Expression of the hypoxia-inducible monocarboxylate transporter MCT4 is increased in triple negative breast cancer and correlates independently with clinical …

J Doyen, C Trastour, F Ettore, I Peyrottes… - Biochemical and …, 2014 - Elsevier
J Doyen, C Trastour, F Ettore, I Peyrottes, N Toussant, J Gal, K Ilc, D Roux, SK Parks
Biochemical and biophysical research communications, 2014Elsevier
Background 18 Fluor-deoxy-glucose PET-scanning of glycolytic metabolism is being used
for staging in many tumors however its impact on prognosis has never been studied in
breast cancer. Methods Glycolytic and hypoxic markers: glucose transporter (GLUT1),
carbonic anhydrase IX (CAIX), monocarboxylate transporter 1 and 4 (MCT1, 4), MCT
accessory protein basigin and lactate-dehydrogenase A (LDH-A) were assessed by
immunohistochemistry in two cohorts of breast cancer comprising 643 node-negative and …
Background
18Fluor-deoxy-glucose PET-scanning of glycolytic metabolism is being used for staging in many tumors however its impact on prognosis has never been studied in breast cancer.
Methods
Glycolytic and hypoxic markers: glucose transporter (GLUT1), carbonic anhydrase IX (CAIX), monocarboxylate transporter 1 and 4 (MCT1, 4), MCT accessory protein basigin and lactate-dehydrogenase A (LDH-A) were assessed by immunohistochemistry in two cohorts of breast cancer comprising 643 node-negative and 127 triple negative breast cancers (TNBC) respectively.
Results
In the 643 node-negative breast tumor cohort with a median follow-up of 124 months, TNBC were the most glycolytic (≈70%), followed by Her-2 (≈50%) and RH-positive cancers (≈30%). Tumoral MCT4 staining (without stromal staining) was a strong independent prognostic factor for metastasis-free survival (HR = 0.47, P = 0.02) and overall-survival (HR = 0.38, P = 0.002). These results were confirmed in the independent cohort of 127 cancer patients.
Conclusion
Glycolytic markers are expressed in all breast tumors with highest expression occurring in TNBC. MCT4, the hypoxia-inducible lactate/H+ symporter demonstrated the strongest deleterious impact on survival. We propose that MCT4 serves as a new prognostic factor in node-negative breast cancer and can perhaps act soon as a theranostic factor considering the current pharmacological development of MCT4 inhibitors.
Elsevier
以上显示的是最相近的搜索结果。 查看全部搜索结果