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[18F]Fluorodeoxyglucose accumulation as a biological marker of hypoxic status but not glucose transport ability in gastric cancer.

Takebayashi R, Izuishi K, Yamamoto Y, Kameyama R, Mori H, Masaki T, Suzuki Y - J. Exp. Clin. Cancer Res. (2013)

Bottom Line: Tumor size was the only clinicopathological parameter that significantly correlated with SUV.When divided into intestinal and non-intestinal tumors, there was a significant correlation between SUV and tumor size in intestinal tumors.No correlation was found between SUV and mRNA expression of other genes in intestinal or non-intestinal tumors.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Gastroenterological Surgery, Kagawa University, Miki, Kita, Kagawa, Japan.

ABSTRACT

Background: The use of [18F] 2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) for detection of gastric cancer is often debated because FDG uptake varies for each patient. The purpose of this study was to clarify the molecular mechanisms involved in FDG uptake.

Material and methods: Fifty patients with gastric cancer who underwent FDG-PET and gastrectomy were studied. Snap-frozen tumor specimens were collected and examined by real-time PCR for relationships between maximum standardized uptake value (SUV) and mRNA expression of the following genes: glucose transporter 1 (GLUT1), hexokinase 2 (HK2), hypoxia-inducible factor 1α (HIF1α), and proliferating cell nuclear antigen (PCNA).

Results: Tumor size was the only clinicopathological parameter that significantly correlated with SUV. Transcripts for the genes evaluated were about three-fold higher in malignant specimens than in normal mucosa, although only HIF1α was significantly correlated with SUV. When divided into intestinal and non-intestinal tumors, there was a significant correlation between SUV and tumor size in intestinal tumors. Interestingly, the weak association between SUV and HIF1α expression in intestinal tumors was substantially stronger in non-intestinal tumors. No correlation was found between SUV and mRNA expression of other genes in intestinal or non-intestinal tumors.

Conclusion: SUV was correlated with HIF1α, but not PCNA, HK2, or GLUT1 expression. FDG accumulation could therefore represent tissue hypoxia rather than glucose transport activity for aggressive cancer growth.

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Correlation between mean standardized uptake value and tumor size, hypoxia-inducible factor 1α mRNA levels, or proliferating cell nuclear antigen mRNA levels in intestinal and non-intestinal gastric cancers. (a) Spearman’s correlation analysis indicated a possible correlation between standardized uptake value (SUV) and tumor size in intestinal cancers (rs= 0.50, P < 0.05). (b) No association was found between SUV and proliferating cell nuclear antigen (PCNA) mRNA expression. (c) A weak association was observed between SUV and hypoxia-inducible factor 1α (HIF1α) mRNA expression (rs = 0.48, P < 0.05). (d) In non- intestinal cancer specimens, SUV was not correlated to tumor size. (e) No association was found between SUV and PCNA expression. (f) A significant correlation between SUV and HIF1α mRNA expression was observed (rs = 0.56, P < 0.01). Data are expressed as mean ± SEM. *P < 0.05. HIF1α; Hypoxia-inducible factor 1α, PCNA; Proliferating cell nuclear antigen, SUV; Standardized Uptake Value.
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Figure 5: Correlation between mean standardized uptake value and tumor size, hypoxia-inducible factor 1α mRNA levels, or proliferating cell nuclear antigen mRNA levels in intestinal and non-intestinal gastric cancers. (a) Spearman’s correlation analysis indicated a possible correlation between standardized uptake value (SUV) and tumor size in intestinal cancers (rs= 0.50, P < 0.05). (b) No association was found between SUV and proliferating cell nuclear antigen (PCNA) mRNA expression. (c) A weak association was observed between SUV and hypoxia-inducible factor 1α (HIF1α) mRNA expression (rs = 0.48, P < 0.05). (d) In non- intestinal cancer specimens, SUV was not correlated to tumor size. (e) No association was found between SUV and PCNA expression. (f) A significant correlation between SUV and HIF1α mRNA expression was observed (rs = 0.56, P < 0.01). Data are expressed as mean ± SEM. *P < 0.05. HIF1α; Hypoxia-inducible factor 1α, PCNA; Proliferating cell nuclear antigen, SUV; Standardized Uptake Value.

Mentions: To examine factors associated with SUV in intestinal and non-intestinal gastric cancers, their correlation was quantitatively analyzed. Spearman’s correlation analysis indicated a possible relationship between SUV and tumor size in intestinal specimens (rs = 0.50, P < 0.05) (Figure 5a), but not non-intestinal specimens (Figure 5d). The correlation between HK2 or GLUT1 expression and SUV did not find in both cancers (data not shown). There was no correlation between SUV and PCNA mRNA expression in either cancer type (Figure 5b and 5e). Interestingly, the weak association between SUV and HIF1α mRNA expression in intestinal specimens (rs = 0.48, P < 0.05) (Figure 5c) was stronger in non-intestinal specimens (rs = 0.56, P < 0.01) (Figure 5f).


[18F]Fluorodeoxyglucose accumulation as a biological marker of hypoxic status but not glucose transport ability in gastric cancer.

