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.

Oncogene
|February 7, 2017
PubMed

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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