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Updated: Sep 23, 2025

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
DMDRMR promotes angiogenesis via antagonizing DAB2IP in clear cell renal cell carcinoma
Yumeng Zhu1,2, Xiaojun Liu1,2, Yang Wang3
1School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, 230026, Hefei, China.
Abstract:
Clear cell renal cell carcinoma (ccRCC) patients are highly angiogenic and treated by targeted therapies against VEGFA/VEGFR signaling pathway. However, tumors with such targeted therapies remain a significant clinic challenge. Understanding the underlying mechanism against angiogenesis is highly desired. Here, we demonstrated that the lncRNA DMDRMR serves as a sponge of miR-378a-5p to increase EZH2 and SMURF1 expression, thus promoting EZH2-mediated transcriptional repression of DAB2IP and SMURF1-mediated degradation of DAB2IP. Consequently, this axis activates VEGFA/VEGFR2 signaling pathway, resulting in angiogenesis and resistance of tumor cells to sunitinib in ccRCC. Moreover, the competing endogenous RNA regulatory axis of DMDRMR is clinically relevant to ccRCC pathogenesis and prognosis of patients with ccRCC. Our results support that the DMDRMR/miR-378a-5p/DAB2IP axis may serve as a novel target for combination diagnosis or therapy of ccRCC patients. Our findings may have highly clinical relevance for future translation to develop the targeted therapies for patients with ccRCC.
Insights
A novel long non-coding RNA, DMDRMR, promotes angiogenesis and sunitinib resistance in clear cell renal cell carcinoma (ccRCC) by regulating the miR-378a-5p/DAB2IP axis. This finding offers a potential new therapeutic target for ccRCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Clear cell renal cell carcinoma (ccRCC) exhibits high angiogenesis, often treated with VEGFA/VEGFR pathway inhibitors.
- Tumor resistance to targeted therapies remains a significant clinical challenge in ccRCC.
- Understanding the mechanisms driving angiogenesis is crucial for developing effective ccRCC treatments.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying angiogenesis and targeted therapy resistance in ccRCC.
- To identify novel regulatory pathways involved in ccRCC pathogenesis.
- To explore potential therapeutic targets for ccRCC.
Main Methods:
- Investigated the role of long non-coding RNA DMDRMR in ccRCC.
- Analyzed the interaction between DMDRMR, miR-378a-5p, EZH2, SMURF1, and DAB2IP.
- Assessed the impact of this axis on VEGFA/VEGFR2 signaling, angiogenesis, and sunitinib resistance in ccRCC cells.
- Correlated DMDRMR expression with ccRCC patient prognosis.
Main Results:
- Demonstrated that DMDRMR acts as a competing endogenous RNA (ceRNA) sponge for miR-378a-5p.
- Showed that DMDRMR upregulates EZH2 and SMURF1, leading to repression and degradation of DAB2IP.
- Confirmed that this axis activates VEGFA/VEGFR2 signaling, promoting angiogenesis and sunitinib resistance in ccRCC.
- Found a clinical relevance of the DMDRMR/miR-378a-5p/DAB2IP axis to ccRCC pathogenesis and patient prognosis.
Conclusions:
- The DMDRMR/miR-378a-5p/DAB2IP axis promotes angiogenesis and sunitinib resistance in ccRCC.
- This regulatory axis is clinically relevant for ccRCC pathogenesis and prognosis.
- The DMDRMR/miR-378a-5p/DAB2IP axis represents a potential novel target for the diagnosis or combination therapy of ccRCC patients.
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