Abstract
Lactate dehydrogenase (LDH) among many biochemical parameters represents a very valuable enzyme in patients with cancer with possibility for easy routine measurement in many clinical laboratories. Previous studies where mostly based on investigated LDH in serum of patients with cancer with aims to estimate their clinical significance. The new directions in investigation of LDH where based on the principle that tumor cells release intracellular enzymes trough damaged cell membrane, that is mostly consequence in intracellular mitochondrial machinery alteration, and apoptosis deregulation. This consideration can be used not only in-vitro assays, but also in respect to clinical characteristics of tumor patients. Based on new techniques of molecular biology it is shown that intracellular characteristics of LDH enzyme are very sensitive indicators of the cellular metabolic state, aerobic or anaerobic direction of glycolysis, activation status and malignant transformation. Using different molecular analyses it is very useful to analyzed intracellular LDH activity in different cell line and tumor tissues obtained from patients, not only to understanding complexity in cancer biochemistry but also in early clinical diagnosis. Based on understandings of the LDH altered metabolism, new therapy option is created with aims to blocking certain metabolic pathways and stop tumors growth.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Benboubker L, Valat C, Linassier C et al (2000) A new serologic index for low-grade non-Hodgkin’s lymphoma based on initial CA125 and LDH serum levels. Ann Oncol 11:1485–1491
Koukourakis MI, Kontomanolis E, Giatromanolaki A, Sivridis E, Liberis V (2009) Serum and tissue LDH levels in patients with breast/gynaecological cancer and benign diseases. Gynecol Obstet Invest 67(3):162–168
Sagman U, Feld R, Evans WK, Warr D, Shepherd FA, Payne D, Pringle J, Yeoh J, DeBoer G, Malkin A et al (1991) The prognostic significance of pretreatment serum lactate dehydrogenase in patients with small-cell lung cancer. J Clin Oncol 9:954–961
Coiffier B (1996) Advances in lymphoma research. Can prognostic factors be applied in treatment selection for aggressive lymphoma patients? Cancer Treat Res 85:53–77
Homsi J, Kashani-Sabet M, Messina JL, Daud A (2005) Cutaneous melanoma: prognostic factors. Cancer Control 12:223–229
Jurisic V, Bumbasirevic V, Konjevic G, Djuricic B, Spuzic I (2004) TNF-alpha induces changes in LDH isotype profile following triggering of apoptosis in PBL of non-Hodgkin’s lymphomas. Ann Hematol 83(2):84–91, Epub 2003 Oct 28
Jurisic V, Terzic T, Pavlovic S, Colovic N, Colovic M (2008) Elevated TNF-alpha and LDH without parathormone disturbance is associated with diffuse osteolytic lesions in leukemic transformation of myelofibrosis. Pathol Res Pract 204(2):129–132
Ouyang QC, Wang PH (2001) The variation of the serum level of lactic dehydrogenace in 105 patients with non-Hodgkin’s and its clinical significance. J Pract Oncol 16:111–113
De Berardinis RJ, Lum JJ, Hatzivassiliou G, Thompson CB (2008) The biology of cancer: metabolic reprogramming fuels cell growth and proliferation. Cell Metab 7:11–20
Luo J, Solimini NL, Elledge SJ (2009) Principles of cancer therapy: oncogene and non-oncogene addiction. Cell 136(5):823–837
Warburg O, Posener K, Negelein E (1924) U¨ ber den Stoffwechsel der Carcinomzelle. Biochem Z 152:309–344
Vander Heiden MG, Cantley LC, Thompson CB (2009) Understanding the Warburg effect: the metabolic requirements of cell proliferation. Science 324:1029–1033
Icard P, Lincet H (2012) A global view of the biochemical pathways involved in the regulation of the metabolism of cancer cells review. Biochim Biophys Acta (BBA) – Reviews on Cancer 1826(2):423–433
