The CLIP1-LTK fusion is an oncogenic driver in non-small-cell lung cancer

Hiroki Izumi1, Shingo Matsumoto1, Jie Liu2

  • 1Department of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.

Nature
|November 25, 2021
PubMed

Insights

Researchers discovered a new CLIP1-LTK fusion in non-small cell lung cancer (NSCLC). This fusion is targetable with lorlatinib, offering a potential new treatment for NSCLC patients lacking other known drivers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Non-small cell lung cancer (NSCLC) treatments are improving with targeted therapies.
  • However, a significant portion of lung adenocarcinoma cases lack identified oncogenic drivers.
  • This highlights the need for novel therapeutic targets in NSCLC.

Purpose of the Study:

  • To identify novel oncogenic drivers in NSCLC.
  • To investigate the therapeutic potential of targeting identified fusions.
  • To evaluate the efficacy of lorlatinib against novel NSCLC targets.

Main Methods:

  • Whole-transcriptome sequencing was employed using a multi-institutional genome screening platform.
  • CLIP1-LTK fusion was identified and characterized.
  • Functional assays were performed in Ba/F3 cells, and a patient case study was analyzed.

Main Results:

  • A novel CLIP1-LTK fusion transcript was identified in 0.4% of NSCLCs, mutually exclusive with known drivers.
  • The CLIP1-LTK fusion protein exhibits constitutive kinase activity and transformation potential.
  • Lorlatinib effectively inhibited CLIP1-LTK activity, suppressed proliferation, and induced apoptosis in vitro.
  • A patient with NSCLC harboring the CLIP1-LTK fusion responded well to lorlatinib.

Conclusions:

  • The CLIP1-LTK fusion represents a newly identified oncogenic driver in NSCLC.
  • This fusion is the first described LTK alteration with oncogenic activity in cancer.
  • CLIP1-LTK fusion is a potential therapeutic target for NSCLC, treatable with lorlatinib.

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