Abstract The M2 splice isoform of pyruvate kinase (PKM2), that catalyzes the later step of glycolysis, is a key regulator of aerobic glycolysis (Warburg effect) in cancer cells. Expression and low enzymatic activity of PKM2 confer on cancer cells the glycolytic phenotype, which promotes rapid energy production and flow of glycolytic intermediates into collateral pathways to synthesize nucleic acids, amino acids, and lipids without the accumulation of reactive oxygen species [1]. Furthermore, studies indicate that the PKM2 expression might be an early event in carcinogenesis [2]. Thus, PKM2 can be a useful biomarker for the early detection of tumors. Although the presence of PKM2 is described for different types of cancer, there is no information specific PKM2 in ovarian cancer. Thus, to investigate the presence of PKM2 in ovarian cancer, we performed proteomic analysis in a pool of ovarian serous adenocarcinoma (malignant) fluids (n=10) and in a pool of ovarian serous cystadenoma (benign) fluids (n=10) using immunodepletion of albumin and IgG, isotopic labeling with acrylamide, separation by SDS-PAGE, in situ digestion with trypsin and liquid chromatography ion exchange followed by reverse phase coupled to a mass spectrometer LTQ-ORBITRAP (LC-MS/MS). Moreover, evaluated the expression of PKM2 in plasma and tumor fluid of ovarian serous adenocarcinoma (n=14) and of ovarian serous cystadenoma (n=13) using the kit ELISA EDTA-Plasma Test (ScheBo® Biotech AG), and evaluated the expression of PKM2 in tissue microarrays of 71 ovarian serous adenocarcinoma samples (different stages and grades) using Tumor M2-PK Antibodies (monoclonal, ScheBo®, Biotech AG). The PKM2 protein was detected in proteomic analysis of ovarian serous adenocarcinoma. In ELISA test, PKM2 can be confirmed in both plasma and tumor fluid of ovarian serous adenocarcinoma and ovarian serous cystadenoma, with significant difference between fluids (p<0.0001). Concentrations of PKM2 in plasma and tumor fluid are higher in ovarian serous adenocarcinoma. The tissue microarrays analysis confirmed that PKM2 is highly expressed in adenocarcinoma of all stages and grades. The presence of PKM2 in different biological samples of ovarian cancer and in all stages and grades suggests that your inhibition is a viable strategy in the treatment of this malignancy and conducting research in tumor metabolism will benefit cancer treatment. Citation Information: Mol Cancer Ther 2013;12(11 Suppl):A138. Citation Format: Aline Poersch, Lucas Oliveira Souza, Vitor Marcel Faça, Lewis Joel Greene, Francisco Jose Candido dos Reis. Identification of PKM2 as a potential biomarker of high-grade ovarian serous tumor. [abstract]. In: Proceedings of the AACR-NCI-EORTC International Conference: Molecular Targets and Cancer Therapeutics; 2013 Oct 19-23; Boston, MA. Philadelphia (PA): AACR; Mol Cancer Ther 2013;12(11 Suppl):Abstract nr A138.
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