Elevated growth in
breast cancer (BC) activates
hypoxia-inducible factor (HIF1α) and downstream, facilitative
glucose transporter 1 (GLUT1), which can be visualized with 2-deoxy-2-[18F]fluoro-
d-glucose ([18F]FDG). GLUT5 (
fructose) and GLUT2 (
glucose/
fructose) might provide alternative targets for BC imaging as to why effects of
hypoxia on GLUT1/2/5 levels and function were examined in human BC models. GLUT1/2/5 and HIF1α
mRNA was analyzed in BC patient biopsies. In MCF10A, MCF7, and MDA-MB231 cells, [18F]FDG, 6-deoxy-6-[18F]fluoro-d-
fructose (6-[18F]FDF) and [18F]-
fluoroazomycin arabinoside were used in radiotracer experiments, whereas GLUT1/2/5
mRNA was analyzed with real-time PCR and
protein levels determined via Western blot/immunohistochemistry. Positron emission tomography imaging was performed in MCF7 and MDA-MB231
tumor-bearing mice.
Glucose/
fructose/
cytochalasin B reduced cellular 6-[18F]FDF uptake by 50%, indicating functional involvement of GLUT2. With GLUT5 staining lower than GLUT1, 6-[18F]FDF revealed lower uptake than [18F]FDG [standardized uptake value (SUV)6-[18F]FDF, 120 min 0.77 ± 0.06 vs. SUV[18F]FDG, 120 min 1.08 ± 0.07] in MDA-MB231
tumors and was blocked by 20% with
cytochalasin B after 10 min. Whereas correspondence between 6-[18F]FDF uptake and
GLUT5 protein was low, high GLUT2 levels were detected in all cell lines and
tumor models. Besides GLUT1, GLUT5 seems to be regulated under
hypoxia on the molecular and functional level. Additionally, results strongly support a functional involvement of GLUT2 in
fructose metabolism, possibly by compensating for the weaker expression and function of GLUT5 in BC.-Hamann, I., Krys, D., Glubrecht, D., Bouvet, V., Marshall, A., Vos, L., Mackey, J. R., Wuest, M., Wuest, F. Expression and function of
hexose transporters GLUT1, GLUT2, and GLUT5 in
breast cancer-effects of
hypoxia.