A hallmark of solid
tumors is the consumption of large amounts of
glucose and production of
lactate, also known as Warburg-like metabolism. This metabolic phenotype is typical for aggressive
tumor growth, and can be visualized by 18F-fluorodeoxyglucose (18F-FDG) uptake detected by positron emission tomography (PET). High
18F-FDG uptake inversely correlates with survival and goes along with reduced expression of the catalytic beta-subunit of the H+-
ATP synthase (ß-F1-ATPase) in several
tumor entities analyzed so far.For this study we characterized a series of 15
head and neck squamous cell carcinoma (
HNSCC) by (i) determining 18F-FDG-uptake; (ii) quantitative expression analysis of ß-F1-ATPase (
Complex V), NDUF-S1 (Complex I) and COX1 (Complex IV) of the mitochondrial electron transport chain (ETC), as well as Hsp60 (mitochondrial mass) and GAPDH (glycolysis) in
tumor cells; (iii) sequencing of the
mtDNA of representative
tumor samples.Whereas high 18F-FDG-uptake also correlates with poor prognosis in
HNSCC, it surprisingly is accompanied by high levels of ß-F1-ATPase, but not by any of the other analyzed
proteins.In conclusion, we here describe a completely new phenotype of metabolic adaptation possibly enabling those
tumors with highest levels of ß-F1-ATPase to rapidly proliferate even in hypoxic zones, which are typical for
HNSCC.