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Updated: Jan 22, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
TBL1XR1 is involved in c-Met-mediated tumorigenesis of human nonsmall cell lung cancer
Tiewa Zhang1, Cheng Liu2, Yan Yu3
1Department of Thoracic Surgery, The First Affiliated Hospital of Harbin Medical University, 150001, Harbin, China.
Abstract:
Nonsmall cell lung carcinoma (NSCLC) contributes to the highest number of cancer deaths globally. Metastases and chemoresistance are two major confounders to the treatment efficacy in NSCLC. Transducin (β)-like 1 X-linked receptor 1 (TBL1XR1) has been associated with high rates of metastases in breast, gastric, and stomach cancers. However, the role of TBL1XR1 in lung cancers remains underexplored. We selected matched and cancerous lung tissues to establish the upregulation of TBL1XR1. Using in vitro assays, we assessed the influence of TBL1XR1 on various cancer phenotypes, namely cell proliferation, chemoresistance, invasion, and metastases in a CRISPR-Cas9-mediated knock out model (A549 cells), and H460 cell lines overexpressing TBL1XR1. We found that TBL1XR1 is overexpressed in NSCLC tissue and patient sera in comparison to paired adjacent normal tissue. Overexpression of TBL1XR1 in NSCLC cell lines mediates cell survival, proliferation, and metastases. TBL1XR1 was found to regulate MEK and Akt pathways through their master regulator c-Met. We observed that activation of c-Met is downregulated in the absence of TBL1XR1. Our study strengthens the contention that TBL1XR1 is a biomarker for prognosis of NSCLC. It may also be considered as an adjunct or core therapeutic target to overcome cisplatin resistance in lung cancers.
Insights
Transducin (β)-like 1 X-linked receptor 1 (TBL1XR1) is upregulated in nonsmall cell lung carcinoma (NSCLC), promoting cancer cell survival, proliferation, and metastasis. Targeting TBL1XR1 may improve NSCLC treatment and overcome chemoresistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Nonsmall cell lung carcinoma (NSCLC) is a leading cause of cancer mortality worldwide.
- Metastasis and chemoresistance significantly impede NSCLC treatment outcomes.
- The role of Transducin (β)-like 1 X-linked receptor 1 (TBL1XR1) in lung cancer is largely unknown, despite its association with metastasis in other cancers.
Purpose of the Study:
- To investigate the role of TBL1XR1 in nonsmall cell lung carcinoma (NSCLC).
- To determine if TBL1XR1 can serve as a prognostic biomarker and therapeutic target for NSCLC.
Main Methods:
- Analysis of TBL1XR1 expression in matched NSCLC and adjacent normal lung tissues and patient sera.
- In vitro assessment of TBL1XR1's influence on cancer phenotypes using CRISPR-Cas9 knockout (A549 cells) and overexpression (H460 cells) models.
- Investigation of TBL1XR1's regulatory role in MEK, Akt, and c-Met signaling pathways.
Main Results:
- TBL1XR1 is significantly overexpressed in NSCLC tissues and sera compared to normal controls.
- TBL1XR1 overexpression enhances NSCLC cell survival, proliferation, invasion, and metastasis.
- TBL1XR1 regulates the MEK and Akt pathways via the master regulator c-Met, with c-Met activation decreasing in the absence of TBL1XR1.
Conclusions:
- TBL1XR1 is a potential prognostic biomarker for NSCLC.
- TBL1XR1 may serve as a therapeutic target to improve treatment efficacy and overcome cisplatin resistance in NSCLC.
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