Takebayashi R, Izuishi K, Yamamoto Y, Kameyama R, Mori H, Masaki T, Suzuki Y - J. Exp. Clin. Cancer Res. (2013)

Correlation between mean standardized uptake value and tumor size, hypoxia-inducible factor 1α mRNA levels, or proliferating cell nuclear antigen mRNA levels in intestinal and non-intestinal gastric cancers. (a) Spearman’s correlation analysis indicated a possible correlation between standardized uptake value (SUV) and tumor size in intestinal cancers (rs= 0.50, P < 0.05). (b) No association was found between SUV and proliferating cell nuclear antigen (PCNA) mRNA expression. (c) A weak association was observed between SUV and hypoxia-inducible factor 1α (HIF1α) mRNA expression (rs = 0.48, P < 0.05). (d) In non- intestinal cancer specimens, SUV was not correlated to tumor size. (e) No association was found between SUV and PCNA expression. (f) A significant correlation between SUV and HIF1α mRNA expression was observed (rs = 0.56, P < 0.01). Data are expressed as mean ± SEM. *P < 0.05. HIF1α; Hypoxia-inducible factor 1α, PCNA; Proliferating cell nuclear antigen, SUV; Standardized Uptake Value.
© Copyright Policy - open-access
Related In: Results  -  Collection

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Show All Figures
getmorefigures.php?uid=PMC3672048&req=5

Figure 5: Correlation between mean standardized uptake value and tumor size, hypoxia-inducible factor 1α mRNA levels, or proliferating cell nuclear antigen mRNA levels in intestinal and non-intestinal gastric cancers. (a) Spearman’s correlation analysis indicated a possible correlation between standardized uptake value (SUV) and tumor size in intestinal cancers (rs= 0.50, P < 0.05). (b) No association was found between SUV and proliferating cell nuclear antigen (PCNA) mRNA expression. (c) A weak association was observed between SUV and hypoxia-inducible factor 1α (HIF1α) mRNA expression (rs = 0.48, P < 0.05). (d) In non- intestinal cancer specimens, SUV was not correlated to tumor size. (e) No association was found between SUV and PCNA expression. (f) A significant correlation between SUV and HIF1α mRNA expression was observed (rs = 0.56, P < 0.01). Data are expressed as mean ± SEM. *P < 0.05. HIF1α; Hypoxia-inducible factor 1α, PCNA; Proliferating cell nuclear antigen, SUV; Standardized Uptake Value.
Mentions: To examine factors associated with SUV in intestinal and non-intestinal gastric cancers, their correlation was quantitatively analyzed. Spearman’s correlation analysis indicated a possible relationship between SUV and tumor size in intestinal specimens (rs = 0.50, P < 0.05) (Figure 5a), but not non-intestinal specimens (Figure 5d). The correlation between HK2 or GLUT1 expression and SUV did not find in both cancers (data not shown). There was no correlation between SUV and PCNA mRNA expression in either cancer type (Figure 5b and 5e). Interestingly, the weak association between SUV and HIF1α mRNA expression in intestinal specimens (rs = 0.48, P < 0.05) (Figure 5c) was stronger in non-intestinal specimens (rs = 0.56, P < 0.01) (Figure 5f).

Bottom Line: Tumor size was the only clinicopathological parameter that significantly correlated with SUV.When divided into intestinal and non-intestinal tumors, there was a significant correlation between SUV and tumor size in intestinal tumors.No correlation was found between SUV and mRNA expression of other genes in intestinal or non-intestinal tumors.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Gastroenterological Surgery, Kagawa University, Miki, Kita, Kagawa, Japan.

ABSTRACT

Background: The use of [18F] 2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) for detection of gastric cancer is often debated because FDG uptake varies for each patient. The purpose of this study was to clarify the molecular mechanisms involved in FDG uptake.

Material and methods: Fifty patients with gastric cancer who underwent FDG-PET and gastrectomy were studied. Snap-frozen tumor specimens were collected and examined by real-time PCR for relationships between maximum standardized uptake value (SUV) and mRNA expression of the following genes: glucose transporter 1 (GLUT1), hexokinase 2 (HK2), hypoxia-inducible factor 1α (HIF1α), and proliferating cell nuclear antigen (PCNA).

Results: Tumor size was the only clinicopathological parameter that significantly correlated with SUV. Transcripts for the genes evaluated were about three-fold higher in malignant specimens than in normal mucosa, although only HIF1α was significantly correlated with SUV. When divided into intestinal and non-intestinal tumors, there was a significant correlation between SUV and tumor size in intestinal tumors. Interestingly, the weak association between SUV and HIF1α expression in intestinal tumors was substantially stronger in non-intestinal tumors. No correlation was found between SUV and mRNA expression of other genes in intestinal or non-intestinal tumors.

Conclusion: SUV was correlated with HIF1α, but not PCNA, HK2, or GLUT1 expression. FDG accumulation could therefore represent tissue hypoxia rather than glucose transport activity for aggressive cancer growth.

Show MeSH
Related in: MedlinePlus