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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Upregulation of MARCKS in kidney cancer and its potential as a therapeutic target
C-H Chen1,2, L W R Fong3, E Yu1,4
1Division of Nephrology, Department of Internal Medicine, University of California Davis, Davis, CA, USA.
Abstract:
Targeted therapeutics, such as those abrogating hypoxia inducible factor (HIF)/vascular endothelial growth factor signaling, are initially effective against kidney cancer (or renal cell carcinoma, RCC); however, drug resistance frequently occurs via subsequent activation of alternative pathways. Through genome-scale integrated analysis of the HIF-α network, we identified the major protein kinase C substrate MARCKS (myristoylated alanine-rich C kinase substrate) as a potential target molecule for kidney cancer. In a screen of nephrectomy samples from 56 patients with RCC, we found that MARCKS expression and its phosphorylation are increased and positively correlate with tumor grade. Genetic and pharmacologic suppression of MARCKS in high-grade RCC cell lines in vitro led to a decrease in cell proliferation and migration. We further demonstrated that higher MARCKS expression promotes growth and angiogenesis in vivo in an RCC xenograft tumor. MARCKS acted upstream of the AKT/mTOR pathway, activating HIF-target genes, notably vascular endothelial growth factor-A. Following knockdown of MARCKS in RCC cells, the IC50 of the multikinase inhibitor regorafenib was reduced. Surprisingly, attenuation of MARCKS using the MPS (MARCKS phosphorylation site domain) peptide synergistically interacted with regorafenib treatment and decreased survival of kidney cancer cells through inactivation of AKT and mTOR. Our data suggest a major contribution of MARCKS to kidney cancer growth and provide an alternative therapeutic strategy of improving the efficacy of multikinase inhibitors.
Insights
Myristoylated alanine-rich C kinase substrate (MARCKS) drives kidney cancer growth and resistance to targeted therapies. Suppressing MARCKS may improve treatment efficacy for renal cell carcinoma (RCC).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Targeted therapies for renal cell carcinoma (RCC), including those inhibiting hypoxia-inducible factor (HIF)/vascular endothelial growth factor (VEGF) signaling, often face drug resistance.
- Resistance mechanisms frequently involve the activation of alternative signaling pathways.
- Identifying novel therapeutic targets is crucial for overcoming resistance in kidney cancer.
Purpose of the Study:
- To investigate the role of myristoylated alanine-rich C kinase substrate (MARCKS) in kidney cancer progression and therapeutic resistance.
- To explore MARCKS as a potential therapeutic target for renal cell carcinoma (RCC).
Main Methods:
- Genome-scale integrated analysis of the HIF-α network to identify potential targets.
- Screening of 56 RCC patient samples for MARCKS expression and phosphorylation.
- In vitro and in vivo experiments using RCC cell lines and xenografts to assess the effects of MARCKS suppression.
- Investigating the interaction between MARCKS, AKT/mTOR pathway, and HIF-target genes.
- Evaluating the synergistic effect of MARCKS inhibition with regorafenib.
Main Results:
- MARCKS expression and phosphorylation are elevated in high-grade RCC and correlate with tumor grade.
- Suppression of MARCKS reduced proliferation and migration in vitro and inhibited tumor growth and angiogenesis in vivo.
- MARCKS acts upstream of the AKT/mTOR pathway, influencing HIF-target genes like VEGF-A.
- MARCKS knockdown decreased the IC50 of regorafenib, and its attenuation synergized with regorafenib to reduce cancer cell survival.
Conclusions:
- MARCKS plays a significant role in kidney cancer growth, angiogenesis, and resistance to targeted therapies.
- Targeting MARCKS presents a promising strategy to enhance the efficacy of existing multikinase inhibitors in RCC treatment.
- Further investigation into MARCKS as a therapeutic target could lead to improved outcomes for kidney cancer patients.
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