Department of Nuclear Medicine, University Hospital Essen, Hufelandstr. 55, 45122, Essen, Germany.
Department of Clinical Chemistry, University Hospital Essen, Hufelandstr. 55, 45122, Essen, Germany.
J Transl Med. 2017 Jul 19;15(1):158. doi: 10.1186/s12967-017-1258-9.
Changes in glucose and energy metabolism contribute to the altered phenotype of cancer cells and are the basis for positron emission tomography with F-fluoro-2-deoxy-D-glucose (FDG) to visualize tumors in vivo. The molecular background of the enhanced glucose uptake and its regulation in lymphoma cells is not fully clarified and may provide new possibilities to reverse the altered metabolism. Thus in this study we investigated regulation of glucose uptake by different signaling pathways. Furthermore, the effect of the glucose analog 2-deoxy-D-glucose (2-DG) alone and in combination with other inhibitors on cell survival was studied.
An FDG uptake assay was established and uptake of FDG by lymphoma cells was determined after incubation with inhibitors of the c-MYC and the PI3K signalling pathways that are known to be activated in lymphoma cells and able to regulate glucose metabolism. Inhibitors of MAPK signalling pathways whose role in altered metabolism is still unclear were also investigated. Expression of mRNAs of the glucose transporter 1 (GLUT1), hexokinase 2 (HK2), glucose-6-phosphatase (G6Pase) and lactate dehydrogenase A (LDHA) and of the glucose metabolism-regulating micro RNAs (miRNA) miR21, -23a, -133a, -133b, -138-1 and -143 was determined by RT-PCR. Cell viability was analysed by MTT assay.
Treatment with the c-MYC inhibitor 10058-F4 and inhibitors of the PI3K/mTOR pathway diminished uptake of FDG in all three cell lines, while inhibition of MAPK pathways had no effect on glucose uptake. Expression of glycolysis-related genes and miRNAs were diminished, although to a variable degree in the three cell lines. The c-MYC inhibitor, the PI3K inhibitor LY294002, the mTOR inhibitor Rapamycin and 2-DG all diminished the number of viable cells. Interestingly, in combination with 2-DG, the c-MYC inhibitor, LY294002 and the p38 MAPK inhibitor SB203580 had synergistic effects on cell viability in all three cell lines.
c-MYC- and PI3K/mTOR-inhibitors decreased viability of the lymphoma cells and led to decreased glucose uptake, expression of glycolysis-associated genes, and glucose metabolism-regulating miRNAs. Inhibition of HK by 2-DG reduced cell numbers as a single agent and synergistically with inhibitors of other intracellular pathways. Thus, targeted inhibition of the pathways investigated here could be a strategy to suppress the glycolytic phenotype of lymphoma cells and reduce proliferation.
葡萄糖和能量代谢的变化导致癌细胞表型改变,这是正电子发射断层扫描用 F-氟-2-脱氧-D-葡萄糖(FDG)在体内可视化肿瘤的基础。淋巴瘤细胞中葡萄糖摄取的分子机制及其调节尚未完全阐明,这可能为逆转代谢改变提供新的可能性。因此,在这项研究中,我们研究了不同信号通路对葡萄糖摄取的调节。此外,还研究了葡萄糖类似物 2-脱氧-D-葡萄糖(2-DG)单独和与其他抑制剂联合使用对细胞存活的影响。
建立了 FDG 摄取测定法,并在孵育已知在淋巴瘤细胞中被激活且能够调节葡萄糖代谢的 c-MYC 和 PI3K 信号通路的抑制剂后,测定淋巴瘤细胞对 FDG 的摄取。还研究了 MAPK 信号通路抑制剂,其在代谢改变中的作用仍不清楚。
通过 RT-PCR 测定葡萄糖转运蛋白 1(GLUT1)、己糖激酶 2(HK2)、葡萄糖-6-磷酸酶(G6Pase)和乳酸脱氢酶 A(LDHA)的 mRNA 以及调节葡萄糖代谢的 micro RNA(miRNA)miR21、-23a、-133a、-133b、-138-1 和 -143 的表达。通过 MTT 测定法分析细胞活力。
用 c-MYC 抑制剂 10058-F4 和 PI3K/mTOR 通路抑制剂处理可减少三种细胞系中 FDG 的摄取,而 MAPK 通路的抑制则对葡萄糖摄取没有影响。尽管在三种细胞系中程度不同,但与糖酵解相关的基因和 miRNA 的表达均减少。c-MYC 抑制剂、PI3K 抑制剂 LY294002、mTOR 抑制剂 Rapamycin 和 2-DG 均减少了存活细胞的数量。有趣的是,与 2-DG 联合使用时,c-MYC 抑制剂、LY294002 和 p38 MAPK 抑制剂 SB203580 在三种细胞系中均对细胞活力具有协同作用。
c-MYC 和 PI3K/mTOR 抑制剂降低淋巴瘤细胞的活力,并导致葡萄糖摄取减少、糖酵解相关基因表达和葡萄糖代谢调节 miRNA 减少。2-DG 抑制 HK 作为单一药物以及与其他细胞内途径抑制剂协同作用可减少细胞数量。因此,靶向抑制此处研究的途径可能是抑制淋巴瘤细胞的糖酵解表型并减少增殖的一种策略。