Lu R, Jiang M, Chen Z, Xu X, Hu H, Zhao X, Gao X, Guo L (2013) Lactate dehydrogenase 5 expression in non-hodgkin lymphoma is associated with the induced hypoxia regulated protein and poor prognosis. PLoS One 8(9):e74853. doi:10.1371/journal.pone.0074853
Shim H, Dolde C, Lewis B, Wu C, Dang G, Jungmann R, Dalla-Favera R, Dang C (1997) c-Myc transactivation of LDH-A: implications for tumor metabolism and growth. Proc Natl Acad Sci U S A 94:6658–6663
Warburg O (1956) On respiratory impairment in cancer cells. Science 124:269–270
Chen JL, Appelbaum DE, Kocherginsky M, Cowey CL, Kimryn Rathmell W, McDermott DF, Stadler WM (2013) FDG-PET as a predictive biomarker for therapy with everolimus in metastatic renal cell cancer. Cancer Med 2(4):545–552. doi:10.1002/cam4.102
Kim J-W, Dang CV (2005) Multifaceted roles of glycolytic enzymes. Trends Biochem Sci 30(3):142–150
Harris AL (2002) Hypoxia: a key regulatory factor in tumour growth. Nat Rev Cancer 2:38–47
Kolev Y, Uetake H, Takagi Y, Sugihara K (2008) Lactate dehydrogenase-5 (LDH-5) expression in human gastric cancer: association with hypoxia-inducible factor (HIF-1alpha) pathway, angiogenic factors production and poor prognosis. Ann Surg Oncol 15:2336–2344
Greijer AE, van der Groep P, Kemming D, Shvarts A, Semenza GL, Meijer GA, van de Wiel MA, Belien JA, van Diest PJ, van der Wall E (2005) Up-regulation of gene expression by hypoxia is mediated predominantly by hypoxia- inducible factor 1. J Pathol 206:291–304
Huang D, Jungmann RA (1995) Transcriptional regulation of the lactate dehydrogenase A subunit gene by the phorbol ester 12-O-tetradecanoylphorbol-13-acetate. Mol Cell Endocrinol 108:87–94
Markert CL (1963) Lactate dehydrogenase isozymes: dissociation and recombination of subunits. Science 140:1329–1330
Grimm M, Alexander D, Munz A, Hoffmann J, Reinert S (2013) Increased LDH5 expression is associated with lymph node metastasis and outcome in oral squamous cell carcinoma. Clin Exp Metastasis 30(4):529–540. doi:10.1007/s10585-012-9557-2
Koukourakis MI, Giatromanolaki A, Sivridis E, Bougioukas G, Didilis V, Gatter KC, Harris AL (2003) Lactate dehydrogenase-5 (LDH-5) overexpression in non-small-cell lung cancer tissues is linked to tumour hypoxia, angiogenic factor production and poor prognosis. Br J Cancer 89(5):877–885. doi:10.1038/sj.bjc.6601205
Koukourakis MI, Giatromanolaki A, Sivridis E (2003) Lactate dehydrogenase isoenzymes 1 and 5: differential expression by neoplastic and stromal cells in non-small cell lung cancer and other epithelial malignant tumors. Tumour Biol 24:199–202
Langhammer S, Najjar M, Hess-Stumpp H, Thierauch KH (2011) LDH-A influences hypoxia-inducible factor 1alpha (HIF1 alpha) and is critical for growth of HT29 colon carcinoma cells in vivo. Target Oncol 6(3):155–162. doi:10.1007/s11523-011-0184-7
Rabinowitz Y, Dietz AA (1967) Malic and lactic dehydrogenase isoenzymes of normal and leukemic leukocytes separated on glass bead columns. Blood 29:182–195
Jurisic V, Konjevic G, Banicevic B, Djuricic B, Spuzic I (2000) Different alterations in lactate dehydrogenase (LDH) activity and profile of peripheral blood mononuclear cells in Hodgkin’s and non-Hodgkin’s lymphomas. Eur J Haematol 64:259–266
Wollberg P, Nelson BD (1992) Regulation of the expression of lactate dehydrogenase isozymes in human lymphocytes. Mol Cell Biochem 110:161–164
Jurisic V, Bogdanovic G, Kojic V, Jakimov D, Srdic T (2006) Effect of TNF-alpha on Raji cells at different cellular levels estimated by various methods. Ann Hematol 85(2):86–94
Radenkovic S, Milosevic Z, Konjevic G, Karadzic K, Rovcanin B, Buta M, Gopcevic K, Jurisic V (2013) Lactate dehydrogenase, catalase, and superoxide dismutase in tumor tissue of breast cancer patients in respect to mammographic findings. Cell Biochem Biophys 66(2):287–295. doi:10.1007/s12013-012-9482-7
