Expression of RSK4 in lung adenocarcinoma tissue and its clinicopathological value: a study based on RNA-seq data and

Qiancheng He1, Rongquan He2, Wenqi Luo3

  • 1Department of General Medicine, The First Affiliated Hospital of Wenzhou Medical University Wenzhou 325000, Zhejiang Province, P. R. China.

Insights

Genomic alterations in the p90-kDa ribosomal S6 kinase (RSK) family are linked to better survival in lung adenocarcinoma (LUAD). RSK4 protein is overexpressed in LUAD and may serve as a biomarker for diagnosis and predicting disease progression.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The clinical significance of p90-kDa ribosomal S6 kinase (RSK) family members in lung adenocarcinoma (LUAD) remains largely uncharacterized.
  • Understanding the role of RSK family members in LUAD progression is crucial for identifying novel therapeutic targets and diagnostic markers.

Purpose of the Study:

  • To analyze genomic alterations within the RSK family in LUAD.
  • To investigate the expression patterns and clinicopathological significance of RSK4 in LUAD tissues.

Main Methods:

  • Utilized The Cancer Genome Atlas (TCGA) database for genomic alterations, overall survival, and interaction network analysis in 522 LUAD patients.
  • Employed immunohistochemistry on an independent cohort of 127 LUAD patients to assess RSK4 protein expression and its correlation with clinicopathological parameters.

Main Results:

  • Patients with LUAD exhibiting RSK genomic alterations demonstrated significantly improved overall survival (P=0.026).
  • RSK4 mRNA was overexpressed in LUAD tissues compared to non-cancerous lung tissue (P=0.013), with moderate diagnostic value (AUC=0.603).
  • RSK4 protein levels were significantly elevated in LUAD tissues and strongly associated with advanced TNM stage, larger tumor diameter, and lymphatic and distant metastasis (P<0.001 for all).

Conclusions:

  • Alterations in RSK family members may influence tumor progression in LUAD.
  • RSK4 emerges as a potential molecular biomarker for LUAD diagnosis.
  • RSK4 expression may predict disease progression in LUAD patients, warranting further investigation.