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Tumor Discovery                                                 CK2 deregulation in non-small-cell lung cancer




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            Figure 5. Immunohistochemical detection of CK2 subunits and CK2 substrate phosphorylation (AKT) in LUAD specimens and para-neoplastic tissues.
            Representative staining results for each CK2 subunit are shown: (A) in tumor and (B) in para-neoplastic tissues as a brown color; (C) Total AKT and
            phosphorylated AKTs129 (pAKT) protein levels were measured in tumor (LUAD) and para-neoplastic (Para-) tissues as an indicator of CK2 enzymatic
            activity in situ. Images were captured at 200× magnification. Scale bars: 100 μm.
            Abbreviations: LUAD: Lung adenocarcinoma; CK2: Casein kinase-2.

            Table 1. Immunohistochemical detection and quantification using a combined immunoreactivity score for independent CK2
            subunits in primary tumor specimens of NSCLC and para-neoplastic tissues
            Groups             Sample size              Score                Positive rate  z-score    P-value
                                              −       +      ++      +++
            CK2A1
             NSCLC                134         30      50     27      27         77.6        −9.864      0.000
             Para-neoplastic      134        107      24      2       1         20.1                    0.000
            CK2A2
             NSCLC                134         16      55     41      21         88.1        −7.248      0.000
             Para-neoplastic      134         65      49     16       4         51.5                    0.000
            CK2B
             NSCLC                134         13      48     35      38         90.3        −8.538      0.000
             Para-neoplastic      134         76      35     18       5         43.3                    0.000
            Ki-67
             NSCLC                134         58      32     20      24         56.7        −9.722      0.000
             Para-neoplastic      134        131      3       0       0          2.2                    0.000
            Notes: Score 1 – 3: − (negative); Score 4 – 5: + (weak positive); Score 6 – 7: ++ (positive); Score ≥8: +++ (strong positive); Two-sided P<0.05 was
            considered statistically significant for all calculations.
            Abbreviation: NSCLC: Non-small-cell lung cancer.

            2/2, and 3/3 significant unique analyses, respectively,   16 additional tumor types indicated cancer-type-specific
            involving  lung  cancer  specimens. In  addition,  Kaplan–  up-  or downregulation of  CSNK2 transcripts, as well as
            Meier analysis revealed a significant correlation between   direct and inverse correlations between CSNK2 transcripts
            CSNK2B overexpression and reduced OS, while CSNK2A2   and OS.  Overall, the prevailing notion is that CK2’s
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            overexpression was unexpectedly associated with    aberrant expression levels or activity are instrumental to
            improved OS in LUAD.  A follow-up analysis analyzing   malignant transformation and promotion; however, the
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            Volume 3 Issue 4 (2024)                         9                                 doi: 10.36922/td.4571
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