Jayab Nour Abu, Abed Alaa, Talaat Iman M, Hamoudi Rifat
Research Institute for Medical and Health Sciences, University of Sharjah, 27272 Sharjah, United Arab Emirates; Department of Clinical Sciences, College of Medicine, University of Sharjah, 27272 Sharjah, United Arab Emirates.
Research Institute for Medical and Health Sciences, University of Sharjah, 27272 Sharjah, United Arab Emirates; ASPIRE Precision Medicine Research Institute Abu Dhabi, University of Sharjah, 27272 Sharjah, United Arab Emirates.
J Adv Res. 2025 Jun;72:501-514. doi: 10.1016/j.jare.2024.07.030. Epub 2024 Jul 31.
BACKGROUND: The nuclear factor kappa B (NF-κB) is a critical pathway that regulates various cellular functions, including immune response, proliferation, growth, and apoptosis. Furthermore, this pathway is tightly regulated to ensure stability in the presence of immunogenic triggers or genotoxic stimuli. The lack of control of the NF-κB pathway can lead to the initiation of different diseases, mainly autoimmune diseases and cancer, including Renal cell carcinoma (RCC). RCC is the most common type of kidney cancer and is characterized by complex genetic composition and elusive molecular mechanisms. AIM OF REVIEW: The current review summarizes the mechanism of NF-κB dysregulation in different subtypes of RCC and its impact on pathogenesis. KEY SCIENTIFIC CONCEPT OF REVIEW: This review highlights the prominent role of NF-κB in RCC development and progression by driving the expression of multiple genes and interplaying with different pathways, including the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt) pathway. In silico analysis of RCC cohorts and molecular studies have revealed that multiple NF-κB members and target genes are dysregulated. The dysregulation includes receptors such as TLR2, signal-transmitting members including RelA, and target genes, for instance, HIF-1α. The lack of effective regulatory mechanisms results in a constitutively active NF-κB pathway, which promotes cancer growth, migration, and survival. In this review, we comprehensively summarize the role of dysregulated NF-κB-related genes in the most common subtypes of RCC, including clear cell RCC (ccRCC), chromophobe RCC (chRCC), and papillary RCC (PRCC).
背景:核因子κB(NF-κB)是一条关键途径,可调节多种细胞功能,包括免疫反应、增殖、生长和凋亡。此外,该途径受到严格调控,以确保在存在免疫原性触发因素或基因毒性刺激时的稳定性。NF-κB途径失控可导致多种疾病的发生,主要是自身免疫性疾病和癌症,包括肾细胞癌(RCC)。RCC是最常见的肾癌类型,其特征是基因组成复杂且分子机制难以捉摸。 综述目的:本综述总结了不同亚型RCC中NF-κB失调的机制及其对发病机制的影响。 综述的关键科学概念:本综述强调了NF-κB在RCC发生发展中的重要作用,它通过驱动多个基因的表达并与不同途径相互作用,包括磷脂酰肌醇3激酶(PI3K)/蛋白激酶B(Akt)途径。对RCC队列的计算机分析和分子研究表明,多个NF-κB成员和靶基因失调。失调包括如TLR2等受体、包括RelA在内的信号转导成员以及靶基因,例如HIF-1α。缺乏有效的调节机制导致NF-κB途径持续激活,从而促进癌症生长、迁移和存活。在本综述中,我们全面总结了失调的NF-κB相关基因在RCC最常见亚型中的作用,包括透明细胞RCC(ccRCC)、嫌色细胞RCC(chRCC)和乳头状RCC(PRCC)。
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