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Xiaotong Duan



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    EP1.03 - Biology (ID 193)

    • Event: WCLC 2019
    • Type: E-Poster Viewing in the Exhibit Hall
    • Track: Biology
    • Presentations: 1
    • Now Available
    • Moderators:
    • Coordinates: 9/08/2019, 08:00 - 18:00, Exhibit Hall
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      EP1.03-08 - MiR-744 Facilitates Non-Small Cell Lung Cancer Progression by Transcriptional Regulation of c-FOS (Now Available) (ID 1806)

      08:00 - 18:00  |  Author(s): Xiaotong Duan

      • Abstract
      • Slides

      Background

      Metastasis is the leading cause of lung cancer associated death. Here, we focused on the function and downstream molecular mechanism of miR-744 and its potential clinical application in non-small cell lung cancer (NSCLC) progression.

      Method

      The clinical cohort and data from TCGA were analyzed for the correlation of miR-744 and clinical outcomes. Multiple NSCLC cell lines and a NSCLC xenograft model were applied for the functional studies in vitro and in vivo respectively. Reporter assays were used for transcriptional regulatory mechanism study.

      Result

      It was confirmed that the overexpression of miR-744 was significantly correlated with lymph node metastasis and poor prognosis in NSCLC. It was an independent prognostic molecular marker for NSCLC. Both in vitro and in vivo studies revealed that miR-744 overexpression aggravated the invasion and metastasis of NSCLC cells. MiR-744 positively regulated c-FOS by directly binding to the promoter of c-FOS. We also identified -358 to -332 bp and -221 to -192 bp upstream of c-FOS gene as the direct and efficient miR-744 binding site in c-FOS promoter region. MicroRNA-744 could regulate MAPK signaling and enhanced the resistance of lung cancer cells to radiotherapy and paclitaxel.

      Conclusion

      Our findings uncover the function of miR-744 in NSCLC and reveal a novel mechanism of miR-744 in mediating growth and metastasis of NSCLC cells. Our data suggests that miR-744 may serve as a possible therapeutic target for NSCLC. Support: 81572279, 2016J004, LC2016PY016, 2018CR033.

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    P1.01 - Advanced NSCLC (ID 158)

    • Event: WCLC 2019
    • Type: Poster Viewing in the Exhibit Hall
    • Track: Advanced NSCLC
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/08/2019, 09:45 - 18:00, Exhibit Hall
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      P1.01-37 - Radiotherapy Changed the Subclonal Composition of Brain Metastasis from Non Small Cell Lung Cancer: NGS-Based Analysis of Cerebrospinal Fluid (ID 544)

      09:45 - 18:00  |  Author(s): Xiaotong Duan

      • Abstract

      Background

      Radiotherapy(RT) is an effective treatment for brain metastasis (BM) of non-small cell lung cancer (NSCLC). Cerebrospinal fluid (CSF) can be used for dynamic monitoring the oncogenic mutations of BM from NSCLC.

      Method

      A total of 22 CSF samples from 8 patients with BM from NSCLC were collected at three time points(before the start, in the middle and at the end of RT)and analyzed using NGS.

      Result

      Five patients (D01, D03, D04, D07, D08) exhibited a significantly decreased mutation number after RT, and new mutation was detected in two patients (D03, D07). A large number of new copy number variations (CNVs) were detected after RT in one patient (D06), and the mutation abundance of the primary clone also increased significantly. One patient (D08) showed a slight increase in mutation abundance of the primary clone after RT. Mutation detections at all time points were negative in two patients (D02, D05).

      Patients

      gender

      Pathology

      Baseline mutation status

      (Sample type)

      Radiotherapy

      regime

      concurrent systematic treatment

      Brain metastasis

      Changes of CSF mutation status

      Pre-radiation

      Post-radiation

      Common driven mutation

      mutation abundance

      mutation number

      New mutations

      D01

      Male

      Squamous cell carcinoma

      Unknown

      SIB-IMRT:

      WBRT 40Gy/20F, GTV 56Gy/20F

      No

      Newly diagnosed

      No

      No

      D02

      Female

      Adenocarcinoma

      C-MET(+++)

      (Tissue from BM)

      SIB-IMRT:

      WBRT 40Gy/20F, GTV 56Gy/20F

      Pem+Cis

      Newly diagnosed

      No

      D03

      Male

      Adenocarcinoma

      EGFR 19-Del

      (Tissue from lung lesion)

      SIB-IMRT:

      WBRT 36Gy/20F, GTV 54Gy/20F

      Erlotinib

      Newly diagnosed after TKI

      No

      EGFR 19del

      D04

      Male

      Unknown

      Unknown

      3D-CRT:

