Anand Khadse is defending his dissertation for the degree of philosophiae doctor (PhD) at the University of South-Eastern Norway.
The doctoral work has been carried out at the Faculty of Technology, Natural Sciences and Maritime Sciences at campus Bø.
You are invited to follow the trial lecture and the public defence.
Summary
This thesis presents key molecular findings in non-small cell lung cancer (NSCLC) that could pave the way for more personalized and effective treatment approaches. The research identified genetic and molecular markers that can help predict patient outcomes and guide personalized therapies for the two major subtypes of NSCLC - lung adenocarcinoma (LUAD) and lung squamous cell carcinoma (LUSC).
One of the most important findings is a genetic alteration called loss of heterozygosity (LOH) in the KRAS gene region. This change was linked to improved survival in patients with early-stage LUAD, suggesting that KRAS LOH could serve as a valuable prognostic marker to guide treatment decisions. In LUSC, the BIRC5 gene was found to be significantly more active in patients with TP53 mutations. Its high expression, points to BIRC5 as a promising target for future therapies in this subgroup.
We also investigated the role of microRNAs, small molecules that help regulate genes, and identified specific expression patterns in over 900 lung cancer patients. These microRNA signatures may help predict disease progression and offer an additional tool for clinicians to personalize care.
Lung cancer remains one of the most common and deadliest cancers globally. NSCLC accounts for around 85% of all lung cancer cases. Despite improvements in treatment, survival rates remain low, particularly when the disease is detected at a late stage. This research contributes to a better understanding of the molecular landscape of NSCLC and underscores the potential of precision medicine to improve outcomes. Focusing on these genetic and molecular features of each patient’s tumor, may open new avenues for better risk assessment, and more effective personalized therapies, leading to better outcomes for those affected by lung cancer.