Publication: Overexpression of lactate dehydrogenase A in cholangiocarcinoma is correlated with poor prognosis
Authors
Thonsri, Unchalee ; Seubwai, Wunchana ; Waraasawapati, Sakda ; Sawanyawisuth, Kanlayanee ; Vaeteewoottacharn, Kulthida ; Boonmars, Thidarat ; Cha’on, Ubon
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Publisher
Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
DOI: 10.14670/HH-819
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info:eu-repo/semantics/article
Description
Abstract
Lactate dehydrogenase A (LDHA), a key
metabolic enzyme, plays a crucial role in the final step
of anaerobic glycolysis. Overexpression of LDHA is
observed in many human malignancies in association
with tumor progression. The purpose of this study was to
investigate LDHA expression pattern during
carcinogenesis, its clinico-pathological association, and
evaluate the prognostic value of LDHA in CCA patients.
LDHA expression was investigated using immunohistochemistry technique in both hamster- (n=60) and
human-CCA tissues (n=82). Plasma LDH from healthy
control (n=40) and CCA patients (n=29) were
determined using an enzymatic based assay. The
association of LDHA expression with clinicopathological findings and prognostic value were
evaluated by statistical analysis. In the CCA hamster
model, an increase of LDHA expression was associated
with the progression of CCA-genesis. Higher LDHA
overexpression was associated with shorter survival of
CCA patients. Multivariate analysis indicated that
LDHA expression including histological type were
independent prognostic risk factor of patient’s survival.
However, there was no difference in plasma LDH level
between CCA patients and healthy controls. LDHA
expression is involved in cholangio-carcinogenesis.
Overexpression of LDHA can be a marker of poor
prognosis in CCA patients and it might be a potential
target for CCA treatment.
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Citation
Histology and Histopathology, Vol.32, nº5, (2017)
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