PMID- 25306097 OWN - NLM STAT- MEDLINE DCOM- 20150528 LR - 20220310 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 14 DP - 2014 Oct 12 TI - GLUT-1 expression is largely unrelated to both hypoxia and the Warburg phenotype in squamous cell carcinomas of the vulva. PG - 760 LID - 10.1186/1471-2407-14-760 [doi] LID - 760 AB - BACKGROUND: Strongly increased uptake of glucose is a hallmark of solid malignant tumors. This phenotype can be triggered by hypoxia-induced gene expression changes or can occur independently of hypoxia as a consequence of malignant transformation itself, and is often referred to as the Warburg effect. The glycolytic phenotype has been associated with malignant progression and resistance to radio- and chemotherapy. METHODS: We have chosen squamous cell carcinomas of the vulva (SCC-V) as a representative solid tumor entity to study the central players of this pathway, namely glucose transporter (GLUT)-1, carbonic anhydrase (CA) IX, hexokinase (HK)-2 and pyruvate kinase (PK)-M2, and have investigated their relationships to tumor microvessels (CD34, alphaSMA) and proliferation (Ki67). Expression of these proteins was analyzed in 38 SCC-Vs, 5 vulvar dysplasias and 10 non-neoplastic squamous epithelia of the vulva using multiparametric immunohistochemistry in registered serial sections (MIRSS). RESULTS: Expression of GLUT-1 in invasive carcinomas was predominantly located in the outer layers of the tumor cell aggregates close to the vascularized tumor stroma, and only to a lesser extent colocalized with CA IX, which was repeatedly found at larger diffusion distances away from microvessels. CA IX expression was lower in invasive carcinomas compared to dysplasias and non-neoplastic tissue and higher in recurrent vs. primary tumors. Ki67-positive proliferating cells were partially colocalized with GLUT-1. However, HK-2 and PK-2--proteins centrally involved in the Warburg phenotype--did not show such a correlation. CONCLUSIONS: Consistent with prior studies, the pattern of GLUT-1 clearly indicated that a large part of its expression is presumably unrelated to hypoxia. However, there was also no association with HK-2 and PK-M2, suggesting that the functional background of this expression is also independent of aerobic glycolysis. CA IX may be worth consideration as a marker of biological hypoxia, as should its pathophysiological consequences in SCC-V. FAU - Mayer, Arnulf AU - Mayer A AD - Department of Radiooncology and Radiotherapy, University Medical Center, Langenbeckstrasse 1, 55131 Mainz, Germany. arnmayer@uni-mainz.de. FAU - Schmidt, Marcus AU - Schmidt M FAU - Seeger, Alexander AU - Seeger A FAU - Serras, Andre Franke AU - Serras AF FAU - Vaupel, Peter AU - Vaupel P FAU - Schmidberger, Heinz AU - Schmidberger H LA - eng PT - Journal Article DEP - 20141012 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Antigens, Neoplasm) RN - 0 (Biomarkers) RN - 0 (Glucose Transporter Type 1) RN - EC 4.2.1.1 (CA9 protein, human) RN - EC 4.2.1.1 (Carbonic Anhydrase IX) RN - EC 4.2.1.1 (Carbonic Anhydrases) SB - IM MH - Antigens, Neoplasm/genetics/metabolism MH - Biomarkers MH - Carbonic Anhydrase IX MH - Carbonic Anhydrases/genetics/metabolism MH - Carcinoma, Squamous Cell/*metabolism/pathology MH - Female MH - Gene Expression MH - Glucose Transporter Type 1/genetics/*metabolism MH - Humans MH - Hypoxia/genetics/*metabolism MH - Microvessels MH - Neoplasm Recurrence, Local MH - *Phenotype MH - Vulvar Neoplasms/*metabolism/pathology PMC - PMC4210616 EDAT- 2014/10/13 06:00 MHDA- 2015/05/29 06:00 PMCR- 2014/10/12 CRDT- 2014/10/13 06:00 PHST- 2014/03/06 00:00 [received] PHST- 2014/10/02 00:00 [accepted] PHST- 2014/10/13 06:00 [entrez] PHST- 2014/10/13 06:00 [pubmed] PHST- 2015/05/29 06:00 [medline] PHST- 2014/10/12 00:00 [pmc-release] AID - 1471-2407-14-760 [pii] AID - 4944 [pii] AID - 10.1186/1471-2407-14-760 [doi] PST - epublish SO - BMC Cancer. 2014 Oct 12;14:760. doi: 10.1186/1471-2407-14-760.