Brown NJ, Higham SE, Perunovic B, Arafa M, Balasubramanian S, Rehman I (2013) Lactate dehydrogenase-B is silenced by promoter methylation in a high frequency of human breast cancers. PLoS One 8(2), e57697. doi:10.1371/journal.pone.0057697
Scatena R, Bottoni P, Giardina B (2013) Circulating tumour cells and cancer stem cells: a role for proteomics in defining the interrelationships between function, phenotype and differentiation with potential clinical applications. Biochim Biophys Acta (BBA) – Reviews on Cancer 1835(2):129–143
Gong G (2013) Local diffusion homogeneity (LDH): an inter-voxel diffusion MRI metric for assessing inter-subject white matter variability. PLoS One 8(6), e66366. doi:10.1371/journal.pone.0066366
Fantin VR, St-Pierre J, Leder P (2006) Attenuation of LDH-A expression uncovers a link between glycolysis, mitochondrial physiology, and tumor maintenance. Cancer Cell 9:425–434
Zhou M, Zhao Y, Ding Y, Liu H, Liu Z, Fodstad O, Riker AI, Kamarajugadda S, Lu J, Owen LB, Ledoux SP, Tan M (2010) Warburg effect in chemosensitivity: targeting lactate dehydrogenase-A re-sensitizes taxol-resistant cancer cells to taxol. Mol Cancer 9:33
Ordys BB, Launay S, Deighton RF, McCulloch J, Whittle IR (2010) The role of mitochondria in glioma pathophysiology. Mol Neurobiol 42:64–75
Folkins C, Man S, Xu P, Shaked Y, Hicklin DJ, Kerbel RS (2007) Anticancer therapies combining antiangiogenic and tumor cell cytotoxic effects reduce the tumor stem-like cell fraction in glioma xenograft tumors. Cancer Res 67:3560–3564
Pathania D, Millard M, Neamati N (2009) Opportunities in discovery and delivery of anticancer drugs targeting mitochondria and cancer cell metabolism. Adv Drug Deliv Rev 61(14):1250–1275. doi:10.1016/j.addr.2009.05.010
Konjević G, Jurisić V, Jakovljević B, Spuzić I (2002) Lactate dehydrogenase (LDH) in peripheral blood lymphocytes (PBL) of patients with solid tumors. Glas Srp Akad Nauka Med 47:137–147, Serbian
Jurisic V (2003) Estimation of cell membrane alteration after drug treatment by LDH release. Blood 101:2894
Konjević G, Jurisić V, Spuzić I (2001) Association of NK cell dysfunction with changes in LDH characteristics of peripheral blood lymphocytes (PBL) in breast cancer patients. Breast Cancer Res Treat 66(3):255–263
Weinberg F, Chandel NS (2009) Mitochondrial metabolism and cancer. Ann N Y Acad Sci 1177:66–73
Barbosa IA, Machado NG, Skildum AJ, Scott PM, Oliveira PJ (2012) Mitochondrial remodeling in cancer metabolism and survival: potential for new therapies. Biochim Biophys Acta 1826(1):238–254. doi:10.1016/j.bbcan.2012.04.005
Scatena R (2012) Mitochondria and cancer: a growing role in apoptosis, cancer cell metabolism and dedifferentiation. Review. Adv Exp Med Biol 942:287–308. doi:10.1007/978-94-007-2869-1_13
Jurisić V, Spuzić I, Konjević G (1999) A comparison of the NK cell cytotoxicity with effects of TNF-alpha against K-562 cells, determined by LDH release assay. Cancer Lett 138(1–2):67–72
Kroemer G, Galluzzi L, Brenner C (2007) Mitochondrial membrane permeabilization in cell death. Physiol Rev 87:99–163
Jurisić V, Konjević G, Jancić-Nedeljkov R, Sretenović M, Banicević B, Colović M, Spuzić I (2004) The comparison of spontaneous LDH release activity from cultured PBMC with sera LDH activity in non-Hodgkin’s lymphoma patients. Med Oncol 21(2):179–185
Jurisic V, Kraguljac N, Konjevic G, Spuzic I (2005) TNF-alpha induced changes in cell membrane antigen expression on K-562 cells associated with increased lactate dehydrogenase (LDH) release. Neoplasma 52(1):25–31
Jurisic V, Srdic-Rajic T, Konjevic G, Bogdanovic G, Colic M (2011) TNF-α induced apoptosis is accompanied with rapid CD30 and slower CD45 shedding from K-562 cells. J Membr Biol 239(3):115–122. doi:10.1007/s00232-010-9309-7
Zhang P, Wang J, Wang D, Wang H, Shan F, Chen L, Hou Y, Wang E, Lu CL (2012) Dendritic cell vaccine modified by Ag85A gene enhances anti-tumor immunity against bladder cancer. Int Immunopharmacol 14(3):252–260. doi:10.1016/j.intimp.2012.07.014
