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High selectivity of PI3Kβ inhibitors in SETD2-mutated renal clear cell carcinoma
1Department of Urology, Jiangxi Pingxiang People's Hospital, Jiangxi 337055, P.R. China.
Purpose:
Clear cell renal cell carcinoma (ccRCC) is characterized with frequent mutations of SETD2 gene and our purpose was to explore targeted therapy for this entity.
Methods:
By bioinformatic investigation of two major databases, the Genomics of Drug Sensitivity in Cancer (GDSC) database and The Cancer Genome Atlas (TCGA) database, we identified the selective PI3Kβ inhibitors TGX221 and AZD6482 as selective inhibitors for ccRCC with SETD2 mutations, with AZD6482 additionally targeting PIK3CA and CDK6 mutations.
Results:
Further investigation on AZD6482 profile revealed that mutations in RB1, KRAS, NRAS and APC contributed in drug resistance. Changes in both AZD6482-sensitive and -resistant gene sets showed limited impact on prognosis. Western blotting showed AZD6482 did not induce changes in a panel of major downstream effectors of AKT, but substantially increased PMS2 level. AZD6482 also selectively inhibited migration, invasiveness, and colony formation of ccRCC cells with SETD2 mutations. Integrative network analysis revealed complex interactions between these genes except SETD2.
Conclusion:
AZD6482 is a novel inhibitor with high selectivity for ccRCC SETD2 mutations. Increased activity of PI3K/AKT/PMS2 could play a role in SETD2 mutated ccRCC.
Insights
This study identifies AZD6482 as a selective targeted therapy for clear cell renal cell carcinoma (ccRCC) with SETD2 mutations. AZD6482 shows promise in inhibiting ccRCC cell growth and invasiveness.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Clear cell renal cell carcinoma (ccRCC) frequently exhibits SETD2 gene mutations.
- Targeted therapies are crucial for improving outcomes in ccRCC.
Purpose of the Study:
- To explore targeted therapy options for ccRCC with SETD2 mutations.
- To identify selective inhibitors for ccRCC harboring SETD2 mutations.
Main Methods:
- Bioinformatic analysis of GDSC and TCGA databases.
- Identification of PI3Kβ inhibitors, specifically AZD6482.
- Western blotting and cell-based assays to evaluate AZD6482 efficacy.
Main Results:
- AZD6482 identified as a selective inhibitor for ccRCC with SETD2 mutations, also targeting PIK3CA and CDK6.
- AZD6482 inhibited migration, invasiveness, and colony formation of ccRCC cells.
- Increased PMS2 level observed with AZD6482 treatment, suggesting a role in PI3K/AKT/PMS2 pathway.
Conclusions:
- AZD6482 is a novel, selective inhibitor for SETD2-mutated ccRCC.
- The PI3K/AKT/PMS2 pathway may be implicated in the therapeutic response of SETD2-mutated ccRCC.
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