RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue

Abstract Background Gene expression of specific therapeutic targets in non-malignant lung tissue might play an important role in optimizing targeted therapies. This study aims to identify different expression patterns of fifteen genes important for targeted therapy in non-small cell lung cancer (NSC...

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Main Authors: Kobe Reynders, Els Wauters, Matthieu Moisse, Herbert Decaluwé, Paul De Leyn, Stéphanie Peeters, Maarten Lambrecht, Kristiaan Nackaerts, Christophe Dooms, Wim Janssens, Johan Vansteenkiste, Diether Lambrechts, Dirk De Ruysscher
Format: Article
Language:English
Published: BMC 2018-07-01
Series:Radiation Oncology
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Online Access:http://link.springer.com/article/10.1186/s13014-018-1075-1
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author Kobe Reynders
Els Wauters
Matthieu Moisse
Herbert Decaluwé
Paul De Leyn
Stéphanie Peeters
Maarten Lambrecht
Kristiaan Nackaerts
Christophe Dooms
Wim Janssens
Johan Vansteenkiste
Diether Lambrechts
Dirk De Ruysscher
author_facet Kobe Reynders
Els Wauters
Matthieu Moisse
Herbert Decaluwé
Paul De Leyn
Stéphanie Peeters
Maarten Lambrecht
Kristiaan Nackaerts
Christophe Dooms
Wim Janssens
Johan Vansteenkiste
Diether Lambrechts
Dirk De Ruysscher
author_sort Kobe Reynders
collection DOAJ
description Abstract Background Gene expression of specific therapeutic targets in non-malignant lung tissue might play an important role in optimizing targeted therapies. This study aims to identify different expression patterns of fifteen genes important for targeted therapy in non-small cell lung cancer (NSCLC). Methods We prospectively collected tissue of NSCLC and non-malignant lung tissue from 25 primary resected patients. RNA-sequencing and 450 K methylation array profiling was applied to both NSCLC and non-malignant lung tissue and data were analyzed for 14 target genes. We analyzed differential expression and methylation as well as expression according to patient characteristics like smoking status, histology, age, chronic obstructive pulmonary disease, C-reactive protein (CRP) and gender. TCGA data served as a validation set. Results Nineteen men and 6 women were included. Important targets like PD-L2 (p = 0.035), VEGFR2 (p < 0.001) and VEGFR3 (p < 0.001) were downregulated (respective fold changes = 1.8, 3.1, 2.7, 3.5) in tumor compared to non-malignant lung tissue. The TCGA set confirmed these findings almost universally. PD-L1 (p < 0.001) became also significantly downregulated in the TCGA set. In NSCLC, MUC1 (p = 0.003) showed a higher expression in patients with a CRP < 5 mg/L compared to > 5 mg/L. In the TCGA data but not in our primary data, PD-L1 & 2 were both borderline more expressed in tumors of active smokers vs. tumors of ex-smokers (p = 0.044 and 0.052). Conclusions Our results suggest a lower PD-L1 & 2 and VEGFR expression in NSCLC vs. non-malignant lung tissue. Specific patient characteristics did not seem to change the overall expression differences as they were in line with the overall results. This information may contribute to the optimization of targeted treatments.
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spelling doaj.art-f5bb63103e45452f922f3ed83ee62d742022-12-22T00:06:36ZengBMCRadiation Oncology1748-717X2018-07-011311810.1186/s13014-018-1075-1RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissueKobe Reynders0Els Wauters1Matthieu Moisse2Herbert Decaluwé3Paul De Leyn4Stéphanie Peeters5Maarten Lambrecht6Kristiaan Nackaerts7Christophe Dooms8Wim Janssens9Johan Vansteenkiste10Diether Lambrechts11Dirk De Ruysscher12Experimental Radiation Oncology, Department of Oncology, KU LeuvenRespiratory Oncology Department, University Hospitals Gasthuisberg, KU LeuvenVesalius Research Center (VRC), VIB, KU LeuvenDepartment of Thoracic surgery, University Hospital Gasthuisberg, KU LeuvenDepartment of Thoracic surgery, University Hospital Gasthuisberg, KU LeuvenDepartment of Radiation Oncology (Maastro Clinic), Maastricht University Medical Center, GROWRadiation Oncology Department, University Hospitals Gasthuisberg, KU LeuvenRespiratory Oncology Department, University Hospitals Gasthuisberg, KU LeuvenRespiratory Oncology Department, University Hospitals Gasthuisberg, KU LeuvenRespiratory Division, University Hospital Gasthuisberg, KU LeuvenRespiratory Oncology Department, University Hospitals Gasthuisberg, KU LeuvenVesalius Research Center (VRC), VIB, KU LeuvenExperimental Radiation Oncology, Department of Oncology, KU LeuvenAbstract Background Gene expression of specific therapeutic targets in non-malignant lung tissue might play an important role in optimizing targeted therapies. This study aims to identify different expression patterns of fifteen genes important for targeted therapy in non-small cell lung cancer (NSCLC). Methods We prospectively collected tissue of NSCLC and non-malignant lung tissue from 25 primary resected patients. RNA-sequencing and 450 K methylation array profiling was applied to both NSCLC and non-malignant lung tissue and data were analyzed for 14 target genes. We analyzed differential expression and methylation as well as expression according to patient characteristics like smoking status, histology, age, chronic obstructive pulmonary disease, C-reactive protein (CRP) and gender. TCGA data served as a validation set. Results Nineteen men and 6 women were included. Important targets like PD-L2 (p = 0.035), VEGFR2 (p < 0.001) and VEGFR3 (p < 0.001) were downregulated (respective fold changes = 1.8, 3.1, 2.7, 3.5) in tumor compared to non-malignant lung tissue. The TCGA set confirmed these findings almost universally. PD-L1 (p < 0.001) became also significantly downregulated in the TCGA set. In NSCLC, MUC1 (p = 0.003) showed a higher expression in patients with a CRP < 5 mg/L compared to > 5 mg/L. In the TCGA data but not in our primary data, PD-L1 & 2 were both borderline more expressed in tumors of active smokers vs. tumors of ex-smokers (p = 0.044 and 0.052). Conclusions Our results suggest a lower PD-L1 & 2 and VEGFR expression in NSCLC vs. non-malignant lung tissue. Specific patient characteristics did not seem to change the overall expression differences as they were in line with the overall results. This information may contribute to the optimization of targeted treatments.http://link.springer.com/article/10.1186/s13014-018-1075-1Targeted treatmentNSCLCPD-L1RNA-sequencing
spellingShingle Kobe Reynders
Els Wauters
Matthieu Moisse
Herbert Decaluwé
Paul De Leyn
Stéphanie Peeters
Maarten Lambrecht
Kristiaan Nackaerts
Christophe Dooms
Wim Janssens
Johan Vansteenkiste
Diether Lambrechts
Dirk De Ruysscher
RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
Radiation Oncology
Targeted treatment
NSCLC
PD-L1
RNA-sequencing
title RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
title_full RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
title_fullStr RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
title_full_unstemmed RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
title_short RNA-sequencing in non-small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non-malignant lung tissue
title_sort rna sequencing in non small cell lung cancer shows gene downregulation of therapeutic targets in tumor tissue compared to non malignant lung tissue
topic Targeted treatment
NSCLC
PD-L1
RNA-sequencing
url http://link.springer.com/article/10.1186/s13014-018-1075-1
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