      WBRT 40Gy/20F

      No

      Newly diagnosed

      EGFR 19-Del

      No

      D05

      Female

      Adenocarcinoma

      EGFR 19-Del

      (Tissue from lung lesion)

      SIB-IMRT:

      WBRT 36Gy/20F, GTV 56Gy/20F

      Erlotinib

      Progressed after TKI

      No

      D06

      Male

      Adenocarcinoma

      EGFR 21 L858R(+)

      (Tissue from lung lesion)

      WBRT 40Gy/20F

      SRS 16Gy

      Erlotinib

      Progressed after TKI

      EGFR 21 L858R(+)

      ↓ at first and then ↑

      CNVs

      D07

      Female

      Adenocarcinoma

      EGFR 21 L858R(+)

      (Blood plasma)

      3D-CRT:

      WBRT 30Gy/10F

      No

      Newly diagnosed after TKI

      EGFR 21 L859R(+)

      MET amp

      MAP3K13 p.R585Q

      D08

      Female

      Adenocarcinoma

      ALK(+)

      (Tissue from lung lesion)

      SIB-IMRT:

      WBRT 40Gy/20F, GTV 56Gy/20F

      Crizotinib

      Newly diagnosed after TKI

      ALK(+)

      slightly ↑

      No

      M:Male, F: Female, SCC:Squamous carcinoma, AD: Adenocarcinoma, NO: Unknown, ND:Newly diagnosed, PD: Progressed, N: No, E: Erlotinib

      Figure 1.Mutation profiling of CSF

      figure 1..jpg

      Conclusion

      RT changed the subclonal composition of BM from NSCLC. Further timing mutational process during RT may provide insight into the optimization of the combination of RT and targeted therapy for BM from driven mutation-positive NSCLC. Support: 81572279, 2016J004, LC2016PY016, 2018CR033.

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    P2.03 - Biology (ID 162)

    • Event: WCLC 2019
    • Type: Poster Viewing in the Exhibit Hall
    • Track: Biology
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/09/2019, 10:15 - 18:15, Exhibit Hall
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      P2.03-59 - The Role of Radiation Dose-Dependent Lipid Metabolism Reprogramming on Radiation Survival/Resistance in Lung Cancer Cells (ID 2051)

      10:15 - 18:15  |  Author(s): Xiaotong Duan

      • Abstract

      Background

      Radiotherapy plays a more and more important role in the management of lung cancer. However, radioresistance still limits the long-term control of tumors. Exploration of the dynamic changes of metabolic reprogramming in surviving/resistant lung cancer cells exposed to increased doses of radiation is helpful to elucidate the metabolic mechanism of radiation resistance in lung cancer cells, to develop new targets for the clinical intervention and the early detection of radiation resistance.

      Method

      Lung cancer cells A549, H520 and H460 were treated in vitro with fractionated radiation (2 Gy) to a cumulative total dose of 40Gy, 60Gy or 80Gy. Cellular radiation sensitivity was verified by colony survival assay and comet experiments. Cell proliferation was determined by EdU assay. Transcriptome sequencing and metabolomic analysis were performed to identify differentially expressed genes and metabolites in radiation-resistant cells and their parental cells. Oil Red O staining was used to detect lipid droplet content. RT-PCR and WB were used to detect the expression of genes related to lipid metabolism.

      Result

      Lung cancer cell sublines that had been exposed to 20, 30 or 40 fractions of 2Gy had a significant increase in radioresistance as compared with their parental cells. Furthermore, this radioresistance of cells increased with the increase of previous radiation dose exposure. We found that lipid droplet deposition and the expression of lipid metabolism genes, such as fatty acid oxidation-related genes and glycerol metabolism-related genes, showed an increasing trend with previous radiation dose in surviving/resistant lung cancer cells exposed to radiation. Metabolomic analysis revealed that lipid metabolites such as glycerol and oxaloacetic acid also increased significantly. Inhibition of carnitine palmitoyltransferase 1A (CPT1A) by Etomoxir, a fatty acid oxidation inhibitor, significantly enhanced the radiosensitivity and decreased the DNA repair ability of various surviving/resistant lung cancer cells exposed to radiation.

      Conclusion

      The surviving/resistant lung cancer cells generated by sequential irradiation provide models for future investigations of the dose-dependent mechanisms of radioresistance in a preclinical setting. Radiation dose-dependent lipid metabolism reprogramming may contribute to radiation survival/resistance in lung cancer cells. Support: 81572279, 2016J004, LC2016PY016, 2018CR033.