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Publication : LKB1 inactivation dictates therapeutic response of non-small cell lung cancer to the metabolism drug phenformin.

First Author  Shackelford DB Year  2013
Journal  Cancer Cell Volume  23
Issue  2 Pages  143-58
PubMed ID  23352126 Mgi Jnum  J:194330
Mgi Id  MGI:5473446 Doi  10.1016/j.ccr.2012.12.008
Citation  Shackelford DB, et al. (2013) LKB1 inactivation dictates therapeutic response of non-small cell lung cancer to the metabolism drug phenformin. Cancer Cell 23(2):143-58
abstractText  The LKB1 (also called STK11) tumor suppressor is mutationally inactivated in approximately 20% of non-small cell lung cancers (NSCLC). LKB1 is the major upstream kinase activating the energy-sensing kinase AMPK, making LKB1-deficient cells unable to appropriately sense metabolic stress. We tested the therapeutic potential of metabolic drugs in NSCLC and identified phenformin, a mitochondrial inhibitor and analog of the diabetes therapeutic metformin, as selectively inducing apoptosis in LKB1-deficient NSCLC cells. Therapeutic trials in Kras-dependent mouse models of NSCLC revealed that tumors with Kras and Lkb1 mutations, but not those with Kras and p53 mutations, showed selective response to phenformin as a single agent, resulting in prolonged survival. This study suggests phenformin as a cancer metabolism-based therapeutic to selectively target LKB1-deficient tumors.
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