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Updated: Jul 11, 2025

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
miRNA-381 regulates renal cancer stem cell properties and sunitinib resistance via targeting SOX4
Xiao-Jun Lu1, Wen-Wen Gao2, Jia-Cheng Li1
1Department of Urology, Shanghai FourthPeople's Hospital, School of Medicine, Tongji University, Shanghai, 200434, China.
Abstract:
Cancer stem cells (CSCs) are crucial in the pathogenesis of human cancers. Existing studies reported that microRNA (miRNA) modulates the stemness of CSCs. We discovered that renal cell CSCs have suppressed miR-381. Suppression of miR-381 promotes renal cell tumorigenesis and CSC-like properties. Furthermore, the forced expression of miR-381 prevents the renal cell tumorigenesis and CSC-like properties. Mechanistically, renal cell CSCs have been found to interact with SOX4 through miR-381 directly. miR-381 inhibits renal cell CSC-like properties and tumorigenesis via downregulating SOX4. Examination of the patient-derived xenografts (PDX) and patient cohorts reveals that miR-381 may be able to forecast the advantages of Sunitinib in RCC patients. Moreover, the introduction of SOX4 could reverse the sensitivity of miR-381 overexpression RCC cells to Sunitinib-induced cell apoptosis. These results indicated that miR-381 is critical in renal cell CSC-like properties and tumorigenesis, making it the ideal therapeutic target for RCC.
Insights
MicroRNA-381 (miR-381) suppresses renal cell tumorigenesis by targeting SOX4 in cancer stem cells (CSCs). Restoring miR-381 may predict Sunitinib treatment benefits in renal cell carcinoma (RCC) patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer stem cells (CSCs) drive tumor development and recurrence.
- MicroRNAs (miRNAs) are key regulators of CSC stemness.
- Renal cell carcinoma (RCC) pathogenesis involves CSCs, but regulatory mechanisms are not fully understood.
Purpose of the Study:
- To investigate the role of miR-381 in renal cell CSCs and tumorigenesis.
- To elucidate the molecular mechanism of miR-381 action.
- To evaluate miR-381 as a potential biomarker for Sunitinib efficacy in RCC.
Main Methods:
- Analysis of miR-381 levels in renal cell CSCs.
- Functional assays to assess the impact of miR-381 modulation on tumorigenesis and CSC properties.
- Mechanism studies involving SOX4 interaction and gene expression analysis.
- Validation in patient-derived xenografts (PDX) and clinical patient cohorts.
Main Results:
- Renal cell CSCs exhibit suppressed miR-381 levels.
- miR-381 overexpression inhibits renal cell tumorigenesis and CSC-like properties by downregulating SOX4.
- Low miR-381 levels correlate with SOX4 upregulation.
- miR-381 levels can predict response to Sunitinib treatment in RCC patients, and SOX4 can reverse this sensitivity.
Conclusions:
- miR-381 plays a critical role in regulating renal cell CSC-like properties and tumorigenesis.
- The miR-381/SOX4 axis is a key mechanism in RCC development.
- miR-381 is a promising therapeutic target and predictive biomarker for Sunitinib therapy in RCC.
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