We also investigated possible differences between the LDN-193189 two tumour groups regarding DNA content, index and S-phase fraction, but no statistically significant differences were found. These cellular characteristics have been widely investigated previously, since they are assumed to reflect the loss of normal cell proliferation control and the underlying genetic abnormalities. The prognostic value of DNA content is, however, more uncertain. While some studies have found a correlation with poor outcome and higher recurrence rate in aneuploid tumours [16, 17], the opposite, i.e. better survival of those with non-diploid tumours,
has also been reported [18]. The extent of 18F-FDG uptake has been see more suggested to provide a measure of tumour aggressiveness, and thus to be associated with poor prognosis in many tumour types [19, 20], including HNSCC [21, 22]. The usefulness of 18F-FDG-PET in HNSCC for detection of recurrent disease is well recognized and clinical studies have shown a capacity for PET to predict response to cytotoxic therapy [23, 24]. We determined the 18F-FDG uptake and its relation to cell viability in the established cell lines
and found an inverse correlation between cell doubling time (DT) and 18F-FDG uptake; the shorter the doubling time, the higher the 18F-FDG uptake. The correlation between the number of viable cells and 18F-FDG uptake, and between a shorter tumour selleck chemicals llc doubling time and a higher 18F-FDG uptake, support a relation between 18F-FDG metabolism and tumour
Sorafenib aggressiveness. A similar correlation between 18F-FDG uptake and cell proliferation has been described for other cancer types, including breast and colonic tumours [25]. In another in vitro study using HNSCC lines, Minn et al.[26] found a relation between 18F-FDG uptake and cell proliferation index, defined as the percentage of tumour cells in the S+G2/M phase, while Smith et al.[27] found a similar correlation with the S-phase fraction. Furthermore, in a clinical trial on 14 patients, a close correlation between growth fraction, determined by Ki67-MIB-1, and PCNA, assessed with immunohistochemistry, and 18F-FDG uptake was demonstrated [28], but no correlation between 18F-FDG uptake and DNA ploidity was seen. The close relation between CCND1 status and cell proliferation suggests that deregulated CCND1 could be a factor affecting 18F-FDG uptake. However, we found no correlation between cyclin D1 expression or CCND1 amplification and 18F-FDG uptake. Similar results, i.e. no correlation between CCND1 s tatus and 18F-FDG uptake, have been reported in a clinical trial on lung cancer patients [29]. Some studies have found TP53 mutations to be accompanied by increased glycolysis, which could be the result of reduced synthesis of proteins in the COX ∏ subunit or increased transcription of HK-2 [30, 31]. We found no association between the presence or absence of TP53 and increased 18F-FDG uptake.