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Open Access Highly Accessed Research article

The role of cytochrome c oxidase subunit Va in non-small cell lung carcinoma cells: association with migration, invasion and prediction of distant metastasis

Wen-Liang Chen13, Kuang-Tai Kuo25, Teh-Ying Chou45, Chien-Lung Chen3, Chih-Hao Wang6, Yau-Huei Wei6 and Liang-Shun Wang27*

Author Affiliations

1 Department of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan

2 Division of Thoracic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan

3 Translational Research Laboratory, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan

4 Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan

5 Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan

6 Institute of Biochemistry and Molecular Biology, National Yang-Ming University, Taipei, Taiwan

7 Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei, Taiwan

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BMC Cancer 2012, 12:273  doi:10.1186/1471-2407-12-273

Published: 29 June 2012



Lung cancer is one of the most lethal malignancies worldwide, but useful biomarkers of lung cancer are still insufficient. The aim of this study is to identify some membrane-bound protein(s) associated with migration and invasion in human non-small cell lung cancer (NSCLC) cells.


We classified four NSCLC cell lines into high and low migration/invasion groups by Transwell and Matrigel assays. Using two-dimensional gel electrophoresis and matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS), we identified 10 membrane-associated proteins being significantly overexpressed in the high migration/invasion group. The expression of the target protein in the four NSCLC cell lines was then confirmed by reverse transcription polymerase chain reaction (RT-PCR), western blot and immunostaining. RNA interference technique was applied to observe the influence of the target protein on migration and invasion. Gelatin zymography was also performed to evaluate the activities of matrix metalloproteinase (MMP)-2 and MMP-9. Expression condition of the target protein on surgical specimens was further examined by immunohistochemical staining and the clinicopathologic data were analyzed.


We identified a mitochondria-bound protein cytochrome c oxidase subunit Va (COX Va) because of its abundant presence found exclusively in tumorous areas. We also demonstrated that migration and invasion of NSCLC cells decreased substantially after knocking down COX Va by siRNA. Meanwhile, we found a positive correlation between COX Va expression, Bcl-2 expression and activities of MMP-2 and MMP-9 in NSCLC cells. Immunohistochemical staining of surgically resected lung adenocarcinomas in 250 consecutive patients revealed that strong COX Va expression was found in 54.8% (137/250) of patients and correlated positively with the status of lymph node metastasis (P = 0.032). Furthermore, strong COX Va expression was associated with the presence of distant metastasis (P = 0.033).


Our current study showed that COX Va may play a role in migration and invasion of NSCLC cells and can be used as a biomarker to predict aggressiveness of NSCLC.

Non-small cell lung cancer; Cytochrome c oxidase subunit Va; Migration; Invasion