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Updated: Oct 12, 2025

Oncogenic Gene Fusion Detection Using Anchored Multiplex Polymerase Chain Reaction Followed by Next Generation Sequencing
Published on: July 5, 2019
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.
Abstract:
Lung cancer is one of the most aggressive tumour types. Targeted therapies stratified by oncogenic drivers have substantially improved therapeutic outcomes in patients with non-small-cell lung cancer (NSCLC)1. However, such oncogenic drivers are not found in 25-40% of cases of lung adenocarcinoma, the most common histological subtype of NSCLC2. Here we identify a novel fusion transcript of CLIP1 and LTK using whole-transcriptome sequencing in a multi-institutional genome screening platform (LC-SCRUM-Asia, UMIN000036871). The CLIP1-LTK fusion was present in 0.4% of NSCLCs and was mutually exclusive with other known oncogenic drivers. We show that kinase activity of the CLIP1-LTK fusion protein is constitutively activated and has transformation potential. Treatment of Ba/F3 cells expressing CLIP1-LTK with lorlatinib, an ALK inhibitor, inhibited CLIP1-LTK kinase activity, suppressed proliferation and induced apoptosis. One patient with NSCLC harbouring the CLIP1-LTK fusion showed a good clinical response to lorlatinib treatment. To our knowledge, this is the first description of LTK alterations with oncogenic activity in cancers. These results identify the CLIP1-LTK fusion as a target in NSCLC that could be treated with lorlatinib.
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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