Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer

Chel Hun Choi, Joon Yong Chung, Hanbyoul Cho, Haruhisa Kitano, Eileen Chang, Kris Ylaya, Eun Joo Chung, Jae Hoon Kim, Stephen M. Hewitt

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: Cervical cancer is one of the most common gynecological malignancies worldwide, and its association with the AMP-activated protein kinase (AMPK) is still unknown. We aimed to investigate the clinical correlation between AMPK expression and cervical cancer. Methods: The expression of AMPKα1, AMPKα2 and phosphorylated AMPKα (p-AMPKα) was determined immunohistochemically in 524 formalin-fixed, paraffin-embedded malignant and premalignant cervical tissues. Subsequently, associations with clinicopathological characteristics and patient survival were assessed. Results: AMPKα2 expression was observed in the cytoplasm and nucleus, while expression of AMPKα1 and p-AMPKα was mainly observed in the cytoplasm. p-AMPKα expression increased during the normal-to-tumor transition of cervical carcinoma (p < 0.001), but, once cancer developed, the expression of AMPKα2 and p-AMPKα decreased in large-sized tumors when compared to smaller tumors (36 vs. 68%, p = 0.004 and 39 vs. 64%, p = 0.029, respectively). Notably, AMPKα2 expression was significantly associated with better disease-free survival (HR 0.29, 95% CI 0.10-0.86, p = 0.026). Conclusion: The AMPKα2 isoform showed potential as a favorable prognostic marker in cervical cancer. Therefore, additional studies are necessary to further clarify the complex contribution of AMPK isoforms and of phosphorylation status to cervical cancer progression and prognosis.

Original languageEnglish
Pages (from-to)203-211
Number of pages9
JournalPathobiology
Volume82
Issue number5
DOIs
Publication statusPublished - 2015 Oct 9

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Adenylate Kinase
AMP-Activated Protein Kinases
Uterine Cervical Neoplasms
Neoplasms
Protein Isoforms
Cytoplasm
Paraffin
Formaldehyde
Disease-Free Survival
Phosphorylation
Carcinoma
Survival

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Molecular Biology
  • Cell Biology

Cite this

Choi, C. H., Chung, J. Y., Cho, H., Kitano, H., Chang, E., Ylaya, K., ... Hewitt, S. M. (2015). Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer. Pathobiology, 82(5), 203-211. https://doi.org/10.1159/000434726
Choi, Chel Hun ; Chung, Joon Yong ; Cho, Hanbyoul ; Kitano, Haruhisa ; Chang, Eileen ; Ylaya, Kris ; Chung, Eun Joo ; Kim, Jae Hoon ; Hewitt, Stephen M. / Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer. In: Pathobiology. 2015 ; Vol. 82, No. 5. pp. 203-211.
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abstract = "Objectives: Cervical cancer is one of the most common gynecological malignancies worldwide, and its association with the AMP-activated protein kinase (AMPK) is still unknown. We aimed to investigate the clinical correlation between AMPK expression and cervical cancer. Methods: The expression of AMPKα1, AMPKα2 and phosphorylated AMPKα (p-AMPKα) was determined immunohistochemically in 524 formalin-fixed, paraffin-embedded malignant and premalignant cervical tissues. Subsequently, associations with clinicopathological characteristics and patient survival were assessed. Results: AMPKα2 expression was observed in the cytoplasm and nucleus, while expression of AMPKα1 and p-AMPKα was mainly observed in the cytoplasm. p-AMPKα expression increased during the normal-to-tumor transition of cervical carcinoma (p < 0.001), but, once cancer developed, the expression of AMPKα2 and p-AMPKα decreased in large-sized tumors when compared to smaller tumors (36 vs. 68{\%}, p = 0.004 and 39 vs. 64{\%}, p = 0.029, respectively). Notably, AMPKα2 expression was significantly associated with better disease-free survival (HR 0.29, 95{\%} CI 0.10-0.86, p = 0.026). Conclusion: The AMPKα2 isoform showed potential as a favorable prognostic marker in cervical cancer. Therefore, additional studies are necessary to further clarify the complex contribution of AMPK isoforms and of phosphorylation status to cervical cancer progression and prognosis.",
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Choi, CH, Chung, JY, Cho, H, Kitano, H, Chang, E, Ylaya, K, Chung, EJ, Kim, JH & Hewitt, SM 2015, 'Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer', Pathobiology, vol. 82, no. 5, pp. 203-211. https://doi.org/10.1159/000434726

Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer. / Choi, Chel Hun; Chung, Joon Yong; Cho, Hanbyoul; Kitano, Haruhisa; Chang, Eileen; Ylaya, Kris; Chung, Eun Joo; Kim, Jae Hoon; Hewitt, Stephen M.

In: Pathobiology, Vol. 82, No. 5, 09.10.2015, p. 203-211.

Research output: Contribution to journalArticle

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AU - Ylaya, Kris

AU - Chung, Eun Joo

AU - Kim, Jae Hoon

AU - Hewitt, Stephen M.

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N2 - Objectives: Cervical cancer is one of the most common gynecological malignancies worldwide, and its association with the AMP-activated protein kinase (AMPK) is still unknown. We aimed to investigate the clinical correlation between AMPK expression and cervical cancer. Methods: The expression of AMPKα1, AMPKα2 and phosphorylated AMPKα (p-AMPKα) was determined immunohistochemically in 524 formalin-fixed, paraffin-embedded malignant and premalignant cervical tissues. Subsequently, associations with clinicopathological characteristics and patient survival were assessed. Results: AMPKα2 expression was observed in the cytoplasm and nucleus, while expression of AMPKα1 and p-AMPKα was mainly observed in the cytoplasm. p-AMPKα expression increased during the normal-to-tumor transition of cervical carcinoma (p < 0.001), but, once cancer developed, the expression of AMPKα2 and p-AMPKα decreased in large-sized tumors when compared to smaller tumors (36 vs. 68%, p = 0.004 and 39 vs. 64%, p = 0.029, respectively). Notably, AMPKα2 expression was significantly associated with better disease-free survival (HR 0.29, 95% CI 0.10-0.86, p = 0.026). Conclusion: The AMPKα2 isoform showed potential as a favorable prognostic marker in cervical cancer. Therefore, additional studies are necessary to further clarify the complex contribution of AMPK isoforms and of phosphorylation status to cervical cancer progression and prognosis.

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Choi CH, Chung JY, Cho H, Kitano H, Chang E, Ylaya K et al. Prognostic significance of AMP-dependent Kinase alpha expression in cervical cancer. Pathobiology. 2015 Oct 9;82(5):203-211. https://doi.org/10.1159/000434726