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Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
HIF2α-Targeted RNAi Therapeutic Inhibits Clear Cell Renal Cell Carcinoma
So C Wong1, Weijun Cheng2, Holly Hamilton2
1Arrowhead Pharmaceuticals Inc., Madison, Wisconsin. swong@arrowheadpharma.com.
Abstract:
Targeted therapy against VEGF and mTOR pathways has been established as the standard-of-care for metastatic clear cell renal cell carcinoma (ccRCC); however, these treatments frequently fail and most patients become refractory requiring subsequent alternative therapeutic options. Therefore, development of innovative and effective treatments is imperative. About 80%-90% of ccRCC tumors express an inactive mutant form of the von Hippel-Lindau protein (pVHL), an E3 ubiquitin ligase that promotes target protein degradation. Strong genetic and experimental evidence supports the correlate that pVHL functional loss leads to the accumulation of the transcription factor hypoxia-inducible factor 2α (HIF2α) and that an overabundance of HIF2α functions as a tumorigenic driver of ccRCC. In this report, we describe an RNAi therapeutic for HIF2α that utilizes a targeting ligand that selectively binds to integrins αvβ3 and αvβ5 frequently overexpressed in ccRCC. We demonstrate that functional delivery of a HIF2α-specific RNAi trigger resulted in HIF2α gene silencing and subsequent tumor growth inhibition and degeneration in an established orthotopic ccRCC xenograft model. Mol Cancer Ther; 17(1); 140-9. ©2017 AACR.
Insights
A novel RNAi therapeutic targeting hypoxia-inducible factor 2α (HIF2α) shows promise for metastatic clear cell renal cell carcinoma (ccRCC). This approach inhibited tumor growth in a preclinical model, offering a potential new treatment for patients resistant to current therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Metastatic clear cell renal cell carcinoma (ccRCC) often becomes refractory to standard VEGF and mTOR targeted therapies.
- Loss of von Hippel-Lindau protein (pVHL) function in ccRCC leads to hypoxia-inducible factor 2α (HIF2α) accumulation, driving tumor growth.
- There is a critical need for novel therapeutic strategies for advanced ccRCC.
Purpose of the Study:
- To develop and evaluate a novel RNA interference (RNAi) therapeutic targeting HIF2α for ccRCC.
- To assess the efficacy of this RNAi therapeutic in inhibiting ccRCC tumor growth in a preclinical setting.
Main Methods:
- Development of an RNAi therapeutic designed to silence HIF2α.
- Incorporation of a targeting ligand that binds to integrins αvβ3 and αvβ5, which are overexpressed in ccRCC.
- Testing the therapeutic's efficacy in an orthotopic ccRCC xenograft mouse model.
Main Results:
- The RNAi therapeutic successfully achieved HIF2α gene silencing.
- Functional delivery of the therapeutic led to significant inhibition of tumor growth.
- Tumor degeneration was observed in the treated ccRCC xenograft model.
Conclusions:
- A HIF2α-specific RNAi therapeutic demonstrates potential as an innovative treatment for ccRCC.
- Targeting HIF2α via RNAi offers a promising strategy for overcoming therapeutic resistance in ccRCC.
- This approach warrants further investigation for clinical application in ccRCC patients.
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