First insight about the ability of specific glycerophospholipids to discriminate non-small cell lung cancer subtypes

Front Mol Biosci. 2024 Apr 25:11:1379631. doi: 10.3389/fmolb.2024.1379631. eCollection 2024.

Abstract

Introduction: Discrimination between adenocarcinoma (ADC) and squamous cell carcinoma (SCC) subtypes in non-small cell lung cancer (NSCLC) patients is a significant challenge in oncology. Lipidomics analysis provides a promising approach for this differentiation. Methods: In an accompanying paper, we explored oxPCs levels in a cohort of 200 NSCLC patients. In this research, we utilized liquid chromatography coupled with mass spectrometry (LC-MS) to analyze the lipidomics profile of matching tissue and plasma samples from 25 NSCLC patients, comprising 11 ADC and 14 SCC cases. This study builds upon our previous findings, which highlighted the elevation of oxidised phosphatidylcholines (oxPCs) in NSCLC patients. Results: We identified eight lipid biomarkers that effectively differentiate between ADC and SCC subtypes using an untargeted approach. Notably, we observed a significant increase in plasma LPA 20:4, LPA 18:1, and LPA 18:2 levels in the ADC group compared to the SCC group. Conversely, tumour PC 16:0/18:2, PC 16:0/4:0; CHO, and plasma PC 16:0/18:2; OH, PC 18:0/20:4; OH, PC 16:0/20:4; OOH levels were significantly higher in the ADC group. Discussion: Our study is the first to report that plasma LPA levels can distinguish between ADC and SCC patients in NSCLC, suggesting a potential role for LPAs in NSCLC subtyping. This finding warrants further investigation into the mechanisms underlying these differences and their clinical implications.

Keywords: adenocarcioma ADC; lipidomics; metabolomics; monoacylglycerophosphatidic acid LPA; non-small cell lung cancer NSCLC; oxidised glycerophosphatidylcholine oxPC; squamous call carcinoma SCC.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was funded by the grant from National Science Centre, Poland (2014/13/B/NZ5/01256), the grant from National Centre for Research and Development in the framework of Programme “Prevention practices and treatment of civilization diseases”– STRATEGMED (contract no. STRATEGMED2/266484/2/NCBR/2015), and internal grant from Medical University of Bialystok (B.SUB.23.145).