PMID- 25590838 OWN - NLM STAT- MEDLINE DCOM- 20150410 LR - 20220316 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 94 IP - 2 DP - 2015 Jan TI - A metabolic phenotype based on mitochondrial ribosomal protein expression as a predictor of lymph node metastasis in papillary thyroid carcinoma. PG - e380 LID - 10.1097/MD.0000000000000380 [doi] LID - e380 AB - Metabolic reprogramming has been regarded as an essential component of malignant transformation. However, the clinical significance of metabolic heterogeneity remains poorly characterized. The aim of this study was to characterize metabolic heterogeneity in thyroid cancers via the analysis of the expression of mitochondrial ribosomal proteins (MRPs) and genes involved in oxidative phosphorylation (OxPhos), and investigate potential prognostic correlations. Gene set enrichment analysis (GSEA) verified by reverse transcription polymerase chain reaction and gene network analysis was performed using public repository data. Cross-sectional observational study was conducted to classify papillary thyroid cancer (PTC) by the expression of MRP L44 (MRPL44) messenger RNA (mRNA), and to investigate the clinicopathological features. GSEA clearly showed that the expression of OxPhos and MRP gene sets was significantly lower in primary thyroid cancer than in matched normal thyroid tissue. However, 8 of 49 primary thyroid tumors (16.3%) in the public repository did not show a reduction in OxPhos mRNA expression. Remarkably, strong positive correlations between MRPL44 expression and those of OxPhos and MRPs such as reduced nicotinamide adenine dinucleotide dehydrogenase (ubiquinone) 1 alpha subcomplex, 5; succinate dehydrogenase complex, subunit D; cytochrome c, somatic; adenosine triphosphate synthase, H+ transporting, mitochondrial Fo complex, subunit C1 (subunit 9); and MRP S5 (MRPS5) (P < 0.0001) were clearly denoted, suggesting that MRPL44 is a representative marker of OxPhos and MRP expressions. In laboratory experiments, metabolic heterogeneity in oxygen consumption, extracellular acidification rates (ECARs), and amounts of OxPhos complexes were consistently observed in BCPAP, TPC1, HTH-7, and XTC.UC1 cell lines. In PTCs, metabolic phenotype according to OxPhos amount defined by expression of MRPL44 mRNA was significantly related to lymph node metastasis (LNM) (P < 0.001). Furthermore, multivariate analysis clearly indicated that expression of MRPL44 is associated with an increased risk of lateral neck LNM (odds ratio 9.267, 95% confidence interval 1.852-46.371, P = 0.007). MRPL44 expression may be a representative marker of metabolic phenotype according to OxPhos amount and a useful predictor of LNM. FAU - Lee, Jandee AU - Lee J AD - From the Department of Surgery (JL, M-YS, CRL, S-WK, JJJ, K-HN, WYC); and the Department of Internal Medicine (SJ, CRK, DYS, EJL, YSJ), Severance Hospital, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea. FAU - Seol, Mi-Youn AU - Seol MY FAU - Jeong, Seonhyang AU - Jeong S FAU - Lee, Cho Rok AU - Lee CR FAU - Ku, Cheol Ryong AU - Ku CR FAU - Kang, Sang-Wook AU - Kang SW FAU - Jeong, Jong Ju AU - Jeong JJ FAU - Shin, Dong Yeob AU - Shin DY FAU - Nam, Kee-Hyun AU - Nam KH FAU - Lee, Eun Jig AU - Lee EJ FAU - Chung, Woong Youn AU - Chung WY FAU - Jo, Young Suk AU - Jo YS LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Biomarkers, Tumor) RN - 0 (Mitochondrial Proteins) RN - 0 (RNA, Messenger) RN - 0 (Ribosomal Proteins) RN - 0 (mitochondrial ribosomal protein L44, human) SB - IM EIN - Medicine (Baltimore). 2015 Feb;94(8):1 EIN - Medicine (Baltimore). 2015 Feb;94(8):1. PMID: 25803366 MH - Biomarkers, Tumor/genetics MH - *Carcinoma/genetics/metabolism/pathology MH - Carcinoma, Papillary MH - Cell Transformation, Neoplastic/*genetics MH - Cellular Reprogramming MH - Confidence Intervals MH - Cross-Sectional Studies MH - Female MH - Gene Expression Profiling MH - Humans MH - Lymph Nodes/*pathology MH - *Lymphatic Metastasis/diagnosis/genetics MH - Male MH - Middle Aged MH - Mitochondrial Proteins/*genetics MH - Multivariate Analysis MH - Neck MH - *Oxidative Phosphorylation MH - Prognosis MH - RNA, Messenger MH - Republic of Korea MH - Ribosomal Proteins/*genetics MH - Thyroid Cancer, Papillary MH - *Thyroid Neoplasms/genetics/metabolism/pathology PMC - PMC4602546 COIS- The authors have no conflicts of interest to disclose. EDAT- 2015/01/16 06:00 MHDA- 2015/04/11 06:00 PMCR- 2015/01/16 CRDT- 2015/01/16 06:00 PHST- 2015/01/16 06:00 [entrez] PHST- 2015/01/16 06:00 [pubmed] PHST- 2015/04/11 06:00 [medline] PHST- 2015/01/16 00:00 [pmc-release] AID - 00005792-201501020-00008 [pii] AID - 10.1097/MD.0000000000000380 [doi] PST - ppublish SO - Medicine (Baltimore). 2015 Jan;94(2):e380. doi: 10.1097/MD.0000000000000380.