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Targeting thiamine-dependent enzymes for metabolic therapies in oral squamous cell carcinoma?
Purpose:
Thiamine-dependent enzymes (TDEs) linking glycolysis with the tricarboxylic acid cycle (TCA) pyruvate dehydrogenase (PDH), of the pentose phosphate pathway transketolases (TKTs), the TCA alpha-ketoglutarate deydrogenase (KGDH)/2-oxoglutarate dehydrogenase (OGDH) complex, and the amino acid catabolism branched-chain alpha-ketoacid dehydrogenase (BCKDH) complex are crucial factors for tumor metabolism. The expression of these enzymes has not been analyzed for carcinogenesis of oral squamous cell carcinoma (OSCC) with special focus on new targeted metabolic therapies as yet.
Methods:
TDEs PDH, KGDH (OGDH), and BCKDH were analyzed in normal oral mucosa (n = 14), oral precursor lesions (simple hyperplasia, n = 21; squamous intraepithelial neoplasia, SIN I-III, n = 35), and OSCC specimen (n = 46) by immunohistochemistry and western blot (WB) analysis in OSCC tumor cell lines.
Results:
Although the total numbers of PDH and KGDH (OGDH) positive samples decreased in OSCC, both enzymes were significantly overexpressed in the carcinogenesis of OSCC compared with normal tissue. BCKDH has been demonstrated to be significantly overexpressed in the carcinogenesis of OSCC. Specificity of the antibodies was confirmed by WB analysis.
Conclusions:
This is the first study showing increased expression of TDEs in OSCC. Metabolic targeting of TDEs (including TKTs) by antagonistic compounds like oxythiamine or oxybenfothiamine may be a useful strategy to sensitize cancer cells to common OSCC cancer therapies.
Insights
This study found increased expression of thiamine-dependent enzymes (TDEs) in oral squamous cell carcinoma (OSCC). Targeting these enzymes may offer new therapeutic strategies for OSCC treatment.
Area of Science:
- Biochemistry
- Oncology
- Metabolic pathways
Background:
- Thiamine-dependent enzymes (TDEs) are critical for cellular metabolism, linking glycolysis, the TCA cycle, pentose phosphate pathway, and amino acid catabolism.
- Their role in oral squamous cell carcinoma (OSCC) carcinogenesis and potential as therapeutic targets remain underexplored.
Purpose of the Study:
- To investigate the expression of key TDEs, including pyruvate dehydrogenase (PDH), alpha-ketoglutarate dehydrogenase (KGDH/OGDH), and branched-chain alpha-ketoacid dehydrogenase (BCKDH), in OSCC development.
- To assess the potential of targeting TDEs for novel metabolic therapies in OSCC.
Main Methods:
- Immunohistochemistry and Western blot (WB) analysis were used to examine TDE expression.
- Samples included normal oral mucosa, precursor lesions (hyperplasia, squamous intraepithelial neoplasia), and OSCC specimens.
- OSCC tumor cell lines were utilized for WB analysis.
Main Results:
- Pyruvate dehydrogenase (PDH) and KGDH (OGDH) showed significant overexpression in OSCC carcinogenesis compared to normal tissue, despite a decrease in total positive samples.
- Branched-chain alpha-ketoacid dehydrogenase (BCKDH) was also significantly overexpressed during OSCC carcinogenesis.
- Antibody specificity was confirmed via WB analysis.
Conclusions:
- This study is the first to report increased TDE expression in OSCC.
- Metabolic targeting of TDEs, potentially using compounds like oxythiamine, could sensitize OSCC cells to conventional therapies.
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