LKB1 Loss induces characteristic patterns of gene expression in human tumors associated with NRF2 activation and attenuation of PI3K-AKT.

Kaufman JM, Amann JM, Park K, Arasada RR, Li H, Shyr Y, Carbone DP
J Thorac Oncol. 2014 9 (6): 794-804

PMID: 24828662 · PMCID: PMC4026179 · DOI:10.1097/JTO.0000000000000173

INTRODUCTION - Inactivation of serine/threonine kinase 11 (STK11 or LKB1) is common in lung cancer, and understanding the pathways and phenotypes altered as a consequence will aid the development of targeted therapeutic strategies. Gene and protein expressions in a murine model of v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (Kras)-mutant lung cancer have been studied to gain insight into the biology of these tumors. However, the molecular consequences of LKB1 loss in human lung cancer have not been fully characterized.

METHODS - We studied gene expression profiles associated with LKB1 loss in resected lung adenocarcinomas, non-small-cell lung cancer cell lines, and murine tumors. The biological significance of dysregulated genes was interpreted using gene set enrichment and transcription factor analyses and also by integration with somatic mutations and proteomic data.

RESULTS - Loss of LKB1 is associated with consistent gene expression changes in resected human lung cancers and cell lines that differ substantially from the mouse model. Our analysis implicates novel biological features associated with LKB1 loss, including altered mitochondrial metabolism, activation of the nuclear respiratory factor 2 (NRF2) transcription factor by kelch-like ECH-associated protein 1 (KEAP1) mutations, and attenuation of the phosphatidylinositiol 3-kinase and v-akt murine thymoma viral oncogene homolog (PI3K/AKT) pathway. Furthermore, we derived a 16-gene classifier that accurately predicts LKB1 mutations and loss by nonmutational mechanisms. In vitro, transduction of LKB1 into LKB1-mutant cell lines results in attenuation of this signature.

CONCLUSION - Loss of LKB1 defines a subset of lung adenocarcinomas associated with characteristic molecular phenotypes and distinctive gene expression features. Studying these effects may improve our understanding of the biology of these tumors and lead to the identification of targeted treatment strategies.

MeSH Terms (30)

Adaptor Proteins, Signal Transducing Adenocarcinoma AMP-Activated Protein Kinases Animals Ataxia Telangiectasia Mutated Proteins Carcinoma, Non-Small-Cell Lung Cell Line, Tumor Cytoskeletal Proteins ErbB Receptors GA-Binding Protein Transcription Factor Humans Intracellular Signaling Peptides and Proteins Kelch-Like ECH-Associated Protein 1 Lung Neoplasms Mice Mitochondria Multigene Family Mutation NF-E2-Related Factor 2 Phosphatidylinositol 3-Kinase Phosphorylation Protein-Serine-Threonine Kinases Proto-Oncogene Proteins Proto-Oncogene Proteins c-akt Proto-Oncogene Proteins p21(ras) ras Proteins RNA, Messenger Signal Transduction Transcriptome Tumor Suppressor Protein p53

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