Integrated Proteogenomic Characterization of Clear Cell Renal Cell Carcinoma

David J Clark1, Saravana M Dhanasekaran2, Francesca Petralia3

  • 1Department of Pathology, Johns Hopkins University, Baltimore, MD 21231, USA.

Cell
|November 2, 2019
PubMed

Insights

This study reveals distinct molecular subgroups in clear cell renal cell carcinoma (ccRCC) by integrating multi-omics data. Findings identify key protein dysregulations and immune subtypes, paving the way for targeted ccRCC treatments.

Area of Science:

  • Oncology
  • Genomics
  • Proteomics

Background:

  • Clear cell renal cell carcinoma (ccRCC) is a complex malignancy.
  • Understanding its molecular drivers is crucial for effective treatment strategies.

Purpose of the Study:

  • To comprehensively characterize the molecular landscape of treatment-naive ccRCC.
  • To identify deregulated functional modules and immune subtypes driving ccRCC pathobiology.
  • To provide a basis for rational, pathobiology-informed treatment selection.

Main Methods:

  • Multi-omics characterization (genomic, epigenomic, transcriptomic, proteomic, phosphoproteomic) of ccRCC and adjacent normal tissues.
  • Proteogenomic integration to link genomic alterations with protein dysregulation.
  • Identification of microenvironment cell signatures to define immune subtypes.

Main Results:

  • A distinct molecular subgroup of ccRCC associated with genomic instability was identified.
  • Proteogenomic analysis revealed dysregulation in oxidative phosphorylation, protein translation, and phospho-signaling pathways.
  • Four distinct immune-based ccRCC subtypes were delineated based on microenvironment cell signatures.

Conclusions:

  • This large-scale proteogenomic analysis provides deep insights into ccRCC pathobiology.
  • The findings highlight the functional impact of genomic alterations on cellular mechanisms.
  • The identified molecular and immune subtypes offer potential targets for precision medicine in ccRCC.