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Comparing Metastatic Clear Cell Renal Cell Carcinoma Model Established in Mouse Kidney and on Chicken Chorioallantoic Membrane
Published on: February 8, 2020
Activation of the mTOR signaling pathway in renal clear cell carcinoma
Victoria A Robb1, Magdalena Karbowniczek, Andres J Klein-Szanto
1Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA.
Purpose:
We determined the frequency of mTOR/p70S6 kinase signaling pathway activation in clear cell renal cell carcinoma.
Materials And Methods:
Phospho-S6 (Ser235/236) and phospho-mTOR (Ser2448) staining was performed on renal tumor tissue microarrays containing 29 clear cell renal cell carcinomas. Mutational analysis of Rheb and RhebL1 was performed on DNA from phospho-mTOR/phospho-S6 positive clear cell renal cell carcinoma. The 3 clear cell renal cell carcinoma derived cell lines A498, 786-O and Caki1 were also assessed for mTOR activation and the effect of the mTOR inhibitor rapamycin (Biomol) on proliferation.
Results:
Moderate or strong phospho-S6 immunoreactivity was found in 17 of 29 clear cell carcinomas (59%), of which 14 were also moderately/strongly positive for phospho-mTOR (Ser2448). We hypothesized that this activation of the mTOR signaling pathway in clear cell renal cell carcinoma could reflect mutational activation of Rheb or RhebL1, which are Ras family members that directly activate mTOR. However, no mutations in exons 3 and 4 (homologous sites of Ras activating mutations) in Rheb or RhebL1 were identified. Two of 3 renal clear cell carcinoma derived cell lines also showed inappropriate S6 hyperphosphorylation. Treatment of all 3 cell lines with rapamycin significantly decreased S6 phosphorylation and proliferation.
Conclusions:
The mTOR/p70S6 kinase signaling pathway is activated in most clear cell renal cell carcinomas. Moreover, the growth of renal clear cell carcinoma derived cell lines is inhibited by rapamycin. This is especially significant in light of new agents such as CCI-779, an ester of rapamycin and inhibitor of mTOR, which has shown promise in the treatment of renal carcinoma.
Insights
The mechanistic target of rapamycin (mTOR)/p70S6 kinase pathway is activated in most clear cell renal cell carcinomas. Inhibiting this pathway with rapamycin reduced cancer cell proliferation, suggesting therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The mechanistic target of rapamycin (mTOR) pathway regulates cell growth and proliferation.
- Dysregulation of the mTOR pathway is implicated in various cancers, including renal cell carcinoma (RCC).
Purpose of the Study:
- To determine the frequency of mTOR/p70S6 kinase pathway activation in clear cell renal cell carcinoma (ccRCC).
- To investigate the potential of mTOR inhibitors as a therapeutic strategy for ccRCC.
Main Methods:
- Immunohistochemical staining for phospho-S6 and phospho-mTOR in 29 ccRCC tissue samples.
- Mutational analysis of Rheb and RhebL1 in ccRCC tumors with pathway activation.
- Assessment of mTOR activation and rapamycin's effect on proliferation in three ccRCC cell lines.
Main Results:
- 59% of ccRCC samples (17/29) showed activation of the mTOR/p70S6 kinase pathway.
- No mutations in Rheb or RhebL1 were identified as the cause of pathway activation.
- Rapamycin significantly inhibited S6 phosphorylation and proliferation in ccRCC cell lines.
Conclusions:
- The mTOR/p70S6 kinase pathway is frequently activated in ccRCC.
- mTOR inhibition, using agents like rapamycin, demonstrates therapeutic potential for ccRCC treatment.
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