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Updated: Mar 23, 2026

Assessing Cellular Target Engagement by SHP2 PTPN11 Phosphatase Inhibitors
Published on: July 17, 2020
Phosphorylated 4EBP1 is associated with tumor progression and poor prognosis in Xp11.2 translocation renal cell
Yuanyuan Qu1,2, Rui Zhao3, Hongkai Wang1,2
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Abstract:
Two main signaling pathways, PI3K-AKT-mTOR and RAS-MAPK, are involved in transmitting the proliferative signals which play critical roles in human cancers. However, the functions of these pathways in Xp11.2 RCC remain undefined. This study aimed to explore the expression of mTOR and MAPK cascades in Xp11.2 RCC and to assess the prognostic significance of proteins evaluated. Immunohistochemistry was performed to evaluate the expression of 4EBP1, p-4EBP1, p-mTOR, p-S6K and p-MAPK in 36 adult Xp11.2 RCC patients who were confirmed by FISH assay. Cox regression models were used to evaluate the prognostic value of all covariates. Among 36 assessed patients, 14 (38.9%), 26 (72.2%), 16 (44.4%), 19 (52.8%), and 9 (25.0%) patients showed high expression of 4EBP1, p-4EBP1, p-mTOR, p-S6K, and p-MAPK, respectively. We noted that p-4EBP1 expression was significantly correlated with lymph node metastases (P = 0.027). Multivariate analysis showed that high p-4EBP1 expression was an independent adverse prognostic factor for both PFS (HR = 33.750, P = 0.017) and OS (HR = 56.111, P = 0.026). Our findings suggest that p-4EBP1 may serve as a funnel factor that converge the upstream proliferative oncogenic signals. Effective inhibition of the pathways responsible for 4E-BP1 phosphorylation might be a useful strategy to improve the outcome of Xp11.2 RCC patients.
Insights
High p-4EBP1 expression in Xp11.2 renal cell carcinoma (RCC) correlates with poor prognosis and lymph node metastasis. Targeting 4E-BP1 phosphorylation may improve patient outcomes in this cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- The PI3K-AKT-mTOR and RAS-MAPK pathways are crucial for cancer proliferation but their role in Xp11.2 renal cell carcinoma (RCC) is unclear.
- Understanding these pathways is vital for developing targeted therapies for Xp11.2 RCC.
Purpose of the Study:
- To investigate the expression of mTOR and MAPK pathway proteins in Xp11.2 RCC.
- To determine the prognostic significance of these protein expressions in Xp11.2 RCC patients.
Main Methods:
- Immunohistochemistry was used to assess the expression of 4EBP1, p-4EBP1, p-mTOR, p-S6K, and p-MAPK.
- FISH assay confirmed Xp11.2 RCC in 36 adult patients.
- Cox regression models were employed for prognostic analysis.
Main Results:
- High expression of p-4EBP1 was observed in 72.2% of patients.
- p-4EBP1 expression significantly correlated with lymph node metastasis (P = 0.027).
- High p-4EBP1 expression independently predicted shorter Progression-Free Survival (PFS) (HR = 33.750, P = 0.017) and Overall Survival (OS) (HR = 56.111, P = 0.026).
Conclusions:
- Phosphorylated 4E-BP1 (p-4EBP1) is a significant adverse prognostic factor in Xp11.2 RCC.
- p-4EBP1 may act as a convergence point for oncogenic signaling.
- Inhibiting pathways that phosphorylate 4E-BP1 could be a therapeutic strategy for Xp11.2 RCC.
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