In the collaboration with the Department of Radiation Oncology, Osaka University (Prof. Ogawa, K.), Baek , et al. update the information regarding carbon ion beam radiation and new radio sensitizers. Given that cancer stem cells (CSCs) are a small population of cells in cancer with stem-like properties such as cell proliferation, and CSCs are therapy-resistant and cause cancer metastasis and recurrence, one key issue in cancer therapy may be the carbon ion beam radiotherapy, being a promising treatment for CSCs. Evidence indicates that the carbon ion beam is more effective against CSCs than the conventional X-ray beam. Combination therapies of radiosensitizing microRNAs and carbon ion beam radiotherapy may be a promising cancer strategy.
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Susceptibility of pancreatic cancer stem cells to reprogramming. (Cancer Sci, 2015)
In collaboration with the Department of Surgery, Osaka University (Profs. Masaki Mori and Yuichiro Doki), Noguchi et al. studied the susceptibility of pancreatic cancer stem cells (CSCs) to reprogramming. Given that previous reports have indicated that reprogramming technologies may be useful for altering the malignant phenotype of epithelial cancer cells, the study may be useful for extensive modification of malignant features of pancreatic CSCs. The study focused on c-Met signaling, which has been identified as a marker of CSCs. The present study indicates that cells that expressed high levels of c-Met showed higher CSC properties, such as tumor-initiating capacity, and resistance to gemcitabine. Although further studies are necessary, it suggests the novel approach may be possible for cancer cell reprogramming .
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Tumour-suppressive function of SIRT4 in human colorectal cancer (Br. J. Cancer, 2015)
SIRT4, which is localized in the mitochondria, is one of the least characterized members of the sirtuin family of nicotinamide adenine dinucleotide?dependent enzymes that play key roles in multiple cellular processes such as metabolism, stress response and longevity. In collaboration with the Department of Surgery, Osaka University (Profs. Masaki Mori and Yuichiro Doki) , Miyo et al. studied the significance of SIRT4 in human colorectal cancer. SIRT4 expression decreased with the progression of invasion and metastasis, and a low expression level of SIRT4 was correlated with a worse prognosis. SIRT4 has a tumour-suppressive function and may serve as a novel therapeutic target in colorectal cancer.
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In collaboration with the Department of Surgery, Osaka University (Profs. Masaki Mori and Yuichiro Doki), Ogawa et al. showed the data that cancer reprogramming may be a useful treatment for chemo- or radiotherapy-resistant cancer cells. The introduction of microRNA (miR) resulted in epigenetic reprogramming of DNA demethylation and histone modification events. In vivo administration of the ribonucleotides in mice elicited the induction of cancer cell apoptosis. The present study shows that the introduction of miRs could induce cellular reprogramming and modulate malignant phenotypes of human colorectal cancer, suggesting that the appropriate delivery of functional small-sized ribonucleotides may open a new avenue for therapy against human malignant tumors.
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In collaboration with the Department of Surgery, Osaka University (Profs. Masaki Mori and Yuichiro Doki), Nishikawa et al. studied an expression profiling study of surgically resected human tumors by utilizing a flow cytometry-based cell separation technique, an anti-cell surface marker antibody-based array platform, and a tumorigenicity analysis in immunodeficient animals. These approaches revealed that the significance of markers cluster of differentiation CD44 and CD26. The present study demonstrated that the combined expression of CD26 and CD44 presents a potential marker of human GC stem cells.
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The M2 isoform of pyruvate kinase, the final rate-limiting enzyme of aerobic glycolysis, is expressed during embryonic development, whereas the M1 isoform is expressed in differentiated cells due to alternative splicing. By utilizing murine embryonic stem cells (ESCs) , Konno et al showed that the Pkm2 allele plays an important role in establishing intracellular redox conditions and modulating oxidative phosphorylation events to achieve an appropriate ESC differentiation program.
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Metabolism may determine the biologically malignant behavior of pancreatic cancer. To investigate the significance and prognostic value of cancer metabolism in cancer patients, Ogawa et al., in collaboration with the Department of Surgery, Osaka University, investigated the expression of two key enzymes in anaerobic glycolysis, hexokinase 2 (HK2) and pyruvate kinase isoenzyme type M2 (PKM2). The results demonstrated that the expression of HK2 and PKM2, particularly their combination may predict an unfavorable clinical outcome in patients with pancreatic cancer.
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Cyclin G2: a new prognosis marker in pancreatic cancer (Oncol. Lett., 2014)
Although a family of cyclins positively regulates the cell cycle to a large extent, Hasegawa et al. found that unexpectedly cyclin G2 has been shown to regulate cell proliferation as a tumor suppressor gene, as the collaboration with the Department of Surgery, Osaka University (Profs. Nagano, Mori and Doki), Research Institute for Microbial Diseases, Osaka University (Prof. Nojima) , and Cancer Research Institute of Kanazawa University (Prof. Gotoh), Japan. The study demonstrates the candidacy of decreased CCNG2 expression as a marker for poor prognosis in pancreatic cancer.
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Bioinformatics and computational modeling offer innovative approaches to investigate cancer metabolism and predict the secondary and tertiary cellular responses. A significant proportion of patients with glioblastoma and hematological malignancies harbor the mutated forms of the oxidative phosphorylation (OxPhos) enzymes, isocitrate dehydrogenase (IDH) 1 or 2. The mutated forms of IDH1 and IDH2 produce an oncogenic metabolite, D-2-hydroxyglutarate (D2HG). We computationally analyzed gene expression in colorectal cancer (CRC), and identified novel sets of genes that are associated with patient survival. The study of OxPhos-related genes revealed that an imbalance between the expression of IDH1 and IDH2, defined as over expression of one isoform in relation to the other, was associated with worse prognosis in CRC patients. This effect was accentuated by reduced expression of the 2-HG-inactivating pathway. These findings suggest a yet uncharacterized mechanism to discover novel therapeutic targets for the treatment of CRC.
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In collaboration with the Department of Surgery, Osaka University (Profs. Masaki Mori and Yuichiro Doki), Hamabe et al. showed that pyruvate kinase M2 (PKM2), an alternatively spliced variant of the pyruvate kinase gene, mediates epithelial?mesenchymal transition (EMT), which is critical for aggressive cancer phenotypes. The study demonstrates that EMT stimulates nuclear translocation of PKM2 and controls transcription mechanism. The present study shows a role of pyruvate kinase M2 in transcriptional regulation leading to EMT. The precise understanding of nuclear PKM2 function suggests the potential for a model preventing metastasis of colorectal cancer.

