山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (2): 16-24.doi: 10.6040/j.issn.1671-7554.0.2022.0965
王赞1,2,徐晓涵1,张瑜3,曲业敏2,王明义2,陈艾1,2
WANG Zan1,2, XU Xiaohan1, ZHANG Yu3, QU Yemin2, WANG Mingyi2, CHEN Ai1,2
摘要: 目的 探讨幽门螺杆菌(H. pylori)对胃癌细胞糖酵解的影响及分子机制。 方法 通过检测胃黏膜上皮细胞GES-1与6种胃癌细胞(MKN28、AGS、HGC27、MGC803、MKN45、NCI-N87)的葡萄糖消耗速率和乳酸产量,确定GES-1和两种胃癌细胞MKN28、AGS为后续研究对象。将GES-1、MKN28和AGS细胞分别与H. pylori(H. pylori-HVS、H. pylori-26695、H. pylori-△cagA)共培养,构建H. pylori急性和慢性感染的细胞模型,将未感染H. pylori的3种细胞设置为对照组。在所有细胞模型中检测葡萄糖消耗、乳酸生成和葡萄糖摄取,并且通过Western blotting检测糖酵解关键酶的蛋白表达水平。 结果 与正常胃黏膜上皮细胞GES-1比较,多种胃癌细胞(AGS、HGC27、MGC803、MKN45、NCI-N87)中葡萄糖消耗和乳酸生成上调,差异均有统计学意义(P均<0.001)。与未感染H. pylori的对照组细胞比较,H. pylori急性感染不影响GES-1和两种胃癌细胞MKN28、AGS的葡萄糖摄取和乳酸生成,差异均无统计学意义(P均>0.05);而H. pylori慢性感染导致GES-1和两种胃癌细胞MKN28、AGS的葡萄糖摄取和乳酸生成增加,差异均有统计学意义(P均<0.001)。Western blotting结果显示,在H. pylori慢性感染的胃癌细胞中,PKM2(丙酮酸激酶M2亚型)表达水平上调,而PKM1(丙酮酸激酶M1亚型)表达水平下调。 结论 H. pylori慢性感染可上调胃癌细胞的糖酵解,其分子机制可能与PKM2有关,提示PKM2可能是H. pylori介导胃癌代谢改变的靶点。
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