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Loss of ACSS2 expression predicts poor prognosis in patients with gastric cancer

Background Recent studies have demonstrated that acetyl‐CoA synthetase 2 (ACSS2) plays a critical role in cancer cell survival; however, the role of ACSS2 in gastric carcinogenesis has not been determined. Methods We investigated the expression of ACSS2 in human gastric cancer (GC) tissues using imm...

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Published in:Journal of surgical oncology 2015-11, Vol.112 (6), p.585-591
Main Authors: Hur, Hoon, Kim, Young-Bae, Ham, In-Hye, Lee, Dakeun
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creator Hur, Hoon
Kim, Young-Bae
Ham, In-Hye
Lee, Dakeun
description Background Recent studies have demonstrated that acetyl‐CoA synthetase 2 (ACSS2) plays a critical role in cancer cell survival; however, the role of ACSS2 in gastric carcinogenesis has not been determined. Methods We investigated the expression of ACSS2 in human gastric cancer (GC) tissues using immunohistochemistry, and analyzed its clinicopathological correlation and prognostic relevance. Results Among 350 GCs, 219 cases (62.6%) were classified as ACSS2‐low, whereas 131 cases (37.4%) were ACSS2‐high. Loss of ACSS2 expression (ACSS2‐low) was more frequently observed in undifferentiated histology (P = 0.002), in cases with MLH1‐loss (P = 0.003), and in cases with SIRT3‐low (P 
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Methods We investigated the expression of ACSS2 in human gastric cancer (GC) tissues using immunohistochemistry, and analyzed its clinicopathological correlation and prognostic relevance. Results Among 350 GCs, 219 cases (62.6%) were classified as ACSS2‐low, whereas 131 cases (37.4%) were ACSS2‐high. Loss of ACSS2 expression (ACSS2‐low) was more frequently observed in undifferentiated histology (P = 0.002), in cases with MLH1‐loss (P = 0.003), and in cases with SIRT3‐low (P &lt; 0.001). The ACSS2‐low cases showed significantly lower mean disease‐free survival (DFS, 68.5 vs. 81.8 months; P = 0.025) and overall survival (OS, 73.5 vs. 86.6 months; P = 0.029). In multivariate analysis, loss of ACSS2 expression was identified as one of the independent prognostic factors predicting worse DFS (HR: 1.547, P = 0.018) and OS (HR: 1.476, P = 0.036). Conclusions We revealed that the loss of ACSS2 expression is a reliable independent poor prognostic factor in GC. Our results may expand our understanding of the involvement of glucose metabolism, including the role of ACSS2, in the pathogenesis of GC. J. Surg. Oncol. 2015;112:585–591. © 2015 Wiley Periodicals, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.24043</identifier><identifier>PMID: 26381042</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Acetate-CoA Ligase - metabolism ; ACSS2 ; Adenocarcinoma - metabolism ; Adenocarcinoma - mortality ; Adenocarcinoma - pathology ; Adenocarcinoma, Mucinous - metabolism ; Adenocarcinoma, Mucinous - mortality ; Adenocarcinoma, Mucinous - pathology ; Adult ; Aged ; Aged, 80 and over ; Biomarkers, Tumor - metabolism ; Carcinoma, Signet Ring Cell - metabolism ; Carcinoma, Signet Ring Cell - mortality ; Carcinoma, Signet Ring Cell - pathology ; Female ; Follow-Up Studies ; gastric cancer ; Humans ; Immunoenzyme Techniques ; Male ; microsatellite instability ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Prognosis ; SIRT3 ; Stomach Neoplasms - metabolism ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Survival Rate ; Tissue Array Analysis ; Young Adult</subject><ispartof>Journal of surgical oncology, 2015-11, Vol.112 (6), p.585-591</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4613-7d6e94a3b06ecbd1a1b9e05de0f7a22fb5e7cd24e6f9745b9e4ce7265e88a29a3</citedby><cites>FETCH-LOGICAL-c4613-7d6e94a3b06ecbd1a1b9e05de0f7a22fb5e7cd24e6f9745b9e4ce7265e88a29a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26381042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hur, Hoon</creatorcontrib><creatorcontrib>Kim, Young-Bae</creatorcontrib><creatorcontrib>Ham, In-Hye</creatorcontrib><creatorcontrib>Lee, Dakeun</creatorcontrib><title>Loss