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Updated: Jun 22, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Validation of the type 1 insulin-like growth factor receptor as a therapeutic target in renal cancer
John S P Yuen1, Erdem Akkaya, Yong Wang
1Weatherall Institute of Molecular Medicine, University of Oxford, Headley Way, Headington, Oxford, United Kingdom.
Purpose:
Expression of the type 1 insulin-like growth factor receptor (IGF1R) confers adverse prognosis in clear cell renal cell cancer (CC-RCC). We recently showed that IGF1R expression is inhibited by the von Hippel-Lindau (VHL) tumor suppressor, and the IGF1R is up-regulated in CC-RCC, in which VHL is frequently inactivated. We tested the hypothesis that IGF1R up-regulation mediates resistance to cancer therapeutics, evaluating the effects of IGF1R depletion on sensitivity to cytotoxic drugs, which are ineffective in RCC, and the mammalian target of rapamycin (mTOR) inhibitor rapamycin, analogues of which have clinical activity in this tumor.
Experimental Design:
This study used CC-RCC cells harboring mutant VHL, and isogenic cells expressing functional VHL. Cells were transfected with nonsilencing control small interfering RNA (siRNA), or with one of two different IGF1R siRNAs. The more potent siRNA was modified by 2'-O-methyl derivatization for in vivo administration.
Results:
CC-RCC cells expressing mutant VHL and higher IGF1R were more chemoresistant than cells expressing functional VHL. IGF1R depletion induced apoptosis, blocked cell survival, and sensitized to 5-fluorouracil and etoposide. These effects were significantly greater in CC-RCC cells expressing mutant VHL, supporting the hypothesis that IGF1R up-regulation makes a major contribution to the chemoresistance associated with VHL loss. IGF1R depletion also enhanced sensitivity to mTOR inhibition, at least in part due to suppression of rapamycin-induced Akt activation. Administration of stabilized IGF1R siRNA was shown to sensitize CC-RCC xenografts to rapamycin in vivo.
Conclusion:
These data validate IGF1R as a therapeutic target in CC-RCC, and support the evaluation of IGF1R-inhibitory drugs in patients with renal cancer.
Insights
Targeting the type 1 insulin-like growth factor receptor (IGF1R) may overcome chemoresistance in clear cell renal cell cancer (CC-RCC). Depleting IGF1R sensitizes CC-RCC cells to chemotherapy and mTOR inhibitors, suggesting IGF1R as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Type 1 insulin-like growth factor receptor (IGF1R) expression is linked to poor prognosis in clear cell renal cell cancer (CC-RCC).
- IGF1R is upregulated in CC-RCC due to frequent inactivation of the von Hippel-Lindau (VHL) tumor suppressor.
- VHL inactivation is a key event in CC-RCC pathogenesis, leading to increased IGF1R signaling.
Purpose of the Study:
- To investigate if IGF1R upregulation contributes to therapeutic resistance in CC-RCC.
- To evaluate the effect of IGF1R depletion on sensitivity to cytotoxic drugs and mTOR inhibitors.
- To determine if targeting IGF1R can enhance the efficacy of existing cancer treatments.
Main Methods:
- Utilized CC-RCC cell lines with mutant and functional VHL.
- Employed small interfering RNA (siRNA) to deplete IGF1R expression.
- Assessed sensitivity to cytotoxic agents (5-fluorouracil, etoposide) and the mTOR inhibitor rapamycin.
- Administered stabilized IGF1R siRNA in vivo to CC-RCC xenografts.
Main Results:
- CC-RCC cells with higher IGF1R and mutant VHL exhibited greater chemoresistance.
- IGF1R depletion induced apoptosis, inhibited cell survival, and sensitized cells to chemotherapy.
- IGF1R inhibition enhanced sensitivity to mTOR inhibitors by suppressing rapamycin-induced Akt activation.
- In vivo administration of IGF1R siRNA sensitized CC-RCC xenografts to rapamycin.
Conclusions:
- IGF1R is a validated therapeutic target in clear cell renal cell cancer.
- Inhibition of IGF1R can overcome chemoresistance and enhance sensitivity to mTOR inhibitors.
- Clinical evaluation of IGF1R-inhibitory drugs is warranted for patients with renal cancer.
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