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Updated: Apr 20, 2026

The Use of Reverse Phase Protein Arrays RPPA to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Spectrum of diverse genomic alterations define non-clear cell renal carcinoma subtypes
Steffen Durinck1,2, Eric W Stawiski1,2, Andrea Pavía-Jiménez3,4,5
1Molecular Biology Department, Genentech, Inc., South San Francisco, California, USA.
Abstract:
To further understand the molecular distinctions between kidney cancer subtypes, we analyzed exome, transcriptome and copy number alteration data from 167 primary human tumors that included renal oncocytomas and non-clear cell renal cell carcinomas (nccRCCs), consisting of papillary (pRCC), chromophobe (chRCC) and translocation (tRCC) subtypes. We identified ten significantly mutated genes in pRCC, including MET, NF2, SLC5A3, PNKD and CPQ. MET mutations occurred in 15% (10/65) of pRCC samples and included previously unreported recurrent activating mutations. In chRCC, we found TP53, PTEN, FAAH2, PDHB, PDXDC1 and ZNF765 to be significantly mutated. Gene expression analysis identified a five-gene set that enabled the molecular classification of chRCC, renal oncocytoma and pRCC. Using RNA sequencing, we identified previously unreported gene fusions, including ACTG1-MITF fusion. Ectopic expression of the ACTG1-MITF fusion led to cellular transformation and induced the expression of downstream target genes. Finally, we observed upregulation of the anti-apoptotic factor BIRC7 in MiTF-high RCC tumors, suggesting a potential therapeutic role for BIRC7 inhibitors.
Insights
This study reveals key molecular differences in kidney cancer subtypes, identifying novel gene mutations and fusions in papillary and chromophobe renal cell carcinomas. Findings suggest BIRC7 as a potential therapeutic target for MiTF-high kidney tumors.
Area of Science:
- Genomics
- Oncology
- Molecular Biology
Background:
- Kidney cancer comprises diverse subtypes with distinct molecular profiles.
- Understanding these distinctions is crucial for targeted therapies.
- Non-clear cell renal cell carcinomas (nccRCCs) include papillary, chromophobe, and translocation subtypes.
Purpose of the Study:
- To elucidate the molecular characteristics of renal oncocytomas and nccRCC subtypes.
- To identify novel genetic alterations and gene expression patterns.
- To explore potential therapeutic targets in kidney cancer.
Main Methods:
- Analysis of exome, transcriptome, and copy number alteration data from 167 primary human tumors.
- Identification of significantly mutated genes using next-generation sequencing.
- Gene expression profiling and RNA sequencing for fusion detection.
Main Results:
- Ten significantly mutated genes identified in papillary renal cell carcinoma (pRCC), including novel MET mutations.
- TP53, PTEN, and others identified as significantly mutated in chromophobe renal cell carcinoma (chRCC).
- A five-gene signature for molecular classification of chRCC, renal oncocytoma, and pRCC.
- Discovery of novel gene fusions, such as ACTG1-MITF, driving cellular transformation.
- Upregulation of anti-apoptotic BIRC7 in MiTF-high kidney cancer.
Conclusions:
- Distinct molecular landscapes exist across kidney cancer subtypes.
- Novel mutations and gene fusions contribute to kidney cancer pathogenesis.
- BIRC7 inhibition presents a potential therapeutic strategy for specific kidney cancer subtypes.
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