PKM2 上调促进肝内胆管癌的恶性转化并提示预后不良。

PKM2 upregulation promotes malignancy and indicates poor prognosis for intrahepatic cholangiocarcinoma.

机构信息

Division of Hepatobiliary, Pancreatic Surgery, Department of Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China; Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health, Hangzhou, China; Key Laboratory of Organ Transplantation, Hangzhou, Zhejiang Province, China; Collaborative innovation center for Diagnosis treatment of infectious diseases, Hangzhou, China.

Department of Gerontology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Clin Res Hepatol Gastroenterol. 2020 Apr;44(2):162-173. doi: 10.1016/j.clinre.2019.06.008. Epub 2019 Jul 11.

Abstract

BACKGROUND

Although pyruvate kinase M2 (PKM2) has been shown to be among the crucial enzymes that regulate aerobic glycolysis in multiple tumour cells, its role in the treatment and prognosis of intrahepatic cholangiocarcinoma (ICC) remains unclear. This study primarily aimed to determine whether the expression status of PKM2 is potentially associated with the clinical outcomes of ICC.

METHODS

PKM2 expression was evaluated in ICC cell lines and tissues via real-time quantitative reverse-transcription polymerase chain reaction, immunofluorescence assays, and Western blot, and its prognostic value was determined according to its impact on the overall survival of patients.

RESULTS

We found that PKM2 is highly expressed in ICC, and this was correlated with patient survival. Moreover, we found that PKM2 knockdown could considerably inhibit ICC cell proliferation, invasion, and migration in vitro.

CONCLUSIONS

PKM2 was overexpressed in ICC, and it may regulate proliferation, invasion, and migration and lead to poor prognosis. Thus, PKM2 might be a potential independent prognostic factor for ICC.

摘要

背景

丙酮酸激酶 M2(PKM2)已被证实是调节多种肿瘤细胞有氧糖酵解的关键酶之一,但它在肝内胆管癌(ICC)的治疗和预后中的作用尚不清楚。本研究主要旨在确定 PKM2 的表达状态是否与 ICC 的临床结局相关。

方法

通过实时定量逆转录聚合酶链反应、免疫荧光分析和 Western blot 检测 PKM2 在 ICC 细胞系和组织中的表达情况,并根据其对患者总生存率的影响来确定其预后价值。

结果

我们发现 PKM2 在 ICC 中高度表达,且与患者的生存情况相关。此外,我们发现 PKM2 敲低可显著抑制 ICC 细胞的体外增殖、侵袭和迁移。

结论

PKM2 在 ICC 中过度表达,可能通过调节增殖、侵袭和迁移而导致不良预后。因此,PKM2 可能是 ICC 的一个潜在独立预后因素。

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