High expression of monocarboxylate transporter 4 predicts poor prognosis in patients with lung adenocarcinoma.

Oncol Lett

Department of Pathology, School of Basic Medical Science, Wuhan University, Wuhan, Hubei 430071, P.R. China.

Published: November 2017

AI Article Synopsis

  • MCT-4 plays a critical role in transporting lactate in human cancers, particularly linked to non-small cell lung cancer, but its significance in lung adenocarcinoma (AC) was previously unclear.
  • A study analyzed MCT-4 expression in 146 lung AC samples, finding that 17.1% exhibited high levels, which were notably associated with deeper tumor invasion and significantly poorer overall survival rates.
  • High MCT-4 expression emerged as an independent prognostic factor for lung AC patients, suggesting it could be a potential target for treatment.

Article Abstract

Monocarboxylate transporter 4 (MCT-4) serves a key function in transporting lactate across the plasma membrane in various types of human cancer. Evidence indicates that MCT-4 expression is associated with non-small cell lung cancer; however, the distribution and clinical significance of MCT-4 in the lung adenocarcinoma (AC) subtype remain unknown. Thus, the aim of the present study was to explore the clinicopathological significance and prognostic values of MCT-4 expression in lung AC. Quantum dots-based immunofluorescence histochemistry was performed to observe the expression of MCT-4 in 146 specimens of lung AC and corresponding normal lung tissues. MCT-4 protein and mRNA were detected by western blotting and reverse transcription-quantitative polymerase chain reaction from 30 fresh samples of lung AC and corresponding normal lung tissues. Of the 146 samples, 25 (17.1%) exhibited high and 121 (82.9%) exhibited low MCT-4 expression. MCT-4, at the protein and mRNA level, was significantly increased in tumor specimens compared with corresponding normal lung tissue (P<0.05). MCT-4 protein expression was significantly associated with depth of invasion (P=0.034). A survival curve analysis indicated that high MCT-4 expression in lung AC was associated with a decreased overall survival rate (P=0.001). Multivariate analysis demonstrated that high MCT-4 level was an independent prognostic factor (hazard ratio, 3.192; 95% confidence interval, 1.804-5.646; P=0.001) for patients with lung AC. The results have demonstrated that high MCT-4 expression is significantly associated with the poor prognosis and disease progression of patients with lung AC. Therefore, MCT-4 may be a candidate therapeutic target in lung AC.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661367PMC
http://dx.doi.org/10.3892/ol.2017.6964DOI Listing

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