PMID- 32953737 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 8 IP - 15 DP - 2020 Aug TI - Pyrroline-5-carboxylate reductase 1 (PYCR1) upregulation contributes to gastric cancer progression and indicates poor survival outcome. PG - 937 LID - 10.21037/atm-19-4402 [doi] LID - 937 AB - BACKGROUND: Proline levels are significantly increased in tumor specimens and urine samples from gastric cancer (GC) patients, and we previously showed that intracellular proline levels significantly differ between human GC cell lines and normal gastric epithelial cells. Pyrroline-5-carboxylate reductase 1 (PYCR1) is the key enzyme in intracellular proline synthesis, but its role in GC remains largely unknown. METHODS: Bioinformatic analysis and immunohistochemical (IHC) staining with a tissue microarray were conducted to assess the association between PYCR1 expression and clinical parameters. PYCR1 downregulation and overexpression were then established in two GC cell lines (AGS and MKN28 cells) to determine whether PYCR1 promotes malignant behavior in GC. Gene set enrichment analysis (GSEA) was further performed to investigate the pathway regulating PYCR1 in GC. RESULTS: PYCR1 expression was up-regulated in different GC cohorts. High PYCR1 protein expression was correlated with advanced tumor stage, aggressive histological type and high Ki-67 index. High PYCR1 expression in GC tissues was an indicator of poor outcome in GC patients. In vitro, PYCR1 knockdown markedly attenuated GC cells growth and promoted apoptosis, while overexpression produced the opposite effects. GSEA analysis indicated PI3K/Akt axis was strongly correlated with PYCR1 expression and that PIK3CB and AKT1 mRNA expression was positively associated with PYCR1 in GC tissues. PI3K inhibition further significantly reduced PYCR1 mRNA and protein expression. Moreover, as PYCR1 is a mitochondrial endomembrane protein, nutrient stress induced by glucose deprivation also regulated PYCR1 expression. CONCLUSIONS: PYCR1 is highly expressed in GC and acts as a mitochondrial oncogene to induce cancer progression by enhancing tumor proliferation and responding to metabolic stress. PYCR1 is a novel prognostic marker and a potential therapeutic target in GC. CI - 2020 Annals of Translational Medicine. All rights reserved. FAU - Xiao, Shiyu AU - Xiao S AD - Department of Gastroenterology, Peking University Third Hospital, Beijing, China. AD - Beijing Key Laboratory of Helicobacter pylori Infection and Upper Gastrointestinal Diseases, Peking University Third Hospital, Beijing, China. FAU - Li, Sizhu AU - Li S AD - Department of Gastroenterology, Peking University Third Hospital, Beijing, China. AD - Beijing Key Laboratory of Helicobacter pylori Infection and Upper Gastrointestinal Diseases, Peking University Third Hospital, Beijing, China. FAU - Yuan, Ziying AU - Yuan Z AD - Department of Gastroenterology, Peking University Third Hospital, Beijing, China. AD - Beijing Key Laboratory of Helicobacter pylori Infection and Upper Gastrointestinal Diseases, Peking University Third Hospital, Beijing, China. FAU - Zhou, Liya AU - Zhou L AD - Department of Gastroenterology, Peking University Third Hospital, Beijing, China. AD - Beijing Key Laboratory of Helicobacter pylori Infection and Upper Gastrointestinal Diseases, Peking University Third Hospital, Beijing, China. LA - eng PT - Journal Article PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC7475402 OTO - NOTNLM OT - Gastric cancer (GC) OT - PI3K/Akt OT - Pyrroline-5-carboxylate reductase 1 (PYCR1) OT - metabolic stress OT - proline metabolism COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-19-4402). The authors have no conflicts of interest to declare. EDAT- 2020/09/22 06:00 MHDA- 2020/09/22 06:01 PMCR- 2020/08/01 CRDT- 2020/09/21 06:17 PHST- 2020/09/21 06:17 [entrez] PHST- 2020/09/22 06:00 [pubmed] PHST- 2020/09/22 06:01 [medline] PHST- 2020/08/01 00:00 [pmc-release] AID - atm-08-15-937 [pii] AID - 10.21037/atm-19-4402 [doi] PST - ppublish SO - Ann Transl Med. 2020 Aug;8(15):937. doi: 10.21037/atm-19-4402.