PDK-1 regulates lactate production in hypoxia and is associated with poor prognosis in head and neck squamous cancer

Here we describe the expression and function of a HIF-1-regulated protein pyruvate dehydrogenase kinase-1 (PDK-1) in head and neck squamous cancer (HNSCC). Using RNAi to downregulate hypoxia-inducible PDK-1, we found that lactate and pyruvate excretion after 16–48 h of hypoxia was suppressed to norm...

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Veröffentlicht in:British journal of cancer 2008-06, Vol.98 (12), p.1975-1984
Hauptverfasser: Wigfield, S M, Winter, S C, Giatromanolaki, A, Taylor, J, Koukourakis, M L, Harris, A L
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container_end_page 1984
container_issue 12
container_start_page 1975
container_title British journal of cancer
container_volume 98
creator Wigfield, S M
Winter, S C
Giatromanolaki, A
Taylor, J
Koukourakis, M L
Harris, A L
description Here we describe the expression and function of a HIF-1-regulated protein pyruvate dehydrogenase kinase-1 (PDK-1) in head and neck squamous cancer (HNSCC). Using RNAi to downregulate hypoxia-inducible PDK-1, we found that lactate and pyruvate excretion after 16–48 h of hypoxia was suppressed to normoxic levels. This indicates that PDK-1 plays an important role in maintaining glycolysis. Knockdown had no effect on proliferation or survival under hypoxia. The immunohistochemical expression of PDK-1 was assessed in 140 cases of HNSCC. PDK-1 expression was not expressed in normal tissues but was upregulated in HNSCC and found to be predominantly cytoplasmic with occasional strong focal nuclear expression. It was strongly related to poor outcome ( P =0.005 split by median). These results indicate that HIF regulation of PDK-1 has a key role in maintaining lactate production in human cancer and that the investigation of PDK-1 inhibitors should be investigated for antitumour effects.
doi_str_mv 10.1038/sj.bjc.6604356
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subjects Base Sequence
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - pathology
Cell culture
Cell Line, Tumor
Dehydrogenases
DNA Primers
Drug Resistance
Enzymes
Epidemiology
Gene Silencing
Head & neck cancer
Head and Neck Neoplasms - metabolism
Head and Neck Neoplasms - pathology
Humans
Hypoxia
Hypoxia - metabolism
Kinases
Lactic Acid - biosynthesis
Medical prognosis
Medical research
Molecular Diagnostics
Molecular Medicine
Oncology
Polymerase Chain Reaction
Prognosis
Protein Serine-Threonine Kinases - physiology
Pyruvate Dehydrogenase Acetyl-Transferring Kinase
RNA Interference
Transcription factors
title PDK-1 regulates lactate production in hypoxia and is associated with poor prognosis in head and neck squamous cancer
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