Heyliger Simone, Turley Tamiel N, Roach Tracoyia, Saulsbury Marilyn D, Taka Equar, Reynolds Jordan P, Copland John A, Kase Adam M, Reams R Renee
School of Pharmacy, Department of Pharmaceutical Sciences Hampton University, Hampton, VA, U.S.A.
Cancer Biology Department, Mayo Clinic, Jacksonville, FL, U.S.A.
Cancer Genomics Proteomics. 2025 Sep-Oct;22(5):698-715. doi: 10.21873/cgp.20530.
BACKGROUND/AIM: Clear cell renal cell carcinoma (ccRCC) is among the 10 most common cancers diagnosed in the United States. Despite its severity and aggressive nature, biomarkers that can serve as prognostic and predictive factors for ccRCC are lacking. ABCD3, a peroxisomal long-chain fatty acid transporter, has been shown to serve as a prognostic factor in both prostate and colon cancers. Thus, this study aimed to ascertain if ABCD3, which is highly expressed in kidney tissues, may also serve as a biomarker for renal cancer. MATERIALS AND METHODS: Bioinformatics and immunohistochemical staining were employed to systematically investigate the relationship between the ABCD3 gene and protein expression, the immune microenvironment, and survival outcomes in ccRCC. We extensively harnessed data from publicly available databases, including The Cancer Genome Atlas (TGCA), UALCAN, Gene Set Cancer Analysis, UCSC Xena, and various other databases. RESULTS: analyses of the TCGA database revealed that ABCD3 transcripts and protein levels were significantly reduced (<0.001) across all tumors and stages. Moreover, decreased ABCD3 expression was associated with poorer patient survival [hazard ratio=0.45 (0.33-0.61), <0.001]. Immunohistochemical and CPTAC database analyses revealed that ABCD3 was significantly downregulated in ccRCC patients (<0.05). Multivariate Cox regression analysis revealed that ABCD3 expression is an independent factor for overall survival [HR=0.4534 (0.2859-0.7189), <0.001]. CONCLUSION: Our findings suggest that ABCD3 is a novel biomarker for ccRCC and that the downregulation of ABCD3 expression, and other members of the peroxisomal VLCFA oxidation pathway may represent a unique molecular feature of ccRCC.
背景/目的:透明细胞肾细胞癌(ccRCC)是美国诊断出的10种最常见癌症之一。尽管其严重性和侵袭性,但缺乏可作为ccRCC预后和预测因素的生物标志物。ABCD3是一种过氧化物酶体长链脂肪酸转运蛋白,已被证明可作为前列腺癌和结肠癌的预后因素。因此,本研究旨在确定在肾组织中高表达的ABCD3是否也可作为肾癌的生物标志物。 材料与方法:采用生物信息学和免疫组织化学染色系统研究ABCD3基因与蛋白表达、免疫微环境及ccRCC生存结果之间的关系。我们广泛利用了来自公开可用数据库的数据,包括癌症基因组图谱(TCGA)、UALCAN、基因集癌症分析、加州大学圣克鲁兹分校(UCSC)Xena以及其他各种数据库。 结果:对TCGA数据库的分析显示,在所有肿瘤和分期中,ABCD3转录本和蛋白水平均显著降低(<0.001)。此外,ABCD3表达降低与患者较差的生存率相关[风险比=0.45(0.33 - 0.61),<0.001]。免疫组织化学和CPTAC数据库分析显示,ccRCC患者中ABCD3显著下调(<0.05)。多变量Cox回归分析显示,ABCD3表达是总生存的独立因素[HR = 0.4534(0.2859 - 0.7189),<0.001]。 结论:我们的研究结果表明,ABCD3是ccRCC的一种新型生物标志物,并且ABCD3表达的下调以及过氧化物酶体极长链脂肪酸氧化途径的其他成员可能代表ccRCC的一种独特分子特征。
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