Evidence map›Paper›PMID 41994707›Full record

ArticleCureus2026

Tissue Microarray Analysis Reveals Heterogeneous Expression of Talin-1 and Lactate Dehydrogenase A in Non-small Cell Lung Cancer: Implications for Biomarker Reliability.

Abduladim Hmmier, Paul Dowling

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Abduladim HmmierGenetic Engineering, Libyan Biotechnology Research Center, Tripoli, LBY.
Paul DowlingClinical Proteomics Lab, Department of Biology, Faculty of Science and Engineering, Maynooth University, Maynooth, IRL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Tumour heterogeneity significantly impacts biomarker reliability in non-small cell lung cancer (NSCLC), such as lactate dehydrogenase A (LDHA) and Talin-1, thus complicating the validation of their diagnostic utility. This study investigated their expression heterogeneity in tissue microarrays (TMAs) from 40 non-metastatic NSCLC cases (24 squamous cell carcinomas, 16 adenocarcinomas) and 10 normal lung tissues, using standardised immunohistochemistry. Methodology Formalin-fixed, paraffin-embedded TMAs were stained with anti-LDHA and anti-Talin-1 antibodies. Cores were clustered based on their expression intensity, scored from 0 to 3 for intensity, and analysed against tumour grade/stage. A two-sided Pearson chi-square test was used to calculate the significance between normal and cancer tissue expression and to correlate the expression with the tumour grade/stage. Fisher's exact test was also considered when nodule counts were less than five. Results LDHA expression was significantly higher in adenocarcinoma (χ² = 20.30, p < 0.001) and squamous cell carcinoma (χ² = 28.34, p < 0.001) compared with normal lung tissue, with a heterogeneous expression pattern, although no association was observed with tumour stage, grade, or lymph node status. These findings suggest that its expression heterogeneity may contribute to the inconsistency in its reported diagnostic utility across studies for lung cancer diagnosis, highlighting the need for multiplexed biomarker panels to overcome limitations driven by heterogeneity. In contrast, Talin-1 expression was reduced in malignancy and did not demonstrate statistical significance in adenocarcinoma (χ² = 2.11, p = 0.146), squamous cell carcinoma (χ² = 0.01, p = 0.912), or NSCLC overall (χ² = 1.12, p = 0.289). Talin-1 expression also had a heterogeneous pattern with no correlation with the tumour clinicopathological parameters. Conclusions Our findings revealed significant heterogeneity in LDHA and Talin-1 expression across NSCLC subtypes, independent of tumour grade and stage. This observed variability supports the need for using multiplexed panels and patient-based rather than single-marker approaches for reliable clinical applications.

Indexed as

biomarker utilityexpression heterogeneityimmunohistochemistry (ihc)lactate dehydrogenase a (ldha)non-metastatic tumornsclctalin-1tmastumor stage and grade

Identifiers

PMID41994707
PMCPMC13082434

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