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Published on: February 3, 2023
Is transketolase like 1 a target for the treatment of differentiated thyroid carcinoma? A study on thyroid cancer
Eleonore Fröhlich1, Inge Fink, Richard Wahl
1Department of Endocrinology, Metabolism, Nephrology and Clinical Chemistry, Internal Medicine, University of Tuebingen, Tuebingen, Germany.
Abstract:
Radioactive iodine-refractory [(18)F] fluorodeoxy-glucose-positron emission tomography-positive thyroid carcinomas represent especially aggressive tumors. Targeting glucose metabolism by the transketolase isoenzyme transketolase like 1 (TKTL-1) which is over-expressed in various neoplasms, may be effective. The correlation of TKTL-1 expression and the response to oxythiamine as the currently best-characterized inhibitor of transketolases was studied in differentiated thyroid cancer cell lines. We determined TKTL-1 expression, proliferation, glucose uptake and GLUT-1 expression in non-treated thyroid cells and recorded the effect of oxythiamine on iodide uptake and on thymidine uptake. TKTL 1 was highest expressed in cell lines derived from more invasive tumors but the expression level was not strongly correlated to proliferation rate, to GLUT-1 expression or to the response to oxythiamine. Oxythiamine showed only a weak effect in the TKTL-1 expressing cell lines. Over-expression of TKTL-1 is not an indicator for responsiveness to oxythiamine. More specific inhibitors should be tested.
Insights
Transketolase like 1 (TKTL-1) is overexpressed in aggressive thyroid cancers. However, TKTL-1 expression does not predict response to oxythiamine, suggesting a need for more targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Radioactive iodine-refractory thyroid carcinomas are aggressive and often glucose-avid.
- Targeting glucose metabolism is a potential therapeutic strategy.
- Transketolase like 1 (TKTL-1), a transketolase isoenzyme, is overexpressed in various cancers.
Purpose of the Study:
- To investigate the correlation between TKTL-1 expression and the response to oxythiamine in differentiated thyroid cancer cell lines.
- To evaluate TKTL-1 as a potential biomarker for oxythiamine efficacy.
Main Methods:
- Differentiated thyroid cancer cell lines were analyzed for TKTL-1 expression, proliferation, and glucose uptake.
- The effect of oxythiamine on iodide and thymidine uptake was assessed.
- GLUT-1 expression was also determined.
Main Results:
- TKTL-1 expression was highest in cell lines from more invasive tumors.
- TKTL-1 expression levels did not strongly correlate with proliferation rate, GLUT-1 expression, or response to oxythiamine.
- Oxythiamine demonstrated only a weak inhibitory effect in TKTL-1 expressing cell lines.
Conclusions:
- Overexpression of TKTL-1 is not a reliable indicator of responsiveness to oxythiamine in differentiated thyroid cancer.
- More specific inhibitors targeting TKTL-1 or related pathways need to be investigated for therapeutic efficacy.
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