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DEPDC1 as a metabolic target regulates glycolysis in renal cell carcinoma through AKT/mTOR/HIF1α pathway
Si-Chen Di1, Wen-Jin Chen1,2, Wei Yang1
1Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Abstract:
Renal cell carcinoma (RCC) is considered a "metabolic disease" characterized by elevated glycolysis in patients with advanced RCC. Tyrosine kinase inhibitor (TKI) therapy is currently an important treatment option for advanced RCC, but drug resistance may develop in some patients. Combining TKI with targeted metabolic therapy may provide a more effective approach for patients with advanced RCC. An analysis of 14 RCC patients (including three needle biopsy samples with TKI resistance) revealed by sing-cell RNA sequencing (scRNA-seq) that glycolysis played a crucial role in poor prognosis and drug resistance in RCC. TCGA-KIRC and glycolysis gene set analysis identified DEPDC1 as a target associated with malignant progression and drug resistance in KIRC. Subsequent experiments demonstrated that DEPDC1 promoted malignant progression and glycolysis of RCC, and knockdown DEPDC1 could reverse TKI resistance in RCC cell lines. Bulk RNA sequencing (RNA-seq) and non-targeted metabolomics sequencing suggested that DEPDC1 may regulate RCC glycolysis via AKT/mTOR/HIF1α pathway, a finding supported by protein-level analysis. Clinical tissue samples from 98 RCC patients demonstrated that DEPDC1 was associated with poor prognosis and predicted RCC metastasis. In conclusion, this multi-omics analysis suggests that DEPDC1 could serve as a novel target for TKI combined with targeted metabolic therapy in advanced RCC patients with TKI resistance.
Insights
DEPDC1 drives kidney cancer progression and drug resistance by increasing glycolysis. Targeting DEPDC1 may overcome tyrosine kinase inhibitor resistance in advanced renal cell carcinoma (RCC).
Area of Science:
- Oncology
- Metabolic Disease Research
- Genomics
Background:
- Renal cell carcinoma (RCC) is a metabolic disease with elevated glycolysis in advanced stages.
- Tyrosine kinase inhibitor (TKI) therapy is a key treatment, but drug resistance is a significant challenge.
Purpose of the Study:
- To investigate the role of glycolysis in advanced RCC prognosis and TKI resistance.
- To identify novel therapeutic targets for overcoming TKI resistance in advanced RCC.
Main Methods:
- Single-cell RNA sequencing (scRNA-seq) on 14 RCC patients.
- TCGA-KIRC and gene set analysis.
- In vitro experiments with RCC cell lines.
- Bulk RNA sequencing and non-targeted metabolomics.
- Protein-level analysis and clinical tissue sample analysis (98 RCC patients).
Main Results:
- scRNA-seq indicated glycolysis is crucial for poor prognosis and TKI resistance in RCC.
- DEPDC1 was identified as a key target promoting malignant progression and glycolysis in KIRC.
- Knockdown of DEPDC1 reversed TKI resistance in RCC cell lines.
- DEPDC1 influences RCC glycolysis via the AKT/mTOR/HIF1α pathway.
- DEPDC1 expression correlates with poor prognosis and metastasis in RCC patients.
Conclusions:
- DEPDC1 promotes RCC progression and glycolysis, contributing to TKI resistance.
- DEPDC1 is a potential therapeutic target for combination therapy (TKI + metabolic therapy) in advanced RCC with TKI resistance.
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