PMID- 37878531 OWN - NLM STAT- MEDLINE DCOM- 20240130 LR - 20240206 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 115 IP - 1 DP - 2024 Jan TI - Impact of TP53-induced glycolysis and apoptosis regulator on malignant activity and resistance to ferroptosis in intrahepatic cholangiocarcinoma. PG - 170-183 LID - 10.1111/cas.15981 [doi] AB - TP53-induced glycolysis and apoptosis regulator (TIGAR) is an important gene that encodes a regulatory enzyme of glycolysis and reactive oxygen species (ROS) detoxification and is associated with worse prognosis in various cancers. Ferroptosis is a recently identified type of programmed cell death that is triggered by iron-dependent lipid peroxidation. There are no reports on the prognostic impact of TIGAR on intrahepatic cholangiocarcinoma (ICC), and its role in ferroptosis is unclear. Ninety ICC patients who had undergone hepatic resection were enrolled. Immunohistochemical staining for TIGAR was performed. The regulation of malignant activity by TIGAR and the association between ferroptosis and TIGAR were investigated in vitro. Twenty-two (24.4%) patients were categorized into TIGAR-high and -low groups by immunohistochemical staining. There were no noticeable differences in background factors between the two groups, but TIGAR positivity was an independent prognostic factor in disease-free survival (hazard ratio [HR], 2.00; 95% confidence interval [CI], 1.04-3.85, p = 0.0378) and overall survival (HR, 2.10; 95% CI, 1.03-4.30, p = 0.00422) in a multivariate analysis. In vitro, TIGAR knockdown (KD) decreased cell motility (cell proliferation/migration/invasion/colony-forming capabilities) and elevated ROS and lipid peroxidation. This indicated that TIGAR KD induced ferroptosis. TIGAR KD-induced ferroptosis was suppressed using liproxstatin. TIGAR KD decreased the expression of glutathione peroxidase 4, known as factor-suppressing ferroptosis. The combination of TIGAR KD with cisplatin significantly induced more ferroptosis. In conclusion, TIGAR is associated with poor outcomes in ICC patients and resistance to ferroptosis. CI - (c) 2023 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Toshida, Katsuya AU - Toshida K AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Itoh, Shinji AU - Itoh S AUID- ORCID: 0000-0003-0382-2520 AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Iseda, Norifumi AU - Iseda N AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Izumi, Takuma AU - Izumi T AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Yoshiya, Shohei AU - Yoshiya S AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Toshima, Takeo AU - Toshima T AUID- ORCID: 0000-0003-4019-8288 AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Ninomiya, Mizuki AU - Ninomiya M AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Iwasaki, Takeshi AU - Iwasaki T AD - Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Oda, Yoshinao AU - Oda Y AUID- ORCID: 0000-0001-9636-1182 AD - Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Yoshizumi, Tomoharu AU - Yoshizumi T AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. LA - eng GR - JP-19K09198/Japan Society for the Promotion of Science/ GR - JP-23K08133/Japan Society for the Promotion of Science/ GR - the Kobayashi Foundation for Cancer Research/ GR - the Takeda Science Foundation/ PT - Journal Article DEP - 20231025 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Reactive Oxygen Species) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - EC 3.1.3.2 (Phosphoric Monoester Hydrolases) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Humans MH - Reactive Oxygen Species/metabolism MH - Intracellular Signaling Peptides and Proteins/metabolism MH - *Ferroptosis MH - Phosphoric Monoester Hydrolases MH - Apoptosis Regulatory Proteins/genetics MH - Apoptosis/genetics MH - Glycolysis/genetics MH - *Cholangiocarcinoma/genetics MH - Tumor Suppressor Protein p53/metabolism PMC - PMC10823267 OTO - NOTNLM OT - TP53-induced glycolysis and apoptosis regulator OT - cisplatin OT - ferroptosis OT - intrahepatic cholangiocarcinoma COIS- Y.O. is an Editorial Board Member of Cancer Science. The other authors have no conflict of interest. EDAT- 2023/10/25 18:42 MHDA- 2024/01/30 12:42 PMCR- 2023/10/25 CRDT- 2023/10/25 13:13 PHST- 2023/09/12 00:00 [revised] PHST- 2023/07/13 00:00 [received] PHST- 2023/09/15 00:00 [accepted] PHST- 2024/01/30 12:42 [medline] PHST- 2023/10/25 18:42 [pubmed] PHST- 2023/10/25 13:13 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - CAS15981 [pii] AID - 10.1111/cas.15981 [doi] PST - ppublish SO - Cancer Sci. 2024 Jan;115(1):170-183. doi: 10.1111/cas.15981. Epub 2023 Oct 25.