Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b

Background:. A keloid is composed of several nodules, which are divided into two zones: the central zone (CZ; a hypoxic region) and the marginal zone (MZ; a normoxic region). Keloid nodules play a key role in energy metabolic activity for continuous growth by increasing in number and total area. In...

Full description

Bibliographic Details
Main Authors: Yuumi Lee, MD, Yuko Ito, MD, PhD, Kohei Taniguchi, MD, PhD, Takashi Nuri, MD, PhD, SangWoong Lee, MD, PhD, Koichi Ueda, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2023-08-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005202
_version_ 1797732720903716864
author Yuumi Lee, MD
Yuko Ito, MD, PhD
Kohei Taniguchi, MD, PhD
Takashi Nuri, MD, PhD
SangWoong Lee, MD, PhD
Koichi Ueda, MD, PhD
author_facet Yuumi Lee, MD
Yuko Ito, MD, PhD
Kohei Taniguchi, MD, PhD
Takashi Nuri, MD, PhD
SangWoong Lee, MD, PhD
Koichi Ueda, MD, PhD
author_sort Yuumi Lee, MD
collection DOAJ
description Background:. A keloid is composed of several nodules, which are divided into two zones: the central zone (CZ; a hypoxic region) and the marginal zone (MZ; a normoxic region). Keloid nodules play a key role in energy metabolic activity for continuous growth by increasing in number and total area. In this study, we aimed to investigate the roles of the zones in the execution of the Warburg effect and identify which microRNAs regulate this phenomenon in keloid tissue. Methods:. Eleven keloids from patients were used. Using immunohistochemical analysis, 179 nodules were randomly chosen from these keloids to identify glycolytic enzymes, autophagic markers, pyruvate kinase M (PKM) 1/2, and polypyrimidine tract binding protein 1 (PTBP1). Western blot and qRT-PCR tests were also performed for PKM, PTBP1, and microRNAs (miR-133b and miR-200b, c). Results:. Immunohistochemical analysis showed that the expression of the autophagic (LC3, p62) and glycolytic (GLUT1, HK2) were significantly higher in the CZ than in the MZ. PKM2 expression was significantly higher than PKM1 expression in keloid nodules. Furthermore, PKM2 expression was higher in the CZ than in the MZ. However, PKM1 and PTBP1 expression levels were higher in the MZ than in the CZ. The qRT-PCR analysis showed that miR-133b-3p was moderately downregulated in the keloids compared with its expression in the normal skin tissue. Conclusions:. The Warburg effect occurred individually in nodules. The MZ presented PKM2-positive fibroblasts produced by activated PTBP1. In the CZ, PKM2-positive fibroblasts produced lactate. MiR-133b-3p was predicted to control the Warburg effect in keloids.
first_indexed 2024-03-12T12:18:37Z
format Article
id doaj.art-54b72efa406243c7910db1a27ccae8aa
institution Directory Open Access Journal
issn 2169-7574
language English
last_indexed 2024-03-12T12:18:37Z
publishDate 2023-08-01
publisher Wolters Kluwer
record_format Article
series Plastic and Reconstructive Surgery, Global Open
spelling doaj.art-54b72efa406243c7910db1a27ccae8aa2023-08-30T06:13:52ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-08-01118e520210.1097/GOX.0000000000005202202308000-00048Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133bYuumi Lee, MD0Yuko Ito, MD, PhD1Kohei Taniguchi, MD, PhD2Takashi Nuri, MD, PhD3SangWoong Lee, MD, PhD4Koichi Ueda, MD, PhD5From the * Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan† Department of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan‡ Center for Medical Research & Development, Division of Translational Research, Osaka Medical and Pharmaceutical University, Osaka, Japan.From the * Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan† Department of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Osaka, JapanFrom the * Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, JapanBackground:. A keloid is composed of several nodules, which are divided into two zones: the central zone (CZ; a hypoxic region) and the marginal zone (MZ; a normoxic region). Keloid nodules play a key role in energy metabolic activity for continuous growth by increasing in number and total area. In this study, we aimed to investigate the roles of the zones in the execution of the Warburg effect and identify which microRNAs regulate this phenomenon in keloid tissue. Methods:. Eleven keloids from patients were used. Using immunohistochemical analysis, 179 nodules were randomly chosen from these keloids to identify glycolytic enzymes, autophagic markers, pyruvate kinase M (PKM) 1/2, and polypyrimidine tract binding protein 1 (PTBP1). Western blot and qRT-PCR tests were also performed for PKM, PTBP1, and microRNAs (miR-133b and miR-200b, c). Results:. Immunohistochemical analysis showed that the expression of the autophagic (LC3, p62) and glycolytic (GLUT1, HK2) were significantly higher in the CZ than in the MZ. PKM2 expression was significantly higher than PKM1 expression in keloid nodules. Furthermore, PKM2 expression was higher in the CZ than in the MZ. However, PKM1 and PTBP1 expression levels were higher in the MZ than in the CZ. The qRT-PCR analysis showed that miR-133b-3p was moderately downregulated in the keloids compared with its expression in the normal skin tissue. Conclusions:. The Warburg effect occurred individually in nodules. The MZ presented PKM2-positive fibroblasts produced by activated PTBP1. In the CZ, PKM2-positive fibroblasts produced lactate. MiR-133b-3p was predicted to control the Warburg effect in keloids.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005202
spellingShingle Yuumi Lee, MD
Yuko Ito, MD, PhD
Kohei Taniguchi, MD, PhD
Takashi Nuri, MD, PhD
SangWoong Lee, MD, PhD
Koichi Ueda, MD, PhD
Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
Plastic and Reconstructive Surgery, Global Open
title Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
title_full Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
title_fullStr Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
title_full_unstemmed Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
title_short Experimental Study of Warburg Effect in Keloid Nodules: Implication for Downregulation of miR-133b
title_sort experimental study of warburg effect in keloid nodules implication for downregulation of mir 133b
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005202
work_keys_str_mv AT yuumileemd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b
AT yukoitomdphd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b
AT koheitaniguchimdphd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b
AT takashinurimdphd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b
AT sangwoongleemdphd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b
AT koichiuedamdphd experimentalstudyofwarburgeffectinkeloidnodulesimplicationfordownregulationofmir133b