of ACSS2 expression predicts poor prognosis in patients with gastric cancer</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background Recent studies have demonstrated that acetyl‐CoA synthetase 2 (ACSS2) plays a critical role in cancer cell survival; however, the role of ACSS2 in gastric carcinogenesis has not been determined. Methods We investigated the expression of ACSS2 in human gastric cancer (GC) tissues using immunohistochemistry, and analyzed its clinicopathological correlation and prognostic relevance. Results Among 350 GCs, 219 cases (62.6%) were classified as ACSS2‐low, whereas 131 cases (37.4%) were ACSS2‐high. Loss of ACSS2 expression (ACSS2‐low) was more frequently observed in undifferentiated histology (P = 0.002), in cases with MLH1‐loss (P = 0.003), and in cases with SIRT3‐low (P &lt; 0.001). The ACSS2‐low cases showed significantly lower mean disease‐free survival (DFS, 68.5 vs. 81.8 months; P = 0.025) and overall survival (OS, 73.5 vs. 86.6 months; P = 0.029). In multivariate analysis, loss of ACSS2 expression was identified as one of the independent prognostic factors predicting worse DFS (HR: 1.547, P = 0.018) and OS (HR: 1.476, P = 0.036). Conclusions We revealed that the loss of ACSS2 expression is a reliable independent poor prognostic factor in GC. Our results may expand our understanding of the involvement of glucose metabolism, including the role of ACSS2, in the pathogenesis of GC. J. Surg. Oncol. 2015;112:585–591. © 2015 Wiley Periodicals, Inc.</description><subject>Acetate-CoA Ligase - metabolism</subject><subject>ACSS2</subject><subject>Adenocarcinoma - metabolism</subject><subject>Adenocarcinoma - mortality</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma, Mucinous - metabolism</subject><subject>Adenocarcinoma, Mucinous - mortality</subject><subject>Adenocarcinoma, Mucinous - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Carcinoma, Signet Ring Cell - metabolism</subject><subject>Carcinoma, Signet Ring Cell - mortality</subject><subject>Carcinoma, Signet Ring Cell - pathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>gastric cancer</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Male</subject><subject>microsatellite instability</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Staging</subject><subject>Prognosis</subject><subject>SIRT3</subject><subject>Stomach Neoplasms - metabolism</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Survival Rate</subject><subject>Tissue Array Analysis</subject><subject>Young Adult</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kEtPAyEUhYnR2PpY-AfMJK5cjALDwLCs9Z3GR6p2SRjmTqXqUGGa1n8vOurOFZDznXMvB6E9go8IxvR4FtwRZZhla6hPsOSpxLJYR_2o0ZQJiXtoK4QZxlhKzjZRj_KsIJjRProbuRASVyeD4XhME1jNPYRgXZPES2VNG5K5cz6-3LRxwYbERkm3FpooLW37nEx1aL01idGNAb-DNmr9GmD359xGj-dnD8PLdHR7cTUcjFLDOMlSUXGQTGcl5mDKimhSSsB5BbgWmtK6zEGYijLgtRQsjyIzICjPoSg0lTrbRgddbtzsfQGhVTO38E0cqUjkhCS8oJE67Cjj4z891Gru7Zv2H4pg9dWdit2p7-4iu_-TuCjfoPojf8uKwHEHLO0rfPyfpK7Ht7-RaeewoYXVn0P7F8VFJnI1ublQd6cT_lSc3Kun7BNplYgD</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Hur, Hoon</creator><creator>Kim, Young-Bae</creator><creator>Ham, In-Hye</creator><creator>Lee, Dakeun</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>20151101</creationdate><title>Loss of ACSS2 expression predicts poor prognosis in patients with gastric cancer</title><author>Hur, Hoon ; Kim, Young-Bae ; Ham, In-Hye ; Lee, Dakeun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4613-7d6e94a3b06ecbd1a1b9e05de0f7a22fb5e7cd24e6f9745b9e4ce7265e88a29a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acetate-CoA Ligase - metabolism</topic><topic>ACSS2</topic><topic>Adenocarcinoma - metabolism</topic><topic>Adenocarcinoma - mortality</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma, Mucinous - metabolism</topic><topic>Adenocarcinoma, Mucinous - mortality</topic><topic>Adenocarcinoma, Mucinous - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Carcinoma, Signet Ring Cell - metabolism</topic><topic>Carcinoma, Signet Ring Cell - mortality</topic><topic>Carcinoma, Signet Ring Cell - pathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>gastric cancer</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Male</topic><topic>microsatellite instability</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Staging</topic><topic>Prognosis</topic><topic>SIRT3</topic><topic>Stomach Neoplasms - metabolism</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Survival Rate</topic><topic>Tissue Array Analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hur, Hoon</creatorcontrib><creatorcontrib>Kim, Young-Bae</creatorcontrib><creatorcontrib>Ham, In-Hye</creatorcontrib><creatorcontrib>Lee, Dakeun</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hur, Hoon</au><au>Kim, Young-Bae</au><au>Ham, In-Hye</au><au>Lee, Dakeun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Loss of ACSS2 expression predicts poor prognosis in patients with gastric cancer</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>112</volume><issue>6</issue><spage>585</spage><epage>591</epage><pages>585-591</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background Recent studies have demonstrated that acetyl‐CoA synthetase 2 (ACSS2) plays a critical role in cancer cell survival; however, the role of ACSS2 in gastric carcinogenesis has not been determined. Methods We investigated the expression of ACSS2 in human gastric cancer (GC) tissues using immunohistochemistry, and analyzed its clinicopathological correlation and prognostic relevance. Results Among 350 GCs, 219 cases (62.6%) were classified as ACSS2‐low, whereas 131 cases (37.4%) were ACSS2‐high. Loss of ACSS2 expression (ACSS2‐low) was more frequently observed in undifferentiated histology (P = 0.002), in cases with MLH1‐loss (P = 0.003), and in cases with SIRT3‐low (P &lt; 0.001). The ACSS2‐low cases showed significantly lower mean disease‐free survival (DFS, 68.5 vs. 81.8 months; P = 0.025) and overall survival (OS, 73.5 vs. 86.6 months; P = 0.029). In multivariate analysis, loss of ACSS2 expression was identified as one of the independent prognostic factors predicting worse DFS (HR: 1.547, P = 0.018) and OS (HR: 1.476, P = 0.036). Conclusions We revealed that the loss of ACSS2 expression is a reliable independent poor prognostic factor in GC. Our results may expand our understanding of the involvement of glucose metabolism, including the role of ACSS2, in the pathogenesis of GC. J. Surg. Oncol. 2015;112:585–591. © 2015 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26381042</pmid><doi>10.1002/jso.24043</doi><tpages>7</tpages></addata></record>
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subjects Acetate-CoA Ligase - metabolism
ACSS2
Adenocarcinoma - metabolism
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma, Mucinous - metabolism
Adenocarcinoma, Mucinous - mortality
Adenocarcinoma, Mucinous - pathology
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor - metabolism
Carcinoma, Signet Ring Cell - metabolism
Carcinoma, Signet Ring Cell - mortality
Carcinoma, Signet Ring Cell - pathology
Female
Follow-Up Studies
gastric cancer
Humans
Immunoenzyme Techniques
Male
microsatellite instability
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Prognosis
SIRT3
Stomach Neoplasms - metabolism
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Survival Rate
Tissue Array Analysis
Young Adult
title Loss of ACSS2 expression predicts poor prognosis in patients with gastric cancer
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