Oncogene HSPH1 modulated by the rs2280059 genetic variant diminishes EGFR-TKIs efficiency in advanced lung

Yankang Li1,2, Nasha Zhang1,2,3, Li Zhang4

  • 1Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, China.

Carcinogenesis
|August 21, 2020
PubMed

Insights

A specific gene variation (HSPH1 SNP rs2280059) impacts non-small-cell lung cancer (NSCLC) patient survival during EGFR-TKI therapy. This finding may improve treatment outcomes and patient assessment.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI) therapy benefits many advanced non-small-cell lung cancer (NSCLC) patients with mutant EGFR.
  • However, some patients exhibit limited or no response to EGFR-TKI treatment, suggesting other factors influence treatment efficacy.
  • Germline variations, including single-nucleotide polymorphisms (SNPs), are implicated in disease progression and treatment response.

Purpose of the Study:

  • To investigate the hypothesis that functional Heat Shock Protein 1 (HSPH1) single-nucleotide polymorphisms (SNPs) affect gene expression and influence the prognosis of NSCLC patients undergoing EGFR-TKI therapy.
  • To examine the impact of HSPH1 SNPs on NSCLC patient survival in independent cohorts treated with EGFR-TKIs.

Main Methods:

  • Systematic examination of HSPH1 SNPs in two independent cohorts comprising 319 stage IIIB/IV NSCLC patients treated with EGFR-TKIs.
  • In vitro and in vivo assays to elucidate the functional impact of the rs2280059 polymorphism on HSPH1 promoter activity.
  • Assessment of the effect of HSPH1 silencing on the efficacy of gefitinib in NSCLC cells.

Main Results:

  • The promoter rs2280059 polymorphism was significantly associated with patient survival in both independent cohorts.
  • The G allele of rs2280059 demonstrated a higher capacity to drive HSPH1 promoter activity.
  • Silencing HSPH1 expression significantly enhanced the antineoplastic effects of gefitinib on NSCLC cells.

Conclusions:

  • The HSPH1 gene, particularly the rs2280059 polymorphism, plays a significant role in the prognosis of NSCLC patients treated with EGFR-TKIs.
  • These findings suggest that HSPH1 may serve as a potential biomarker for predicting treatment response and guiding clinical decisions.
  • Further understanding of HSPH1's role could lead to improved treatment strategies and outcome assessments for NSCLC patients undergoing EGFR-TKI therapy.

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