MH - Colorectal Neoplasms/*enzymology/mortality/pathology MH - Disease-Free Survival MH - Female MH - Hexokinase/*metabolism MH - Humans MH - Intestinal Mucosa/enzymology/pathology MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Invasiveness MH - Neoplasm Recurrence, Local/*enzymology MH - Phosphoproteins/metabolism MH - Protein Processing, Post-Translational MH - Pyruvate Dehydrogenase (Lipoamide)/*metabolism PMC - PMC4462394 OTO - NOTNLM OT - Colorectal cancer OT - hexokinase OT - invasion OT - metastasis OT - pyruvate dehydrogenase EDAT- 2014/07/26 06:00 MHDA- 2014/11/18 06:00 PMCR- 2014/09/01 CRDT- 2014/07/26 06:00 PHST- 2014/03/10 00:00 [received] PHST- 2014/06/22 00:00 [revised] PHST- 2014/07/04 00:00 [accepted] PHST- 2014/07/26 06:00 [entrez] PHST- 2014/07/26 06:00 [pubmed] PHST- 2014/11/18 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 10.1111/cas.12487 [doi] PST - ppublish SO - Cancer Sci. 2014 Sep;105(9):1100-8. doi: 10.1111/cas.12487. Epub 2014 Sep 16.