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. 2014 Mar 31:12:78.
doi: 10.1186/1477-7819-12-78.

Overexpression of lactate dehydrogenase-A in human intrahepatic cholangiocarcinoma: its implication for treatment

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Overexpression of lactate dehydrogenase-A in human intrahepatic cholangiocarcinoma: its implication for treatment

Yaping Yu et al. World J Surg Oncol. .

Abstract

Background: Previous studies have shown that lactate dehydrogenase-A (LDH-A) is strongly expressed in several malignancies, that LDH-A expression is associated with poor prognosis, and that LDH-A inhibition severely diminishes tumorigenicity. However, little is known about the implications of LDH-A expression in intrahepatic cholangiocarcinoma. The purpose of this study was to investigate the expression of LDH-A and to clarify its effect on intrahepatic cholangiocarcinoma.

Methods: We studied the expression of LDH-A in tissue samples from patients with intrahepatic cholangiocarcinoma (n = 54) using the ultrasensitive surfactant protein (S-P) immunohistochemical method. We then inhibited LDH-A using small hairpin RNA (shRNA) in the cholangiocarcinoma cell line HuCCT-1 in vitro to study the role it plays in promoting growth and escaping apoptosis.

Results: We report that LDH-A was overexpressed in 52 of 54 (96%) paraffin-embedded cancer tissue samples and 0 of 54 para-carcinoma tissue samples. Reduction of LDH-A by RNA interference (RNAi) inhibited cell growth and induced apoptosis in HuCCT-1 cells. This result correlated with the elevation of cytoplasmic reactive oxygen species (ROS) levels.

Conclusions: LDH-A expression is closely correlated with histopathological variables of intrahepatic cholangiocarcinoma, indicating that LDH-A may serve as a new treatment target.

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Figures

Figure 1
Figure 1
Immunohistochemical staining of lactate dehydrogenase-5 (LDH-A) in (A) para-carcinoma tissue and (B) tissue sections from human ICC. (B) Corresponding (original magnification, 200×). (A) Weak cytoplasmic and nuclear expression. (B) Strong cytoplasmic and nuclear expression. ICC, intrahepatic cholangiocarcinoma.
Figure 2
Figure 2
Knock-down of LDH-A inhibits growth and induces apoptosis in the HuCCT-1 cell line. (A) LDH-A expression was analyzed after transfection by RT-PCR, with actin as loading control. The figure shows that RNAi induced a specific decrease in LDH-A expression after transfection. (B) Western blot assay also shows a specific decrease in LDH-A expression after transfection, with actin as loading control. LDH-A, lactate dehydrogenase A; RNAi, RNA interference.
Figure 3
Figure 3
LDH-A knockdown inhibits HuCCT-1 cell growth. Relative cell numbers at 72 and 96 hours post-transfection for RNAi versus NC have a P value of 0.008 and 0.004, respectively. LDH-A, lactate dehydrogenase A; NC, negative control; RNAi, RNA interference.
Figure 4
Figure 4
Cell death was determined by flow cytometry of annexin V- and 7-AAD-stained cells at 72 hours post-transfection with shLDH-A (RNAi) or siControl (NC). The histogram (right) represents the average percentage (±SD) of dead cells. The number of dead cells treated with shLDH-A (RNAi) compared with the control group (NC) has a P value of <0.05 using Student’s t test. 7-ADD, 7-aminoactinomycin D; RNAi, RNA interference; SD, standard deviation; sh, small hairpin.
Figure 5
Figure 5
Intracellular ROS production was detected with DCFDA fluorescence and monitored by flow cytometry at 72 hours post-transfection with shLDH-A (RNAi) or siControl (NC). DCFDA, dichlorofluorescin diacetate; RNAi, RNA interference; ROS, reactive oxygen species; sh, short hairpin.

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