Metabolic enzyme ACSL3 is a prognostic biomarker and correlates with anticancer effectiveness of statins in non‐small cell lung cancer |
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| Authors: | Lara Paula Fernndez María Merino Gonzalo Colmenarejo Juan Moreno&#x;Rubio Ruth Snchez&#x;Martínez Adriana Quijada&#x;Freire Marta Gmez de Cedrn Guillermo Reglero Enrique Casado María Sereno Ana Ramírez de Molina |
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| Institution: | 1. Molecular Oncology Group, IMDEA Food Institute, CEI UAM + CSIC, Madrid Spain ; 2. Medical Oncology Department, Infanta Sofía University Hospital, San Sebastián de los Reyes, Madrid Spain ; 3. Biostatistics and Bioinformatics Unit, IMDEA Food Institute, CEI UAM+CSIC, Madrid Spain |
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| Abstract: | Lung cancer is one of the most common cancers, still characterized by high mortality rates. As lipid metabolism contributes to cancer metabolic reprogramming, several lipid metabolism genes are considered prognostic biomarkers of cancer. Statins are a class of lipid‐lowering compounds used in treatment of cardiovascular disease that are currently studied for their antitumor effects. However, their exact mechanism of action and specific conditions in which they should be administered remains unclear. Here, we found that simvastatin treatment effectively promoted antiproliferative effects and modulated lipid metabolism‐related pathways in non‐small cell lung cancer (NSCLC) cells and that the antiproliferative effects of statins were potentiated by overexpression of acyl‐CoA synthetase long‐chain family member 3 (ACSL3). Moreover, ACSL3 overexpression was associated with worse clinical outcome in patients with high‐grade NSCLC. Finally, we found that patients with high expression levels of ACSL3 displayed a clinical benefit of statins treatment. Therefore, our study highlights ACSL3 as a prognostic biomarker for NSCLC, useful to select patients who would obtain a clinical benefit from statin administration.Abbreviations- 3‐HMGCR
- 3‐hydroxy‐3‐methylglutaryl‐coenzyme A reductase
- 95% CI
- 95% confidence intervals
- ACSL3
- acyl‐CoA synthetase long‐chain family member 3
- ACSLs
- long‐chain acyl‐CoA synthetases
- ALP
- alkaline phosphatase
- APOA1
- apolipoprotein A1
- ATCC
- American Type Culture Collection
- CASP9
- caspase 9
- ECAR
- extracellular acidification rate
- ECOG
- Eastern Cooperative Oncology Group
- EMT
- epithelial‐to‐mesenchymal transition
- ER
- endoplasmic reticulum
- FAs
- fatty acids
- FFPE
- formalin‐fixed, paraffin‐embedded
- GTEx
- genotype‐tissue expression
- HR
- Hazard ratio
- IC50
- half‐maximal inhibitory concentration
- LDH
- lactate dehydrogenase
- MTT
- 3‐(4,5‐dimethylthiazol‐2‐yl)‐2,5‐diphenyltetrazolium
- NID1
- nidogen 1
- No ORF
- no open reading frame
- NSCLC
- non‐small cell lung cancer
- OCR
- oxygen consumption rate
- OS
- overall survival
- PGE2
- prostaglandins E2
- RETN
- resistin
- TCGA
- The Cancer Genome Atlas
- TMA
- tumor tissue microarray
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| Keywords: | cholesterol fatty acids lipid metabolism non‐ small cell lung cancer prognosis statins |
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