PMID- 30344747 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 16 IP - 5 DP - 2018 Nov TI - Iodine-125 interstitial brachytherapy reduces tumor growth via Warburg effect inhibition in non-small cell lung cancer A549 xenografts. PG - 5969-5977 LID - 10.3892/ol.2018.9346 [doi] AB - Iodine-125 interstitial brachytherapy (125I-IBT) is an alternative and effective treatment option for unresectable non-small cell lung cancer (NSCLC), and the Warburg effect is a determinant of tumor growth. The present study aimed to explore the influence of 125I-IBT on tumor growth and the Warburg effect, and the potential mechanisms underlying NSCLC progression. Mice with A549 cell xenografts were evenly divided into a control group without 125I-IBT, and three treatment groups receiving 125I-IBT with 20, 40 and 60 Gy. Tumor volume (TV), maximum standardized uptake value (SUVmax) determined by 18F-fluorodeoxyglucose (18F-FDG) micro-positron emission tomography/computed tomography and mean optical density (MOD) of mammalian target of rapamycin (mTOR), c-Myc, hypoxia inducible factor-1alpha (HIF-1alpha) and glucose transporter 1 (GLUT1) staining were compared among groups. Tumor inhibition rate (TIR), 18F-FDG uptake attenuation rate (FUAR) and expression suppression rate (ESR) were also calculated on day 14 and 28. The results demonstrated that the mean TV in the 60 and 40 Gy groups was smaller compared with the control TVs since days 14 and 16, respectively. The mean SUVmax value of the 60 Gy group at day 14, and all treatment group SUVmax values at day 28 were lower compared with the controls. In addition, the MOD of mTOR and GLUT1 was lower in the 60 Gy group, compared with the other groups, and c-Myc and HIF-1alpha values were lower in the 40 and 60 Gy groups, compared with the control and 20 Gy group (P<0.05). SUVmax positively correlated to TV (day 14, r=0.711; day 28, r=0.586) and the MOD of c-Myc and GLUT1 (r=0.621 and 0.546, respectively; P<0.01). Furthermore, dose dependent increases were observed for TIR, FUAR and ESR. In conclusion, 125I-IBT reduced tumor growth by inhibiting the Warburg effect, which may have resulted from downregulation of mTOR, c-Myc, HIF-1alpha and GLUT1 expression, particularly c-Myc and GLUT1, in NSCLC A549 xenografts. FAU - Zhang, Jun AU - Zhang J AD - Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. FAU - Zhu, Yangjun AU - Zhu Y AD - Department of Ultrasonography, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. FAU - Dong, Mengjie AU - Dong M AD - Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. FAU - Yang, Jun AU - Yang J AD - Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. FAU - Weng, Wanwen AU - Weng W AD - Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. FAU - Teng, Lisong AU - Teng L AD - Department of Surgical Oncology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. AD - Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China. LA - eng PT - Journal Article DEP - 20180821 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC6176348 OTO - NOTNLM OT - 18F-fluorodeoxyglucose OT - Warburg effect OT - brachytherapy OT - iodine-125 seed OT - micro-PET/CT OT - non-small cell lung cancer EDAT- 2018/10/23 06:00 MHDA- 2018/10/23 06:01 PMCR- 2018/08/21 CRDT- 2018/10/23 06:00 PHST- 2018/03/26 00:00 [received] PHST- 2018/08/10 00:00 [accepted] PHST- 2018/10/23 06:00 [entrez] PHST- 2018/10/23 06:00 [pubmed] PHST- 2018/10/23 06:01 [medline] PHST- 2018/08/21 00:00 [pmc-release] AID - OL-0-0-9346 [pii] AID - 10.3892/ol.2018.9346 [doi] PST - ppublish SO - Oncol Lett. 2018 Nov;16(5):5969-5977. doi: 10.3892/ol.2018.9346. Epub 2018 Aug 21.