Glutaminase 2 expression is associated with regional heterogeneity of 5-aminolevulinic acid fluorescence in glioblastoma

Sojin Kim, Ja Eun Kim, Yong Hwy Kim, Taeyoung Hwang, Sung Kwon Kim, Wen Jun Xu, Jong Yeon Shin, Jong Il Kim, Hyoungseon Choi, Hee Chan Kim, Hye Rim Cho, Anna Choi, Tamrin Chowdhury, Youngbeom Seo, Yun Sik Dho, Jin Wook Kim, Dong Gyu Kim, Sung Hye Park, Hyeonjin Kim, Seung Hong ChoiSunghyouk Park, Se Hoon Lee, Chul Kee Park

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Fluorescence-guided surgery using 5-aminolevulinic acid (5-ALA) is now a widely-used modality for glioblastoma (GBM) treatment. However, intratumoral heterogeneity of fluorescence intensity may reflect different onco-metabolic programs. Here, we investigated the metabolic mechanism underlying the heterogeneity of 5-ALA fluorescence in GBM. Using an in-house developed fluorescence quantification system for tumor tissues, we collected 3 types of GBM tissues on the basis of their fluorescence intensity, which was characterized as strong, weak, and none. Expression profiling by RNA-sequencing revealed 77 genes with a proportional relationship and 509 genes with an inverse relationship between gene expression and fluorescence intensity. Functional analysis and in vitro experiments confirmed glutaminase 2 (GLS2) as a key gene associated with the fluorescence heterogeneity. Subsequent metabolite profiling discovered that insufficient NADPH due to GLS2 underexpression was responsible for the delayed metabolism of 5-ALA and accumulation of protoporphyrin IX (PpIX) in the high fluorescence area. The expression level of GLS2 and related NADPH production capacity is associated with the regional heterogeneity of 5-ALA fluorescence in GBM.

Original languageEnglish
Article number12221
JournalScientific Reports
Volume7
Issue number1
DOIs
StatePublished - 1 Dec 2017
Externally publishedYes

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