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Distinctive gene expression of human lung adenocarcinomas carrying LKB1 mutations

Abstract

LKB1, a tumor-suppressor gene that codifies for a serine/threonine kinase, is mutated in the germ-line of patients affected with the Peutz–Jeghers syndrome (PJS), which have an increased incidence of several cancers including gastrointestinal, pancreatic and lung carcinomas. Regarding tumors arising in non-PJS patients, we recently observed that at least one-third of lung adenocarcinomas (LADs) harbor somatic LKB1 gene mutations, supporting a role for LKB1 in the origin of some sporadic tumors. To characterize the pattern of LKB1 mutations in LADs further, we first screened for LKB1 gene alterations (gene mutations, promoter hypermethylation and homozygous deletions) in 19 LADs and, in agreement with our previous data, five of them (26%) were shown to harbor mutations, all of which gave rise to a truncated protein. Recent reports demonstrate that LKB1 is able to suppress cell growth, but little is known about the specific mechanism by which it functions. To further our understanding of LKB1 function, we analysed global expression in lung primary tumors using cDNA microarrays to identify LKB1-specific variations in gene expression. In all, 34 transcripts, 24 of which corresponded to known genes, differed significantly between tumors with and without LKB1 gene alterations. Among the most remarkable findings was deregulation of transcripts involved in signal transduction (e.g. FRAP1/mTOR, ARAF1 and ROCK2), cytoskeleton (e.g. MPP1), transcription factors (e.g. MEIS2, ATF5), metabolism of AMP (AMPD3 and APRT) and ubiquitinization (e.g. USP16 and UBE2L3). Real-time quantitative RT–PCR on 15 tumors confirmed the upregulation of the homeobox MEIS2 and of the AMP-metabolism AMPD3 transcripts in LKB1-mutant tumors. In addition, immunohistochemistry in 10 of the lung tumors showed the absence of phosphorylated FRAP1/mTOR protein in LKB1-mutant tumors, indicating that LKB1 mutations do not lead to FRAP1/mTOR protein kinase activation. In conclusion, our results reveal that several important factors contribute to LKB1-mediated carcinogenesis in LADs, confirming previous observations and identifying new putative pathways that should help to elucidate the biological role of LKB1.

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Acknowledgements

We thank all collaborators at the Tumor Bank Network, especially Alicia Maroto for her meticulous technical support in providing normal and lung tumor tissues. We also thank Ana Diez, Maria Jesus Acuña, Raquel Pajares and Carmen Martin from the Immunohistochemistry and Cytogenetics Units at the CNIO for technical help. The research was supported by a grant from the Spanish Ministerio de Ciencia y Tecnología (SAF2002-01595) and by a grant from the Comunidad de Madrid (CAM 08.1/0032/2003 1). J Carretero is a postdoctoral fellow of the Excmo. Ayuntamiento de Madrid and MS-C is supported by the Ramon y Cajal Program from the Ministerio de Ciencia y Tecnología, Spain.

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Correspondence to Montserrat Sanchez-Cespedes.

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Fernandez, P., Carretero, J., Medina, P. et al. Distinctive gene expression of human lung adenocarcinomas carrying LKB1 mutations. Oncogene 23, 5084–5091 (2004). https://doi.org/10.1038/sj.onc.1207665

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