School of Basic Medical Sciences, Xiangnan University, Street Chenzhou No. 889, Chenzhou, 423000, China.
Medical Research and Laboratory Diagnostic Center, Jinan Central Hospital Affiliated to Shandong First Medical University and Shandong Academy of Medical Sciences, 105 Jiefang Road, Jinan, Shandong, 250013, People's Republic of China.
Clin Transl Oncol. 2023 Oct;25(10):2938-2949. doi: 10.1007/s12094-023-03158-w. Epub 2023 Apr 5.
Renal cell carcinoma (RCC) with poor prognosis and high incidence rate is a common malignant disease. Current therapies could bring little benefit for the patients with advanced-stage RCC. PDIA2 is an isomerase responsible for protein folding and its role in cancer including RCC is under investigation. In this study, we found that PDIA2 was expressed much higher in RCC tissues than the control but the methylation level of PDIA2 promoter was lower based on the TCGA data. Patients with higher PDIA2 expression exerted worse survival. In clinical specimen, PDIA2 expression was correlated to patients' clinical factors such as TNM stage (I/II vs III/IV, p = 0.025) and tumor size (≤ 7 cm vs > 7 cm, p = 0.004). Moreover, K-M analysis showed that PDIA2 was associated with patients' survival in RCC. PDIA2 was expressed much higher in cancer cells A498 than 786-O than that in 293 T cells. After PDIA2 was knocked down, cell proliferation, migration and invasion was potently inhibited. But cell apoptotic rate increased reversely. Furthermore, the efficacy of Sunitinib on RCC cells was strengthened after PDIA2 knockdown. In addition, knockdown of PDIA2 gene leaded to downregulation of levels of JNK1/2, phosphorylated JNK1/2, c-JUN, and Stat3. But this inhibition was partially released when JNK1/2 was overexpressed. In consistent, cell proliferation was also partially recovered. In summary, PDIA2 plays important role in progression of RCC and JNK signaling pathway might be regulated by PDIA2. This study suggests PDIA2 as a candidate target for therapy of RCC.
肾细胞癌(RCC)预后差、发病率高,是一种常见的恶性肿瘤。目前的治疗方法对晚期 RCC 患者几乎没有益处。PDIA2 是一种负责蛋白质折叠的异构酶,其在包括 RCC 在内的癌症中的作用正在研究中。在这项研究中,我们发现根据 TCGA 数据,PDIA2 在 RCC 组织中的表达远高于对照,但 PDIA2 启动子的甲基化水平较低。PDIA2 表达较高的患者生存状况较差。在临床标本中,PDIA2 的表达与患者的临床因素相关,如 TNM 分期(I/II 期与 III/IV 期,p=0.025)和肿瘤大小(≤7cm 与>7cm,p=0.004)。此外,K-M 分析表明 PDIA2 与 RCC 患者的生存有关。PDIA2 在 A498 癌细胞中的表达高于 786-O 细胞,而低于 293T 细胞。PDIA2 敲低后,细胞增殖、迁移和侵袭能力明显受到抑制,但细胞凋亡率反而增加。此外,PDIA2 敲低后,舒尼替尼对 RCC 细胞的疗效增强。此外,PDIA2 基因敲低导致 JNK1/2、磷酸化 JNK1/2、c-JUN 和 Stat3 水平下调。但当 JNK1/2 过表达时,这种抑制作用部分释放。同样,细胞增殖也部分恢复。总之,PDIA2 在 RCC 的进展中起重要作用,JNK 信号通路可能受 PDIA2 调节。本研究提示 PDIA2 可能成为 RCC 治疗的候选靶点。