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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.
Abstract:
Although epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI) therapy is effective for most advanced non-small-cell lung cancer (NSCLC) patients with mutant EGFR, some patients show little or no response. Germline variations, such as single-nucleotide polymorphisms (SNPs), have been proved to be involved in disease progression after EGFR-TKI therapy. In this study, we hypothesized that the functional HSPH1 SNP may affect gene expression and, thus, prognosis of NSCLC patients treated with EGFR-TKIs. We systematically examined impacts of HSPH1 SNPs on NSCLC survival in two independent cohorts consisted of 319 EGFR-TKI treated stage IIIB/IV NSCLC patients. The promoter rs2280059 polymorphism was significantly associated with patient survival in both cohorts. In vitro and In vivo assays elucidated that rs2280059 G allele shows higher capability to drive HSPH1 promoter activities. Silencing HSPH1 significantly increases the antineoplastic effects of gefitinib on NSCLC cells. Our findings demonstrated potential implications of HSPH1 in clinic, which may lead to better understanding and outcome assessment of EGFR-TKI treatment.
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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