Mutant KRAS associated malic enzyme 1 expression is a predictive marker for radiation therapy response in non-small cell lung cancer
2015
Background Advanced non-small cell lung cancer (NSCLC) is an aggressive tumor that is treated with a combination of chemotherapy and radiation if the patient is not a candidate for surgery. Predictive biomarkers for response to radiotherapy are lacking in this patient population, making it a non-tailored therapy regimen with unknown outcome. Twenty to 30 % of NSCLC harbor an activating mutation in
KRASthat may confer
radioresistance. We hypothesized that mutant
KRAScan regulate
glutamine metabolismgenes in NSCLC and maintain tumor redox balance through
transaminationreactions that generate cytosolic NADPH via
malic enzyme1 (ME1), which may contribute to
radioresistance.
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