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Overexpression of aldolase, fructose-bisphosphate C and its association with spheroid formation in colorectal cancer

丸山 諒太 広島大学

2022.03.23

概要

Colorectal cancer (CRC) is one of the most common human cancers. Advances in diagnosis
and treatments have improved the survival rate of patients with early-stage CRC. However,
despite these advances, the survival rate of patients with recurrent or metastatic CRC remains
poor. There is an urgent need to identify new diagnostic and therapeutic target molecules to
develop novel CRC treatment strategies.
Cancer stem cells (CSCs) have been proposed as drivers of tumor initiation and self-renewal.1
CSCs are closely associated with chemotherapy resistance, cancer recurrence, and metastasis.1
Therefore, characterizing CSCs is important to establish more effective cancer treatments. One
useful method for characterizing CSCs is the spheroid colony formation assay.2 To form
spheroid colonies, cells are cultured in serum-free media in culture dishes that are specifically
coated to reduce attachment. The spheroid colonies display characteristics of the CSC
phenotype.2
In the present study, we analyzed the gene expression profiles of spheroid colonies from two
CRC cell lines using DNA microarrays. Microarray analysis revealed that expression of the
aldolase, fructose-bisphosphate C (ALDOC) gene was upregulated in CRC spheroid colonies.
ALDOC is a member of the aldolase family and is the fourth enzyme in the glycolytic pathway. ...

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参考文献

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Maruyama R et al. 22

Table 1 Relationship between ALDOC expression and clinicopathologic characteristics

ALDOC expression

Positive

Age

≤65 (n=63)

Negative

p-value

36 (57%)

27

30

42

39 (47%)

27

44

25

0.5767

21 (54%)

18

0.7068

45

51

59 (48%)

63

0.4626

13 (33%)

27

0.0127

53

42

26 (42%)

40

36

33

0.1357

M0 (n=107)

M1 (n=28)

Lymphatic invasion

46 (43%)

20

61

0.0067

ly0 (n=59)

ly1/2/3 (n=76)

Vascular invasion

25 (42%)

41

34

35

0.1814

v0 (n=66)

v1/2/3 (n=69)

31 (47%)

35

35

34

0.6626

24 (41%)

42

34

35

0.1291

>65 (n=72)

0.0722

Sex

Male (n=83)

Female (n=52)

Tumor Location

Right colon (n=39)

Left colon (n=96)

Differentiation

Differentiated (n=122)

Un-differentiated (n=13)

T grade

T1/T2 (n=40)

T3/T4 (n=95)

N grade

N0 (n=62)

N1/N2/N3 (n=73)

M grade

Stage

Stage I/II (n=58)

Stage III/IV (n=77)

p-values were calculated with Chi-square test.

Maruyama R et al. 23

Table 2 Univariate and multivariate Cox regression analysis of survival

Univariate analysis

HR

Multivariate analysis

95 % CI

p-value

(0.586-2.170)

0.7182

(0.293-1.210)

0.1403

(0.325-1.267)

0.212

(0.332-3.541)

0.8948

HR

95 % CI

p-value

(0.336-7.728)

0.5515

(0.132-1.004)

0.2695

(2.714-13.916)

< 0.001

(0.843-4.363)

0.1206

(1.129-43.160)

0.0436

(1.010-4.476)

0.0400

Age

≤65

1 (Ref.)

>65

1.128

Sex

Male

Female

1 (Ref.)

0.595

Tumor Location

Right colon

1 (Ref.)

Left colon

0.641

Differentiation

Differentiated

Un-differentiated

1 (Ref.)

1.084

T grade

T1/T2

1 (Ref.)

T3/T4

7.865

1(Ref.)

(1.888-32.765)

0.0001

1.61

N grade

N0

N1/N2/N3

1 (Ref.)

5.227

1 (Ref.)

(2.172-12.577)

<0.001

0.482

M grade

M0

1 (Ref.)

M1

14.001

1 (Ref.)

(6.825-28.720)

< 0.001

6.146

Lymphatic invasion

ly0

ly1/2/3

1 (Ref.)

3.05

1 (Ref.)

(1.432-6.493)

0.0019

(0.805-3.736)

0.0697

1.918

Vascular invasion

v0

v1/2/3

1 (Ref.)

1.867

Stage

Stage I/II

1 (Ref.)

Stage III/IV

10.984

1 (Ref.)

(3.363-35.881)

< 0.001

6.98

ALDOC expression

Negative

1 (Ref.)

Positive

3.104

1 (Ref.)

(1.521-6.337)

HR, hazard ratio; CI, confidence interval.

0.0011

2.126

Maruyama R et al. 24

Table 3 Correlation between ALDOC expression and CD44

ALDOC expression

Positive

Negative

CD44

Positive

Negative

p-value

0.0091

41(59%)

25(38%)

p-values were calculated with Chi-square test.

29

40

Maruyama R et al. 25

Figure legends

Figure 1. Effects of ALDOC inhibition on cell growth and spheroid formation in colorectal

cancer (CRC) cell lines. (a) qRT-PCR analysis of ALDOC in DLD-1 and WiDr. Fold-change

indicates the ratio of ALDOC mRNA expression in spheroid body-forming cells to that in

attached parental cells. (b) Western blot analysis of ALDOC in five CRC cell lines. (c) Western

blot analysis of ALDOC in RKO and LoVo cells transfected with the ALDOC-specific siRNA

and negative control siRNA. (d) Cell growth was assessed by MTT assays at days 1, 2, and 4

after transfection and seeding in 96-well plates. Data are presented as means ± standard

deviations of 3 independent experiments. * p < 0.05. (e) The numbers and size of spheroids

formed by RKO and LoVo cells transfected with ALDOC-specific or negative control siRNAs.

Data are presented as means ± standard deviations of 3 independent experiments. * p < 0.05.

Figure 2. Effects of ALDOC inhibition on migration of and lactate production in CRC cells.

(a) Wound healing assays for RKO cells transfected with the ALDOC siRNA or negative

control siRNA. The migration of cells was captured at 0 h and 24 h after scratching. (b) Wound

healing assays for LoVo cells transfected with the ALDOC siRNA or negative control siRNA.

The migration of cells was captured at 0 h and 48 h after scratching. (c) Images of invasion

assay in RKO cells transfected with the ALDOC siRNA or negative control siRNA at 48 h and

Maruyama R et al. 26

quantification of the average number of invaded cells. (d) Images of invasion assay in LoVo

cells transfected with the ALDOC siRNA or negative control siRNA at 48 h and quantification

of the average number of invaded cells. (e) RKO cells and (f) LoVo cells transfected with the

ALDOC siRNA and negative control siRNA were cultured for 1 day, and the lactate

concentration in the culture medium was analyzed. Data are presented as means ± standard

deviations of 3 independent experiments. * p < 0.05.

Figure 3. Immunohistochemical analysis of ALDOC in colorectal cancer (CRC) tissue samples.

(a) Immunohistochemical analysis of ALDOC in CRC. Left panel, original magnification, ×40.

Right panel, a high-magnification image of the field designated by the box in the left panel;

original magnification, ×400. (b) Kaplan-Meier plots of the survival of CRC patients. (c)

Immunohistochemical analysis of ALDOC and CD44. Original magnification, ×400.

Maruyama R et al. 27

Figure 1

Maruyama R et al. 28

Figure 2

Maruyama R et al. 29

Figure 3

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