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对Warburg效应的重新解释:糖酵解与胃癌发生之间的表观遗传学关联
Warburg effect revisited: An epigenetic link between glycolysis and gastric carcinogenesis
Liu X, Wang X, Zhang J, Lam EKY, Shin VY, Cheng ASL, Yu J, Chan FKL, Sung JJY, Jin HC  2010/3/12 9:43:00 
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Oncogene, 2010, Volume 29, Issue 3 
 

In cancer cells, glucose is often converted into lactic acid, which is known as the Warburg effect. The reason that cancer cells have a higher rate of aerobic glycolysis, but not oxidative phosphorylation, remains largely unclear. Herein, we proposed an epigenetic mechanism of the Warburg effect. Fructose-1,6-bisphosphatase-1 (FBP1), which functions to antagonize glycolysis was downregulated through NF-kappaB pathway in Ras-transformed NIH3T3 cells. Restoration of FBP1 expression suppressed anchorage-independent growth, indicating the relevance of FBP1 downregulation in carcinogenesis. Indeed, FBP1 was downregulated in gastric carcinomas (P<0.01, n22) and gastric cancer cell lines (57%, 4/7). Restoration of FBP1 expression reduced growth and glycolysis in gastric cancer cells. Moreover, FBP1 downregulation was reversed by pharmacological demethylation. Its promoter was hypermethylated in gastric cancer cell lines (57%, 4/7) and gastric carcinomas (33%, 33/101). Inhibition of NF-kappaB restored FBP1 expression, partially through demethylation of FBP1 promoter. Notably, Cox regression analysis revealed FBP1 promoter methylation as an independent prognosis predicator for gastric cancer (hazard ratio: 3.60, P0.010). In summary, we found that NF-kappaB functions downstream of Ras to promote epigenetic downregulation of FBP1. Promoter methylation of FBP1 can be used as a new biomarker for prognosis prediction of gastric cancer. Such an important epigenetic link between glycolysis and carcinogenesis partly explains the Warburg effect. © 2010 Macmillan Publishers Limited All rights reserved.

Correspondence Address: Jin, H. C.; Biomedical Research Center, Sir Runrun Shaw Hospital, Medical School of Zhejiang University, Hangzhou, China; email: jinhc@srrsh.com 
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摘自:《西氏内科学》,第23

 

患者女性,41岁,主诉右侧刀割样胸痛。数周前,患者首次感觉到疼痛,但最初并未求医。疼痛呈持续性,深吸气不会加重,未伴有咯血或呼吸困难。自诉很少咳嗽,有时咳出肉色粘痰。患者否认发热、寒战、盗汗、体重减轻、胃肠道或泌尿道等其他症状。

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