PMID- 38414613 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240229 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 12 IP - 5 DP - 2024 Feb 16 TI - Value of glucose transport protein 1 expression in detecting lymph node metastasis in patients with colorectal cancer. PG - 931-941 LID - 10.12998/wjcc.v12.i5.931 [doi] AB - BACKGROUND: There are limited data on the use of glucose transport protein 1 (GLUT-1) expression as a biomarker for predicting lymph node metastasis in patients with colorectal cancer. GLUT-1 and GLUT-3, hexokinase (HK)-II, and hypoxia-induced factor (HIF)-1 expressions may be useful biomarkers for detecting primary tumors and lymph node metastasis when combined with fluorodeoxyglucose (FDG) uptake on positron emission tomography/computed tomography (PET/CT). AIM: To evaluate GLUT-1, GLUT-3, HK-II, and HIF-1 expressions as biomarkers for detecting primary tumors and lymph node metastasis with 18F-FDG-PET/CT. METHODS: This retrospective study included 169 patients with colorectal cancer who underwent colectomy and preoperative 18F-FDG-PET/CT at Chungbuk National University Hospital between January 2009 and May 2012. Two tissue cores from the central and peripheral areas of the tumors were obtained and were examined by a dedicated pathologist, and the expressions of GLUT-1, GLUT-3, HK-II, and HIF-1 were determined using immunohistochemical staining. We analyzed the correlations among their expressions, various clinicopathological factors, and the maximum standardized uptake value (SUVmax) of PET/CT. RESULTS: GLUT-1 was found at the center or periphery of the tumors in 109 (64.5%) of the 169 patients. GLUT-1 positivity was significantly correlated with the SUVmax of the primary tumor and lymph nodes, regardless of the biopsy site (tumor center, P < 0.001 and P = 0.012; tumor periphery, P = 0.030 and P = 0.010, respectively). GLUT-1 positivity and negativity were associated with higher and lower sensitivities of PET/CT, respectively, for the detection of lymph node metastasis, regardless of the biopsy site. GLUT3, HK-II, and HIF-1 expressions were not significantly correlated with the SUVmax of the primary tumor and lymph nodes. CONCLUSION: GLUT-1 expression was significantly correlated with the SUVmax of 18F-FDG-PET/CT for primary tumors and lymph nodes. Clinicians should consider GLUT-1 expression in preoperative endoscopic biopsy in interpreting PET/CT findings. CI - (c)The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Kim, Hongsik AU - Kim H AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju 28644, South Korea. FAU - Choi, Song-Yi AU - Choi SY AD - Department of Pathology, Chungnam National University College of Medicine, Daejeon 35015, South Korea. FAU - Heo, Tae-Young AU - Heo TY AD - Information and Statistics, Chungbuk National University, Cheongju 28644, South Korea. FAU - Kim, Kyeong-Rok AU - Kim KR AD - Information and Statistics, Chungbuk National University, Cheongju 28644, South Korea. FAU - Lee, Jisun AU - Lee J AD - Department of Radiology, College of Medicine, Chungbuk National University, Chungbuk National University Hospital, Cheongju-si 28644, South Korea. FAU - Yoo, Min Young AU - Yoo MY AD - Department of Nuclear Medicine, School of Medicine, Inha University, Incheon 22332, South Korea. FAU - Lee, Taek-Gu AU - Lee TG AD - Department of Surgery, Chungbuk National University, College of Medicine, Cheongju-si 28644, South Korea. FAU - Han, Joung-Ho AU - Han JH AD - Department of Internal Medicen, Chungbuk National University, College of medicine, Cheongju-si 28644, South Korea. joungho@chungbuk.ac.kr. LA - eng PT - Journal Article PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC10895641 OTO - NOTNLM OT - 18F-FDG-PET-CT OT - Biomarker OT - Colorectal neoplasms OT - Glucose transporter type 1 OT - Lymph node COIS- Conflict-of-interest statement: The authors have no conflict of interest to declare regarding the publication of this work. EDAT- 2024/02/28 06:45 MHDA- 2024/02/28 06:46 PMCR- 2024/02/16 CRDT- 2024/02/28 03:47 PHST- 2023/11/09 00:00 [received] PHST- 2024/01/04 00:00 [revised] PHST- 2024/01/22 00:00 [accepted] PHST- 2024/02/28 06:46 [medline] PHST- 2024/02/28 06:45 [pubmed] PHST- 2024/02/28 03:47 [entrez] PHST- 2024/02/16 00:00 [pmc-release] AID - 10.12998/wjcc.v12.i5.931 [doi] PST - ppublish SO - World J Clin Cases. 2024 Feb 16;12(5):931-941. doi: 10.12998/wjcc.v12.i5.931.