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Updated: Dec 30, 2025

Comparing Metastatic Clear Cell Renal Cell Carcinoma Model Established in Mouse Kidney and on Chicken Chorioallantoic Membrane
Published on: February 8, 2020
Molecular characterization of sarcomatoid clear cell renal cell carcinoma unveils new candidate oncogenic drivers
Gabriel G Malouf1,2,3, Ronan Flippot4, Yiyu Dong5
1Department of Medical Oncology, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, Paris, France. maloufg@igbmc.fr.
Abstract:
Sarcomatoid clear-cell renal cell carcinomas (sRCC) are associated with dismal prognosis. Genomic alterations associated with sarcomatoid dedifferentiation are poorly characterized. We sought to define the genomic landscape of sRCC and uncover potentially actionable therapeutic targets. We assessed the genomic landscape of sRCC using targeted panel sequencing including patients with microdissected sarcomatoid and epithelial components. Along with common genomic alterations associated with clear-cell histology, we found that Hippo was one of the most frequently altered pathways in these tumours. Hippo alterations were differentially enriched in sRCC compared to non-sRCC. Functional analysis showed that Hippo members mutations were associated with higher nuclear accumulation of YAP/TAZ, core effectors of the Hippo pathway. In a NF2-mutant sRCC model, YAP1 knockdown and NF2 reconstitution suppressed cell proliferation, tumour growth and invasion, both in vitro and in vivo. Overall, we show that Hippo pathway alterations are a feature of sRCC, and enable the exploration of the Hippo pathway as a novel potential therapeutic target.
Insights
Alterations in the Hippo signaling pathway are common in sarcomatoid clear-cell renal cell carcinoma (sRCC). Targeting this pathway may offer new therapeutic strategies for this aggressive cancer.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Sarcomatoid clear-cell renal cell carcinoma (sRCC) presents a poor prognosis.
- The genomic underpinnings of sarcomatoid dedifferentiation remain largely unknown.
Purpose of the Study:
- To elucidate the genomic landscape of sRCC.
- To identify potential therapeutic targets for sRCC.
Main Methods:
- Targeted panel sequencing was employed on sRCC samples, including microdissected sarcomatoid and epithelial components.
- Functional assays were conducted to assess the impact of Hippo pathway alterations.
Main Results:
- The Hippo signaling pathway was frequently altered in sRCC and showed differential enrichment compared to non-sRCC.
- Mutations in Hippo pathway members correlated with increased nuclear accumulation of YAP/TAZ.
- In an NF2-mutant sRCC model, YAP1 knockdown and NF2 restoration inhibited tumor growth and invasion.
Conclusions:
- Hippo pathway alterations are a characteristic feature of sRCC.
- The Hippo pathway represents a promising novel therapeutic target for sRCC.
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