Comparative Analysis of Stk11/Lkb1 versus Pten Deficiency in Lung Adenocarcinoma Induced by CRISPR/Cas9

Martin F Berthelsen1, Siv L Leknes2, Maria Riedel1

  • 1Department of Clinical Medicine, Aarhus University, DK-8200 Aarhus N, Denmark.

Cancers
|March 3, 2021
PubMed

Insights

Mutations in STK11 are key drivers of lung adenocarcinoma progression, while PTEN loss is dispensable. A CRISPR/Cas9 mouse model revealed STK11 mutations accelerate tumor growth compared to PTEN mutations.

Area of Science:

  • Oncology
  • Genetics
  • Cancer Biology

Background:

  • Lung adenocarcinoma is frequently associated with mutations in STK11, PTEN, KRAS, and TP53.
  • Understanding the interplay of these genetic alterations is crucial for developing targeted therapies.

Purpose of the Study:

  • To compare the roles of STK11 and PTEN loss in lung adenocarcinoma development and progression.
  • To investigate the combined effects of STK11/PTEN loss with TP53 loss and KRAS activation in a preclinical model.

Main Methods:

  • Utilized a CRISPR/Cas9 genome editing system in mice to model specific genetic mutations found in lung cancer.
  • Generated mouse models with distinct genetic backgrounds: STK11, TP53 loss, and KRASG12D activation (SKT) versus PTEN, TP53 loss, and KRASG12D activation (PKT).
  • Assessed tumor progression using pathological examination and longitudinal PET/MRI imaging.

Main Results:

  • Mice with SKT mutations exhibited significantly accelerated tumor progression and shorter survival times compared to PKT mice.
  • Increased proliferation was observed in SKT-deficient lung epithelia, independent of PTEN status, suggesting PTEN loss is not essential for proliferation.
  • PET/MRI monitoring revealed a higher progression rate in tumors with STK11 mutations, highlighting STK11's critical role.

Conclusions:

  • STK11 mutations are a primary driver of lung adenocarcinoma progression.
  • Loss of PTEN is dispensable for adenocarcinoma progression in the context of concurrent TP53 loss and KRAS activation.
  • The CRISPR/Cas9 mouse model provides valuable insights into the distinct roles of STK11 and PTEN in lung cancer pathogenesis.

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