Risk signature identification and NPRL2 affects sunitinib sensitivity in clear cell renal cell carcinoma

Xiaoyi Du1, Zhipeng Zhao1, Xin Zhao2

  • 1Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Insights

Tumor suppressor genes (TSGs) define clear cell renal cell carcinoma (ccRCC) subtypes and predict prognosis. NPRL2, a key TSG, enhances sunitinib sensitivity in ccRCC by inhibiting tumor growth and metastasis.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Tumor suppressor genes (TSGs) are critical in cancer development and drug resistance.
  • Clear cell renal cell carcinoma (ccRCC) is a significant subtype of kidney cancer.
  • The 3p21.3 gene cluster harbors important TSGs involved in tumorigenesis.

Purpose of the Study:

  • To analyze ccRCC subtypes based on 8 TSGs from the 3p21.3 cluster.
  • To develop a risk score model for predicting ccRCC prognosis and drug sensitivity.
  • To investigate the role of the hub gene NPRL2 in ccRCC and its effect on sunitinib sensitivity.

Main Methods:

  • Utilized TCGA database for gene expression analysis.
  • Employed principal component analysis for risk score model construction.
  • Performed protein-protein interaction analysis to identify hub genes.
  • Conducted in vitro (CCK-8, colony formation, wound healing, Transwell) and in vivo (xenograft) assays to assess NPRL2 function.
  • Analyzed protein expression via Western blotting.

Main Results:

  • Identified 8 differentially expressed TSGs that classify ccRCC into two subtypes.
  • Developed a prognostic risk score model that predicts patient outcomes and drug sensitivity.
  • NPRL2 was identified as a key hub gene.
  • Overexpression of NPRL2 promoted apoptosis, inhibited epithelial-mesenchymal transition (EMT), and suppressed the PI3K/AKT/mTOR pathway.
  • NPRL2 overexpression enhanced sunitinib sensitivity in ccRCC cells.

Conclusions:

  • The 8 TSGs and the derived risk score model offer insights into ccRCC subtypes and prognosis.
  • NPRL2 acts as a tumor suppressor gene in ccRCC.
  • NPRL2 enhances sunitinib sensitivity, suggesting its potential as a therapeutic target for ccRCC treatment.