AI Article Synopsis

  • LKB1 is a tumor suppressor gene linked to cell growth and metabolism, but isn’t commonly tested for therapy guidance; this study evaluated its expression as a potential biomarker in advanced NSCLC.* -
  • The study analyzed data from 110 patients with advanced lung cancer undergoing specific treatments, finding that 66.3% had LKB1 loss, which was linked to non-smoking status and an absence of wood smoke exposure.* -
  • Results showed that patients with LKB1 loss had significantly poorer progression-free and overall survival rates; the findings suggest a need for future studies to better understand LKB1's role in treatment outcomes.*

Article Abstract

(1) Background: Liver kinase B1 (LKB1) is a tumor suppressor gene involved in cell growth and metabolism. However, its alterations are not routinely assessed for guiding therapy in clinical practice. We assessed LKB1 expression by immunohistochemistry as a potential biomarker. (2) Methods: This bicentric retrospective cohort study analyzed data from patients with advanced NSCLC who initiated platinum-based chemotherapy or epidermal growth factor receptor- tyrosine kinase inhibitor (EGFR-TKI) between January 2016 and December 2020. Kaplan-Meier and Cox regression models were used for survival curves and multivariate analysis. (3) Results: 110 patients were evaluated, and the clinical stage IV predominated the lung adenocarcinoma histology. LKB1 loss was observed in 66.3% of cases. LKB1 loss was associated with non-smokers, the absence of wood smoke exposure and an EGFR wild-type status. The median progression-free survival (PFS) and overall survival (OS) in the population were 11.1 and 26.8 months, respectively, in the loss group, compared with cases exhibiting a positive expression. After an adjustment by age, smoking status, Eastern Cooperative Oncology Group Performance Score (ECOG-PS), EGFR status and type of administered therapy, LKB1 loss was significantly associated with worse PFS and OS. (4) Conclusion: Patients with an LKB1 loss had worse clinical outcomes. This study warrants prospective assessments to confirm the prognostic role of the LKB1 expression in advanced NSCLC.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9857995PMC
http://dx.doi.org/10.3390/curroncol30010027DOI Listing

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