Lactate dehydrogenase C is an isoenzyme of lactate dehydrogenase and a member of the cancer-testis antigens family. In this study, we aimed to investigate the expression and functional role of lactate dehydrogenase C and its basic mechanisms in renal cell carcinoma. First, a total of 133 cases of renal cell carcinoma samples were analysed in a tissue microarray, and Kaplan-Meier survival curve analyses were performed to investigate the correlation between lactate dehydrogenase C expression and renal cell carcinoma progression. Lactate dehydrogenase C protein levels and messenger RNA levels were significantly upregulated in renal cell carcinoma tissues, and the patients with positive lactate dehydrogenase C expression had a shorter progression-free survival, indicating the oncogenic role of lactate dehydrogenase C in renal cell carcinoma. In addition, further cytological experiments demonstrated that lactate dehydrogenase C could prompt renal cell carcinoma cells to produce lactate, and increase metastatic and invasive potential of renal cell carcinoma cells. Furthermore, lactate dehydrogenase C could induce the epithelial-mesenchymal transition process and matrix metalloproteinase-9 expression. In summary, these findings showed lactate dehydrogenase C was associated with poor prognosis in renal cell carcinoma and played a pivotal role in the migration and invasion of renal cell carcinoma cells. Lactate dehydrogenase C may act as a novel biomarker for renal cell carcinoma progression and a potential therapeutic target for the treatment of renal cell carcinoma.
KeywordsLactate dehydrogenase C, cancer-testis antigens, renal cell carcinoma, tumour metastasis, epithelial-mesenchymal transition Date received: 20 September 2016; accepted: 23 December 2016 1 Department of Urology, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China 2 Department of Pathology, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China
Corresponding authors:Zengjun Wang, Department of Urology, The First Affiliated Hospital, Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, China. Email: 13913962589@163.com Chao Qin, Department of Urology, The First Affiliated Hospital, Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, China. Email: urology_qinchao@163.com 695968T UB0010.1177/1010428317695968Tumor BiologyHua et al.
research-article2017Original Article 2 Tumor Biology the testis and in various malignant tumours, which are silenced in the somatic tissues. 3 Recent articles have proposed that CTAs play critical roles in various malignant cancer cells. 4 Because of these specific characters, CTAs are considered promising targets for early diagnosis and immunotherapy for cancers. However, the potential that RCC patients might benefit from CTA-targeted therapies remains to be evaluated.Lactate dehydrogenase (LDH) is an important glycolytic enzyme that catalyses the transition of pyruvate to l-lactate in the glycolytic pathway. 5 LDH family includes three isoenzymes, namel...