Van der Helm HJ (1962) Interference of the measurement of lactate dehydrogenase (LDH) activity in human serum and plasma by LDH from blood cells. Clin Chim Acta 7:124–128
Korkolopoulou P, Thymara I, Kavantzas N, Vassilakopoulos TP, Angelopoulou MK, Kokoris SI, Dimitriadou EM, Siakantaris MP, Anargyrou K, Panayiotidis P, Tsenga A, Androulaki A, Doussis-Anagnostopoulou IA, Patsouris E, Pangalis GA (2005) Angiogenesis in Hodgkin’s lymphoma: a morphometric approach in 286 patients with prognostic implications. Leukemia 19(6):894–900
Hoster E, Dreyling M, Klapper W, Gisselbrecht C, van Hoof A, Kluin-Nelemans HC et al (2008) A new prognostic index (MIPI) for patients with advanced-stage mantle cell lymphoma. Blood 111(2):558–565
Solal-Celigny P, Roy P, Colombat P, White J, Armitage JO, Arranz-Saez R et al (2004) Follicular lymphoma international prognostic index. Blood 104(5):1258–1265
Kastritis E, Zervas K, Repoussis P, Michali E, Katodrytou E, Zomas A et al (2009) Prognostication in young and old patients with Waldenstrom’s macroglobulinemia: importance of the International Prognostic Scoring System and of serum lactate dehydrogenase. Clin Lymphoma Myeloma 9(1):50–52
Dimopoulos MA, Barlogie B, Smith TL, Alexanian R (1991) High serum lactate dehydrogenase level as a marker for drug resistance and short survival in multiple myeloma. Ann Intern Med 115(12):931–935
Maltezas D, Dimopoulos MA, Katodritou I, Repousis P, Pouli A, Terpos E, Panayiotidis P, Delimpasi S, Michalis E, Anargyrou K, Gavriatopoulou M, Stefanoudaki A, Tzenou T, Koulieris E, Sachanas S, Dimou M, Vassilakopoulos TP, Angelopoulou MK, Pangalis GA, Kyrtsonis MC (2013) Re-evaluation of prognostic markers including staging, serum free light chains or their ratio and serum lactate dehydrogenase in multiple myeloma patients receiving novel agents. Hematol Oncol 31(2):356–362. doi:10.1002/hon.2026
Jurisić V, Colović M (2002) Correlation of sera TNF-alpha with percentage of bone marrow plasma cells, LDH, beta2-microglobulin, and clinical stage in multiple myeloma. Med Oncol 19(3):133–139
Kim DY, Lee JH, Lee JH, Kim SD, Lim SN, Choi Y, Lee YS, Kang YA, Seol M, Jeon M, Kim JY, Lee KH, Lee YJ, Lee KH (2011) Significance of fibrinogen, D-dimer, and LDH levels in predicting the risk of bleeding in patients with acute promyelocytic leukemia. Leuk Res 35(2):152–158. doi:10.1016/j.leukres.2010.05.022
Stokkel MP, Van Eck-Smit BL, Zwinderman AH, Willems LN, Pauwels EK (1997) The diagnostic value of pretreatment serum LDH in patients with limited disease small-cell lung carcinoma. Int J Biol Markers 12:162–167
Stokkel MP, van Eck-Smit BL, Zwinderman AH, Willems LN, Pauwels EK (1998) Pretreatment serum LDH as additional staging parameter in small-cell lung carcinoma. Neth J Med 52:65–70
Koukourakis MI, Giatromanolaki A, Sivridis E, Gatter KC, Harris AL (2006) Lactate dehydrogenase 5 expression in operable colorectal cancer: strong association with survival and activated vascular endothelial growth factor pathway – a report of the Tumour Angiogenesis Research Group. J Clin Oncol 24:4301–4308
Acknowledgement
This work was supported by the grant No. 175056 of the Ministry of Science and Technology of the Republic of Serbia.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Jurisic, V., Radenkovic, S., Konjevic, G. (2015). The Actual Role of LDH as Tumor Marker, Biochemical and Clinical Aspects. In: Scatena, R. (eds) Advances in Cancer Biomarkers. Advances in Experimental Medicine and Biology, vol 867. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7215-0_8
Download citation
DOI: https://doi.org/10.1007/978-94-017-7215-0_8
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-017-7214-3
Online ISBN: 978-94-017-7215-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)