2020
DOI: 10.1038/s41467-020-19263-1
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Ketohexokinase-A acts as a nuclear protein kinase that mediates fructose-induced metastasis in breast cancer

Abstract: Harmful effects of high fructose intake on health have been widely reported. Although fructose is known to promote cancer, little is known about the underlying mechanisms. Here, we found that fructose triggers breast cancer metastasis through the ketohexokinase-A signaling pathway. Molecular experiments showed that ketohexokinase-A, rather than ketohexokinase-C, is necessary and sufficient for fructose-induced cell invasion. Ketohexokinase-A-overexpressing breast cancer was found to be highly metastatic in fru… Show more

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Cited by 50 publications
(38 citation statements)
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“…In humans, the conversion of fructose via KHK is assumed to be mainly restricted to liver [46,47]. However, in tumors, KHK is apparently expressed more frequently [48][49][50]. To our knowledge, there is no experimental evidence that this pathway is physiologically relevant.…”
Section: Polyol Pathwaymentioning
confidence: 99%
“…In humans, the conversion of fructose via KHK is assumed to be mainly restricted to liver [46,47]. However, in tumors, KHK is apparently expressed more frequently [48][49][50]. To our knowledge, there is no experimental evidence that this pathway is physiologically relevant.…”
Section: Polyol Pathwaymentioning
confidence: 99%
“…In addition to dietary restriction, many studies have investigated enzymatic alterations of fructose metabolism in cancer. While the inborn error of KHK deficiency was described as not causing adverse effects, it has been found that in breast cancer, fructose intake induces KHK-A (ubiquitously expressed KHK isoform) entrance into the nucleus, leading to a signaling cascade triggering the metastatic phenotype [ 68 ].…”
Section: Fructose Metabolism Disordersmentioning
confidence: 99%
“…The most important feature of EMT is downregulated E-cadherin (encoded by CDH1) expression. Some CDH1 transcriptional inhibitors, such as Snail, Slug, Twist, and ZEB1/2, have been identified (194)(195)(196).…”
Section: Metastasismentioning
confidence: 99%