title: Thymidine kinase 1 and thymidine phosphorylase expression in non-small-cell lung carcinoma in relation to angiogenesis and proliferation.
abstract: The thymidine salvage pathway enzymes thymidine kinase 1 (TK1) and thymidine phosphorylase (TP) compete for thymidine as a substrate and catalyze opposing synthetic and catabolic reactions that have been implicated in the control of proliferation and angiogenesis, respectively. We investigated the relationship between the expression of TK1 and TP as they relate to proliferation (Ki-67 labeling index) and angiogenesis (Chalkley count of CD31-stained blood vessels) in a series of 110 non-small-cell lung cancer (NSCLC) tumors from patients prospectively enrolled in an imaging trial. TK1 and TP exhibited similar patterns of immunohistochemical distribution, in that each was found in both the nucleus and the cytoplasm of tumor cells. Each enzyme exhibited a significant positive correlation between its levels of nuclear and cytoplasmic expression. A significant positive correlation between TK1 expression and the Ki-67 labeling index (r = 0.53, p<0.001) was observed. TP was significantly positively correlated with Chalkley scoring of CD31 staining in high vs low Chalkley scoring samples (mean TP staining of 115.8 vs 79.9 scoring units, p<0.001), respectively. We did not observe a substantial inverse correlation between the TP and TK1 expression levels in the nuclear compartment (r = -0.17, p=0.08). Tumor size was not found to be associated with TK1, TP, Ki-67, or Chalkley score. These findings provide additional evidence for the role of thymidine metabolism in the complex interaction of proliferation and angiogenesis in NSCLC.
authors: , Division of Nuclear Medicine, Department of Radiology, University of Washington Medical Center, Seattle, WA 98195-7115, USA.
authors: J Scott
authors: JS
authors: Brockenbrough
authors: Janice K
authors: JK
authors: Morihara
authors: Stephen E
authors: SE
authors: Hawes
authors: Joshua E
authors: JE
authors: Stern
authors: Janet S
authors: JS
authors: Rasey
authors: Linda W
authors: LW
authors: Wiens
authors: Qinghua
authors: Q
authors: Feng
authors: Hubert
authors: H
authors: Vesselle
mesh_terms: D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000098:blood supply* / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D002467:Cell Nucleus / Q000201:enzymology; D049109:Cell Proliferation; D002986:Clinical Trials as Topic; D003593:Cytoplasm / Q000201:enzymology; D005260:Female; D015972:Gene Expression Regulation, Neoplastic; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen / Q000378:metabolism; D008175:Lung Neoplasms / Q000098:blood supply* / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic; D013194:Staining and Labeling; D013937:Thymidine Kinase / Q000378:metabolism*; D013939:Thymidine Phosphorylase / Q000378:metabolism*; D047368:Tumor Burden
chemical_list: D019394:Ki-67 Antigen; D013939:Thymidine Phosphorylase; D013937:Thymidine Kinase; C092717:thymidine kinase 1