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Updated: Oct 5, 2025

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Published on: January 12, 2020
Prognostic Signatures and Therapeutic Value Based on the Notch Pathway in Renal Clear Cell Carcinoma
Ziyao Li1,2, Shiyong Xin3,4, Shuanbao Yu1
1Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
Abstract:
The Notch family of genes encodes a group of highly conserved cell surface membrane receptors, which are involved in one of the key pathways that determine cell growth, differentiation, and apoptosis in embryonic tissues. Furthermore, abnormal expression of Notch genes is closely related to the occurrence and development of several cancers. To date, no specific treatment of RCC has been reported to relate to the Notch pathway. Therefore, we detected Notch pathway genes in series of tumors, as well as potential compounds targeting the Notch pathway, with a focus on the mechanism of Notch pathway action in kidney renal clear cell carcinoma (KIRC). Samples from KIRC patients were divided into three clusters based on the mRNA expression of Notch pathway genes. In addition, we investigated the potential targets of the Notch pathway, predicted the IC50 of several classical targeted therapies, and analyzed their correlation with the Notch pathway. Finally, LASSO regression analysis was performed to build a model to predict survival in KIRC patients. These results suggest that therapies targeting the Notch pathway could be more efficiently studied based on the Notch score and that we can predict the prognosis of patients with KIRC based on the expression of Notch pathway genes. Most importantly, these results may provide a solid theoretical basis for future research on therapeutic targets for patients with KIRC.
Insights
This study explores the Notch pathway
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- The Notch signaling pathway is crucial for cell development and is implicated in various cancers.
- Abnormal Notch gene expression is linked to cancer development, but specific treatments for renal cell carcinoma (RCC) targeting this pathway are lacking.
Purpose of the Study:
- To investigate the role and therapeutic potential of the Notch pathway in kidney renal clear cell carcinoma (KIRC).
- To identify potential therapeutic targets and predict patient prognosis based on Notch pathway gene expression.
Main Methods:
- Analysis of Notch pathway genes across tumor types, focusing on KIRC.
- Clustering KIRC patient samples based on Notch gene mRNA expression.
- Prediction of IC50 values for targeted therapies and correlation with the Notch pathway.
- Utilized LASSO regression for survival prediction modeling in KIRC patients.
Main Results:
- KIRC patient samples were classified into three distinct clusters based on Notch pathway gene expression.
- Identified correlations between Notch pathway activity and the efficacy of targeted therapies.
- Developed a predictive model for KIRC patient survival using Notch pathway gene expression.
Conclusions:
- Notch pathway-targeted therapies may be optimized using a 'Notch score' for KIRC.
- Notch pathway gene expression can predict KIRC patient prognosis.
- Provides a foundation for developing novel therapeutic strategies for KIRC targeting the Notch pathway.
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