CMTM6: a potential biomarker in non-small cell lung carcinoma

Seda Tas Ayçiçek1, Sıddıka Fındık2

  • 1Department of Pathology, Meram State Hospital, Konya, Turkey.

Insights

CKLF-like MARVEL transmembrane domain-containing 6 (CMTM6) and programmed death-ligand 1 (PD-L1) expression correlate in non-small cell lung cancer. High CMTM6 expression may indicate a poorer prognosis for NSCLC patients.

Area of Science:

  • Oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • Lung cancer is a leading cause of cancer mortality globally.
  • Immunotherapy, particularly targeting programmed cell death-1 (PD-1) and programmed death-ligand 1 (PD-L1), is crucial in cancer treatment.
  • CKLF-like MARVEL transmembrane domain-containing 6 (CMTM6) is recognized as a key regulator of PD-L1.

Purpose of the Study:

  • To investigate the prognostic significance of PD-L1 and CMTM6 expression in non-small cell lung carcinoma (NSCLC).
  • To explore the correlation between CMTM6 and PD-L1 expression in NSCLC patients.

Main Methods:

  • Immunohistochemistry was used to evaluate CMTM6 and PD-L1 expression in 100 NSCLC patients.
  • H-scores were calculated to quantify protein expression levels.
  • Patients' tumor characteristics, including size, grade, and histological subtype, were analyzed.

Main Results:

  • A positive correlation was found between H-scores for PD-L1 and CMTM6.
  • Both H-PD-L1 and H-CMTM6 scores positively correlated with tumor size and grade.
  • Adenocarcinoma patients showed lower H-PD-L1 and H-CMTM6 scores compared to squamous cell carcinoma and other types.
  • Within non-mucinous adenocarcinomas, tumors with solid, micropapillary, and complex glandular patterns (Group 3) exhibited higher H-PD-L1 and H-CMTM6 scores.

Conclusions:

  • CMTM6 expression is correlated with PD-L1 expression in NSCLC.
  • CMTM6 may serve as a potential adverse prognostic marker in NSCLC.
  • Tumor subtype and pattern influence PD-L1 and CMTM6 expression levels.