Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Institute of Urology Nanjing University, Nanjing, Jiangsu, 210008, China.
Department of Urology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, 210008, China.
Redox Biol. 2023 Dec;68:102956. doi: 10.1016/j.redox.2023.102956. Epub 2023 Nov 7.
The specific mechanism of clear cell renal cell carcinoma (ccRCC) progression, a pathological type that accounts for the highest proportion of RCC, remains unclear. In this study, bioinformatics analysis of scRNA-seq dataset in ccRCC revealed that MIOX was a gene specifically down-regulated in tumor epithelial cells of ccRCC. Analysis of the TCGA database further validated the association between decreased MIOX mRNA levels and ccRCC malignant phenotype and poor prognosis. Immunohistochemistry indicated the down-regulation of MIOX in ccRCC tissues compared to paired adjacent renal tissues, with further down-regulation of MIOX in the primary tumors of patients with primary metastasis compared to those without metastasis. Also, patients with low expression of MIOX showed shorter metastasis-free survival (MFS) compared to those with high MIOX expression. In vitro results showed that overexpression of MIOX in ccRCC cells inhibited the proliferation, migration and invasion and promoted apoptosis. Mechanistically, up-regulation of MIOX inhibited autophagy to elevate the levels of ROS, and thus suppressed STAT3/c-Myc-mediated epithelial-mesenchymal transition in ccRCC cells. In vivo data further confirmed that increased MIOX expression suppressed the growth and proliferation of RCC cells and reduced the ability of RCC cells to form metastases in the lung. This study demonstrates that MIOX is an important regulatory molecule of ccRCC, which is conducive to understanding the potential molecular mechanism of ccRCC progression.
透明细胞肾细胞癌(ccRCC)是肾细胞癌(RCC)中比例最高的病理类型,其具体的进展机制仍不清楚。本研究通过对 ccRCC 的 scRNA-seq 数据集进行生物信息学分析,发现 MIOX 是一种在 ccRCC 肿瘤上皮细胞中特异性下调的基因。TCGA 数据库的分析进一步验证了 MIOX mRNA 水平降低与 ccRCC 恶性表型和不良预后之间的关联。免疫组化结果表明,与配对的邻近肾组织相比,ccRCC 组织中 MIOX 下调,与无转移的患者相比,原发转移患者的 MIOX 进一步下调。此外,MIOX 低表达的患者转移无复发生存(MFS)较 MIOX 高表达的患者更短。体外结果表明,ccRCC 细胞中 MIOX 的过表达抑制了增殖、迁移和侵袭,并促进了细胞凋亡。机制上,MIOX 的上调抑制了自噬,从而提高了 ROS 水平,从而抑制了 ccRCC 细胞中 STAT3/c-Myc 介导的上皮间质转化。体内数据进一步证实,增加 MIOX 表达抑制了 RCC 细胞的生长和增殖,降低了 RCC 细胞在肺部形成转移的能力。本研究表明,MIOX 是 ccRCC 的一个重要调节分子,有助于理解 ccRCC 进展的潜在分子机制。