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Updated: Jul 15, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
BCL2L2 is a probable target for novel 14q11.2 amplification detected in a non-small cell lung cancer cell line
Tsutomu Kawasaki1, Sana Yokoi, Hitoshi Tsuda
1Department of Molecular Cytogenetics, Medical Research Institute and School of Biomedical Science, Tokyo, Japan.
Abstract:
Amplification of chromosomal DNA is thought to be one of the mechanisms that activates cancer-related genes in tumors. In a previous genome-wide screening of DNA copy number aberrations in a panel of non-small cell lung cancer (NSCLC) cell lines using an in-house bacterial artificial chromosome-based array, we identified a novel amplification at 14q11.2 in HUT29 cells derived from human lung adenocarcinoma. To identify the most likely target for the 14q11.2 amplification, we determined the extent of the amplicon by fluorescence in situ hybridization and then analyzed NSCLC cell lines for the expression levels of 28 genes present within the 1-Mb amplified region. Significant overexpression in the HUT29 cell line with amplification, relatively frequent overexpression in additional NSCLC cell lines compared with an immortalized normal lung epithelial cell line, and reported information about the function of each candidate gene prompted us to characterize the BCL2-like2 (BCL2L2) gene, a prosurvival member of the BCL2 family, as the most likely target for the 14q11.2 amplicon. Immunohistochemical analysis of 61 primary cases of lung adenocarcinoma demonstrated that BCL2L2 overexpression was significantly associated with tumor stage and differentiation status, and tended to be associated with a poorer prognosis. Downregulation of BCL2L2 expression using small interfering RNA dramatically inhibited the growth of HUT29 cells, but showed no effect on anticancer reagent-induced cell death of the same cell line. These findings demonstrate that overexpressed BCL2L2, through amplification or other mechanisms, promotes the growth of NSCLC, especially the adenocarcinoma subtype, and might be a therapeutic target.
Insights
Gene amplification drives cancer. In lung adenocarcinoma, BCL2L2 gene amplification promotes tumor growth and may be a therapeutic target for non-small cell lung cancer (NSCLC).
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Chromosomal DNA amplification can activate cancer-related genes.
- A novel amplification at 14q11.2 was previously identified in non-small cell lung cancer (NSCLC) cell lines.
Purpose of the Study:
- To identify the target gene responsible for the 14q11.2 amplification in NSCLC.
- To investigate the role of BCL2-like2 (BCL2L2) in lung adenocarcinoma growth and prognosis.
Main Methods:
- Fluorescence in situ hybridization (FISH) to define the amplicon extent.
- Gene expression analysis of 28 genes within the amplified region in NSCLC cell lines.
- Immunohistochemical analysis of BCL2L2 in primary lung adenocarcinoma.
- Small interfering RNA (siRNA) to downregulate BCL2L2 expression.
Main Results:
- BCL2L2 was identified as the most likely target gene of the 14q11.2 amplicon due to significant overexpression in amplified NSCLC cells.
- BCL2L2 overexpression was associated with advanced tumor stage, poor differentiation, and a trend towards poorer prognosis in lung adenocarcinoma.
- Downregulation of BCL2L2 inhibited NSCLC cell growth but did not affect sensitivity to anticancer drugs.
Conclusions:
- Overexpressed BCL2L2, driven by amplification or other mechanisms, promotes NSCLC growth, particularly in adenocarcinoma.
- BCL2L2 represents a potential therapeutic target for NSCLC treatment.
