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Updated: Aug 6, 2025

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
AIM2 promotes renal cell carcinoma progression and sunitinib resistance through FOXO3a-ACSL4 axis-regulated
Qi Wang1,2, Su Gao3,4, Yi Shou1,2
1Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Abstract:
Renal cell carcinoma (RCC) is a serious threat to people's health due to its rapid progression, and patients easily develop resistance to targeted therapy. The absent in melanoma 2 (AIM2) is a receptor protein that has recently been proposed to play an important role in various diseases. In this study, AIM2 was identified as a new biomarker of RCC and promoted RCC progression and sunitinib resistance in an inflammasome-independent manner. Mechanistically, AIM2 promoted FOXO3a phosphorylation and proteasome degradation, thereby reducing its transcriptional effect on ACSL4 and inhibiting ferroptosis. In summary, AIM2 promoted RCC progression and sunitinib resistance through FOXO3a-ACSL4 axis-regulated ferroptosis, which could provide new ideas and therapeutic targets for RCC diagnosis and treatment.
Insights
Absent in melanoma 2 (AIM2) promotes renal cell carcinoma (RCC) progression and sunitinib resistance by inhibiting ferroptosis via the FOXO3a-ACSL4 pathway. This discovery offers new therapeutic targets for RCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Renal cell carcinoma (RCC) is aggressive, with patients often developing resistance to targeted therapies.
- The absent in melanoma 2 (AIM2) protein's role in disease is under investigation.
- Identifying novel biomarkers and therapeutic targets for RCC is crucial.
Purpose of the Study:
- To investigate the role of AIM2 in renal cell carcinoma (RCC) progression.
- To explore AIM2's involvement in resistance to sunitinib, a targeted therapy for RCC.
- To elucidate the molecular mechanisms underlying AIM2's function in RCC.
Main Methods:
- Identification of AIM2 as a potential biomarker in RCC.
- Experimental models to study AIM2's effect on RCC progression and drug resistance.
- Analysis of the inflammasome pathway's involvement.
- Investigation of AIM2's interaction with FOXO3a, ACSL4, and ferroptosis.
Main Results:
- AIM2 was identified as a novel biomarker promoting RCC progression.
- AIM2 conferred resistance to sunitinib in an inflammasome-independent manner.
- AIM2 induced FOXO3a phosphorylation and proteasome degradation.
- This process inhibited ACSL4 expression, leading to reduced ferroptosis.
Conclusions:
- AIM2 promotes RCC progression and sunitinib resistance through the FOXO3a-ACSL4 axis-regulated ferroptosis pathway.
- AIM2 represents a potential therapeutic target for improving RCC treatment outcomes.
- Understanding this mechanism provides new insights for RCC diagnosis and therapy.
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