Authors' Affiliations: State Key Laboratory of Kidney Diseases, Department of Urology, Military Postgraduate Medical College, Chinese People's Liberation Army General Hospital, Beijing; and Department of Urology, Zhongnan Hospital, Wuhan University, Wuhan, People's Republic of China.
Clin Cancer Res. 2014 Apr 1;20(7):1779-90. doi: 10.1158/1078-0432.CCR-13-1687. Epub 2014 Jan 31.
PURPOSE: To explore the mechanisms underlying clear-cell renal cell carcinoma (ccRCC) metastasis using transcriptional profiling and bioinformatics analysis of ccRCC samples, and to elucidate the role of FOXO3a in ccRCC metastasis. EXPERIMENTAL DESIGN: Gene expression profiling was performed using four primary metastatic and five primary nonmetastatic ccRCC samples. The mRNA and protein levels of FOXO3a in ccRCC samples were investigated by real-time reverse transcription PCR and immunohistochemistry, respectively. The association between metastasis-free survival of patients with ccRCC and FOXO3a mRNA levels was analyzed. Biologic functions of FOXO3a in renal cancer cell lines were investigated. The influence of FOXO3a on tumor metastasis was also studied in vivo orthotopic xenograft tumor model. Finally, the mechanism by which FOXO3a attenuation could increase invasion and migration of tumor cells was explored. RESULTS: Bioinformatics analysis of the profiling data identified FOXO3a as a key factor in ccRCC metastasis. FOXO3a expression was decreased in primary metastatic ccRCC samples. Patients with low FOXO3a mRNA levels had poor metastasis-free survival (P = 0.003). Knocking down FOXO3a induced tumor cell invasion and migration in the nonmetastatic ccRCC cells. Induced FOXO3a overexpression in SN12-PM6 cells could inhibit tumor metastasis in vivo. Downregulation of FOXO3a increased SNAIL1 expression, thereby activating the epithelial-mesenchymal transition (EMT) of RCC cell lines. CONCLUSIONS: The loss of FOXO3a induced EMT of tumor cells by upregulating SNAIL1, which promoted tumor cells metastasis in vitro and in vivo. Thus, FOXO3a could be considered as an independent prognostic factor in ccRCC metastasis and could be a marker of occult metastases.
目的:通过对 ccRCC 样本进行转录谱分析和生物信息学分析,探讨 clear-cell 肾细胞癌 (ccRCC) 转移的机制,并阐明 FOXO3a 在 ccRCC 转移中的作用。
实验设计:对 4 个原发性转移性和 5 个原发性非转移性 ccRCC 样本进行基因表达谱分析。通过实时逆转录 PCR 和免疫组织化学法分别检测 ccRCC 样本中 FOXO3a 的 mRNA 和蛋白水平。分析 ccRCC 患者无转移生存率与 FOXO3a mRNA 水平的相关性。研究 FOXO3a 在肾癌细胞系中的生物学功能。在体内同源移植肿瘤模型中研究 FOXO3a 对肿瘤转移的影响。最后,探讨了 FOXO3a 衰减增加肿瘤细胞侵袭和迁移的机制。
结果:对基因谱数据的生物信息学分析发现,FOXO3a 是 ccRCC 转移的关键因素。FOXO3a 在原发性转移性 ccRCC 样本中表达下调。FOXO3a mRNA 水平低的患者无转移生存率差(P = 0.003)。敲低 FOXO3a 可诱导非转移性 ccRCC 细胞的肿瘤细胞侵袭和迁移。在 SN12-PM6 细胞中诱导 FOXO3a 过表达可抑制体内肿瘤转移。下调 FOXO3a 可增加 SNAIL1 的表达,从而激活 RCC 细胞系的上皮-间质转化(EMT)。
结论:FOXO3a 的缺失通过上调 SNAIL1 诱导肿瘤细胞 EMT,从而促进肿瘤细胞在体外和体内的转移。因此,FOXO3a 可被视为 ccRCC 转移的独立预后因素,并可作为隐匿性转移的标志物。
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