{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:28:20Z","timestamp":1761863300942,"version":"3.37.3"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T00:00:00Z","timestamp":1409616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81100737"],"award-info":[{"award-number":["81100737"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Histopathology"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>Pyruvate kinase <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>2 (<jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2) and lactate dehydrogenase 5 (<jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5) are two metabolic and oncogenic markers of cancer. In this study, we sought to investigate their expression patterns and prognostic value in tongue squamous cell carcinoma (<jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>The expression and subcellular localization of <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> cell lines were determined by <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>estern blot and immunofluorescence. <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 abundance was examined by immunohistochemistry in 63 <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> tumour specimens; their association with multiple clinicopathological parameters and overall patient survival was assessed. The protein levels of <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 were both significantly higher in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> cells than in an immortalized oral epithelial cell line. Overexpression of <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 associated significantly with cervical node metastasis (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0373), while elevated <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 levels correlated significantly with tumour size (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0094), pathological grade (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0052), cervical node metastasis (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0023) and clinical stage (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0024). Patients with tumours showing an increase in either <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 or <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 expression displayed significantly reduced overall survival, while patients with tumours overexpressing both proteins showed the worst prognosis with lowest overall survival. Furthermore, <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 were identified as independent prognostic predictors for overall patient survival in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data indicate that overexpression of <jats:styled-content style=\"fixed-case\">PKM<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">LDH<\/jats:styled-content>5 associates with key clinicopathological features and unfavourable prognosis in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/his.12441","type":"journal-article","created":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T04:36:35Z","timestamp":1398400595000},"page":"595-605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Overexpression of metabolic markers <scp>PKM<\/scp>2 and <scp>LDH<\/scp>5 correlates with aggressive clinicopathological features and adverse patient prognosis in tongue cancer"],"prefix":"10.1111","volume":"65","author":[{"given":"Chunping","family":"Yuan","sequence":"first","affiliation":[{"name":"Oral Cancer Center Institute of Stomatology Affiliated Stomatological Hospital Nanjing Medical University Jiangsu China"},{"name":"Department of Oral and Maxillofacial Surgery Affiliated Stomatological Hospital Nanjing Medical University Jiangsu 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