Downregulation of hexokinase 2 improves radiosensitivity of breast cancer

Dan Zhang1, Hui Wang1, Wenjing Yu1

  • 1Department of Nuclear Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.

Abstract

Insights

Downregulating Hexokinase 2 (HK2) enhances radiotherapy sensitivity in triple-negative breast cancer (TNBC). This involves reducing tumor cell survival and growth, making radiation therapy more effective for TNBC patients.

Area of Science:

  • Biochemistry
  • Oncology
  • Radiotherapy

Background:

  • Hexokinase 2 (HK2) is a key glycolytic enzyme implicated in tumor metabolism.
  • Triple-negative breast cancer (TNBC) exhibits high glycolytic activity and a poor prognosis.
  • This study investigates the role of HK2 in TNBC radiosensitivity.

Purpose of the Study:

  • To determine the effect of HK2 downregulation on the sensitivity of TNBC to radiotherapy.
  • To evaluate whether inhibiting HK2 can enhance the efficacy of radiation treatment for TNBC.

Main Methods:

  • HK2 gene knockdown in TNBC cells using lentiviral shRNA, confirmed by qRT-PCR and Western blotting.
  • Assessment of radiotherapy effects using CCK-8, flow cytometry, and colony formation assays.
  • In vivo tumor growth evaluation via (18F)-fluorodeoxyglucose (18F-FDG) uptake using PET/CT imaging.

Main Results:

  • Effective inhibition of HK2 mRNA and protein expression was achieved with lentiviral shHK2.
  • Reduced cell survival, colony formation, and increased apoptosis were observed in cells with HK2 knockdown following X-ray exposure (P<0.05).
  • In vivo imaging showed lower (18F-FDG) uptake (SUVmax) in the Lv-shHK2 group compared to controls.

Conclusions:

  • Downregulation of HK2 significantly improves the radiosensitivity of breast cancer.
  • Targeting HK2 represents a potential strategy to enhance radiotherapy outcomes in TNBC.