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PFKFB4 is overexpressed in clear-cell renal cell carcinoma promoting pentose phosphate pathway that mediates
Chenchen Feng1,2, Yuqing Li1,2, Kunping Li1,2
1Department of Urology, Huashan Hospital, Fudan University, 12 Middle Urumqi Rd, 200040, Shanghai, PR China.
Background:
Kinases play critical role in clear-cell renal cell carcinoma (ccRCC). We aim to exploit novel kinase that is both protumorigenic and drugable in ccRCC.
Methods:
Reproduction of public datasets with validation using microarray was performed to identify candidate gene. Functionality was studied using multi-omics with validation in vitro and in vivo.
Results:
6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 4 (PFKFB4) was differentially expressed showing significantly higher expression in tumor than in normal kidney. PFKFB4 overexpression was associated with advanced tumor grade, stage and worsened prognosis. PFKFB4-knockdown significantly impaired fitness in cell proliferation, migration and wound healing. Despite being recurrently deleted on 3p, PFKFN4 mRNA remained actively transcribed by HIF1α. Metabolomics showed overexpressed PFKFB4 showed enriched metabolites in pentose phosphate pathway (PPP). Phosphoproteomics and immunoprecipitation showed PFKFB4 also phosphorylated NCOA3 which interacted with FBP1 to counteract overactive PPP flux, forming a regulatory loop. PFKFB4-knockdown overcame resistance to Sunitinib in vitro and in vivo both in xenograft and tail-vein injection murine models.
Conclusion:
We concluded PFKFB4 was associated with PPP activity and the fine-tuning of which was mediated by its phosphorylation of NCOA3. Targeting PFKFB4 held promise to combat resistance to Sunitinib.
Insights
6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 4 (PFKFB4) is a novel kinase driving clear-cell renal cell carcinoma (ccRCC) progression. Targeting PFKFB4 may overcome Sunitinib resistance in ccRCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Kinases are crucial in clear-cell renal cell carcinoma (ccRCC) pathogenesis.
- Identifying novel, druggable, and protumorigenic kinases is essential for ccRCC treatment.
- This study focuses on a specific kinase involved in ccRCC progression.
Purpose of the Study:
- To identify and characterize a novel kinase involved in ccRCC.
- To investigate the role of this kinase in tumor growth, metastasis, and drug resistance.
- To explore therapeutic strategies targeting this kinase in ccRCC.
Main Methods:
- Differential gene expression analysis of public datasets and microarray validation.
- Multi-omics analysis (metabolomics, phosphoproteomics) and in vitro/in vivo functional studies.
- Investigation of kinase activity, downstream targets, and drug resistance mechanisms.
Main Results:
- 6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 4 (PFKFB4) was overexpressed in ccRCC tumors, correlating with advanced stage and poor prognosis.
- PFKFB4 knockdown inhibited cancer cell proliferation, migration, and wound healing.
- PFKFB4 regulates the pentose phosphate pathway (PPP) via NCOA3 phosphorylation and overcomes Sunitinib resistance.
- PFKFB4 mRNA is transcribed by HIF1α despite 3p deletion.
Conclusions:
- PFKFB4 is a key regulator of PPP activity in ccRCC, modulated by NCOA3 phosphorylation.
- Targeting PFKFB4 shows potential for overcoming Sunitinib resistance in ccRCC.
- PFKFB4 represents a promising therapeutic target for ccRCC treatment.
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