Alternative polyadenylation reprogramming of MORC2 induced by NUDT21 loss promotes KIRC carcinogenesis

Yuqin Tan1, Tong Zheng1, Zijun Su2

  • 1Department of Kidney Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.

JCI Insight
|September 22, 2023
PubMed

Insights

Alternative polyadenylation (APA) reprogramming drives kidney cancer by shortening MORC2 mRNA, promoting tumor growth. Restoring NUDT21 expression with an antisense oligonucleotide (ASO) showed antitumor effects.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Epigenetics

Background:

  • Alternative polyadenylation (APA) regulates gene expression and 3' untranslated region (3'UTR) length.
  • APA reprogramming is prevalent in kidney renal clear cell carcinoma (KIRC), but its functional role is unclear.
  • Chromatin modifiers are increasingly implicated in cancer development.

Purpose of the Study:

  • To investigate the role of APA reprogramming in KIRC pathogenesis.
  • To identify key genes and regulatory pathways involved in APA-driven KIRC.
  • To explore therapeutic strategies targeting the identified APA regulatory axis.

Main Methods:

  • Analysis of APA patterns in KIRC patient samples.
  • Identification of genes with APA reprogramming using bioinformatics.
  • Experimental validation of MORC2 and NUDT21 functions in KIRC cell lines and animal models.
  • Development and testing of an antisense oligonucleotide (ASO) therapy.

Main Results:

  • MORC2 exhibits oncogenic potential in KIRC, with its 3'UTR shortening stabilizing MORC2 mRNA.
  • MORC2 downregulates tumor suppressor DAPK1 via DNA methylation, recruiting DNMT3A.
  • Loss of APA regulator NUDT21, due to DNMT3B-mediated methylation, causes MORC2 3'UTR shortening.
  • NUDT21 functions as a tumor suppressor by downregulating MORC2.
  • An ASO targeting NUDT21 demonstrated in vitro and in vivo antitumor activity.

Conclusions:

  • Uncovered a novel DNMT3B/NUDT21/APA/MORC2/DAPK1 regulatory axis in KIRC.
  • Demonstrated the functional significance of APA reprogramming and its interplay with DNA methylation in KIRC.
  • Validated NUDT21 as a tumor suppressor and proposed ASO-mediated NUDT21 restoration as a potential KIRC therapy.

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