[PDF][PDF] LKB1 inactivation dictates therapeutic response of non-small cell lung cancer to the metabolism drug phenformin

DB Shackelford, E Abt, L Gerken, DS Vasquez, A Seki… - Cancer cell, 2013 - cell.com
DB Shackelford, E Abt, L Gerken, DS Vasquez, A Seki, M Leblanc, L Wei, MC Fishbein…
Cancer cell, 2013cell.com
The LKB1 (also called STK11) tumor suppressor is mutationally inactivated in∼ 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 …
Summary
The LKB1 (also called STK11) tumor suppressor is mutationally inactivated in ∼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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