Evidence map›Paper›PMID 37092555›Full record

ArticleJCI insight2023

Tumor loss-of-function mutations in STK11/LKB1 induce cachexia.

Puneeth Iyengar, Aakash Y Gandhi, Jorge Granados, Tong Guo, Arun Gupta, Jinhai Yu, Ernesto M Llano, Faya Zhang, Ang Gao, Asha Kandathil and 10 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Undetected Weight Loss Associates With Upstaging in Cancer Patients.Journal of cachexia, sarcopenia and muscle · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. A health-system-scale, episode-resolved multimodal atlas of cancer cachexia.medRxiv : the preprint server for health sciences · 2025
    Article
  8. Article
  9. Article
  10. Translational lung cancer research · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Body composition alterations in patients with lung cancer.American journal of physiology. Cell physiology · 2025
    Review
  15. Understanding cachexia and its impact on lung cancer and beyond.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Puneeth IyengarCenter for Human Nutrition.
Aakash Y GandhiCenter for Human Nutrition.
Jorge GranadosCenter for Human Nutrition.
Tong GuoCenter for Human Nutrition.
Arun GuptaCenter for Human Nutrition.
Jinhai YuCenter for Human Nutrition.
Ernesto M LlanoCenter for Human Nutrition.
Faya ZhangDepartment of Radiation Oncology.
Ang GaoHarold C. Simmons Comprehensive Cancer Center.
Asha KandathilDepartment of Radiology.
Dorothy WilliamsCenter for Human Nutrition.
Boning GaoHarold C. Simmons Comprehensive Cancer Center.
Luc GirardHarold C. Simmons Comprehensive Cancer Center.
Venkat S MalladiDepartment of Bioinformatics.
John M SheltonDepartment of Internal Medicine.
Bret M EversDepartment of Pathology, and.
Raquibul HannanDepartment of Radiation Oncology.
Chul AhnHarold C. Simmons Comprehensive Cancer Center.
John D MinnaHarold C. Simmons Comprehensive Cancer Center.
Rodney E InfanteCenter for Human Nutrition.
Center for Human Genetics · USHarold C. Simmons Comprehensive Cancer Center

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V. · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2010 to 2026
$53.7M
UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeffrey M Zigman · 2022 to 2026
$7.4M
MECHANISMS OF DRUG ACTION AND DISPOSITIONT32GM007062 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI MANGELSDORF, DAVID J · 1985 to 2020
$7.4M
UT GASTROENTEROLOGY/HEPATOLOGY RESEARCH TRAINING PROGRAMT32DK007745 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Rodney E Infante · 1997 to 2026
$6.8M
Identifying the Cellular and Molecular Targets of JAK/STAT-Driven Adipose Wasting to Reverse Cancer CachexiaR01CA266900 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI INFANTE, RODNEY E, IYENGAR, PUNEETH · 2022 to 2025
$3.0M
NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA266900NIDDK NIH HHS P30 DK127984NIDDK NIH HHS T32 DK007745NIGMS NIH HHS T32 GM007062
6 · The paper itself

Abstract

Cancer cachexia (CC), a wasting syndrome of muscle and adipose tissue resulting in weight loss, is observed in 50% of patients with solid tumors. Management of CC is limited by the absence of biomarkers and knowledge of molecules that drive its phenotype. To identify such molecules, we injected 54 human non-small cell lung cancer (NSCLC) lines into immunodeficient mice, 17 of which produced an unambiguous phenotype of cachexia or non-cachexia. Whole-exome sequencing revealed that 8 of 10 cachexia lines, but none of the non-cachexia lines, possessed mutations in serine/threonine kinase 11 (STK11/LKB1), a regulator of nutrient sensor AMPK. Silencing of STK11/LKB1 in human NSCLC and murine colorectal carcinoma lines conferred a cachexia phenotype after cell transplantation into immunodeficient (human NSCLC) and immunocompetent (murine colorectal carcinoma) models. This host wasting was associated with an alteration in the immune cell repertoire of the tumor microenvironments that led to increases in local mRNA expression and serum levels of CC-associated cytokines. Mutational analysis of circulating tumor DNA from patients with NSCLC identified 89% concordance between STK11/LKB1 mutations and weight loss at cancer diagnosis. The current data provide evidence that tumor STK11/LKB1 loss of function is a driver of CC, simultaneously serving as a genetic biomarker for this wasting syndrome.

Indexed as

Carcinoma, Non-Small-Cell LungColorectal NeoplasmsLung NeoplasmsWasting SyndromeAMP-Activated Protein Kinase KinasesAMP-Activated Protein KinasesAnimalsHumansMiceMutationProtein Serine-Threonine KinasesTumor MicroenvironmentWeight LossAMP-Activated Protein Kinase KinasesAMP-Activated Protein KinasesProtein Serine-Threonine KinasesSTK11 protein, humanStk11 protein, mouseGenetic variationLung cancerMetabolismMolecular geneticsOncology

Identifiers

PMID37092555
PMCPMC10243820
OpenAlexW4366777425

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.