The m6A-regulation and single cell effect pattern in sunitinib resistance on clear cell renal cell carcinoma: Identification and validation of targets
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Updated: Aug 2, 2025

Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
Yanxi Deng1, Fang Wang1, Xinhui Wu2
1Clinical Laboratory, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Abstract:
Background: Sunitinib is the main target drug for clear cell renal cell carcinoma. However, the effect of sunitinib is often limited by acquired drug resistance. Methods: The open-accessed data used in this study were obtained from different online public databases, which were analyzed using the R software. The RNA level of specific genes was detected using quantitative Real-Time PCR. Sunitinib-resistant cell lines were constructed based on protocol get from the previous study. Colony formation and Cell Counting Kit-8 assays were applied to detect cell proliferation ability. Results: In this study, through publicly available data and high-quality analysis, we deeply explored the potential biological mechanisms that affect the resistance of sunitinib. Detailed, data from GSE64052, GSE76068 and The Cancer Genome Atlas were extracted. We identified the IFITM1, IL6, MX2, PCOLCE2, RSAD2 and SLC2A3 were associated with sunitinib resistance. Single-cell analysis, prognosis analysis and m6A regulatory network were conducted to investigate their role. Moreover, the MX2 was selected for further analysis, including its biological role and effect on the ccRCC microenvironment. Interestingly, we noticed that MX2 might be an immune-related gene that could affect the response rate of immunotherapy. Then, in vitro experiments validated the overexpression of MX2 in sunitinib-resistance cells. Colony formation assay indicated that the knockdown of MX2 could remarkably inhibit the proliferation ability of 786-O-Res and Caki-1-Res when exposed to sunitinib. Conclusion: In summary, through publicly available data and high-quality analysis, we deeply explored the potential biological mechanisms that affect the resistance of sunitinib. MX2 was selected for further analysis, including its biological role and effect on the ccRCC microenvironment. Finally, in vitro experiments were used to validate its role in ccRCC.
Insights
This study identifies MX2 as a key gene involved in sunitinib resistance in clear cell renal cell carcinoma (ccRCC). Knocking down MX2 inhibits cancer cell proliferation, suggesting its potential as a therapeutic target for ccRCC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Sunitinib is a primary treatment for clear cell renal cell carcinoma (ccRCC).
- Acquired drug resistance frequently limits the efficacy of sunitinib therapy in ccRCC patients.
- Understanding the molecular mechanisms of sunitinib resistance is crucial for improving treatment outcomes.
Purpose of the Study:
- To explore potential biological mechanisms underlying sunitinib resistance in ccRCC.
- To identify novel genes associated with sunitinib resistance.
- To investigate the role of identified genes, particularly MX2, in ccRCC progression and the tumor microenvironment.
Main Methods:
- Analysis of publicly available gene expression data (GSE64052, GSE76068, TCGA) using R software.
- Quantitative Real-Time PCR to detect gene RNA levels.
- Construction of sunitinib-resistant ccRCC cell lines.
- In vitro assays including Colony Formation and Cell Counting Kit-8 to assess cell proliferation.
Main Results:
- Identified IFITM1, IL6, MX2, PCOLCE2, RSAD2, and SLC2A3 as genes associated with sunitinib resistance.
- MX2 was further investigated for its role in ccRCC and its potential as an immune-related gene affecting immunotherapy response.
- In vitro experiments confirmed MX2 overexpression in resistant cells and demonstrated that MX2 knockdown inhibits proliferation in sunitinib-resistant ccRCC cells.
Conclusions:
- This study elucidates potential biological mechanisms driving sunitinib resistance in ccRCC.
- MX2 is identified as a significant gene involved in sunitinib resistance and ccRCC progression.
- MX2's role in the ccRCC microenvironment and potential impact on immunotherapy response warrant further investigation.
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