ACE Loss Drives Renal Cell Carcinoma Growth and Invasion by Modulating AKT-FOXO1

Lei Yin1,2,3, Lixin Mao4, Rui Yin5

  • 1Department of Urology, Shidong Hospital, Yangpu District, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, Shanghai, 200438, People's Republic of China.

PubMed
Abstract

Insights

Angiotensin-Converting Enzyme (ACE) is underexpressed in clear-cell renal cell carcinoma (ccRCC). Higher ACE levels correlate with better ccRCC prognosis and inhibit tumor growth and metastasis by regulating the AKT-FOXO1 pathway, suggesting ACE as a therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The renin-angiotensin-aldosterone system (RAAS) is implicated in cancer progression.
  • The specific role of RAAS in clear-cell renal cell carcinoma (ccRCC) remains unverified.

Purpose of the Study:

  • To investigate the expression and function of Angiotensin-Converting Enzyme (ACE), a key RAAS component, in ccRCC.
  • To elucidate the underlying mechanisms of ACE in ccRCC progression and its potential as a therapeutic target.

Main Methods:

  • Quantitative RT-PCR, Western blot, and immunohistochemistry for ACE expression analysis.
  • Cell proliferation, migration, invasion, and glycolysis assays (CCK-8, Transwell, Seahorse).
  • Xenograft models, RNA-seq, ChIP, and luciferase reporter assays to explore molecular mechanisms.

Main Results:

  • ACE was significantly underexpressed in ccRCC tissues and cell lines.
  • High ACE expression was associated with favorable patient prognosis.
  • ACE overexpression suppressed ccRCC cell growth, metastasis, and glycolysis, while knockdown enhanced these processes.
  • ACE inhibited ccRCC progression and epithelial-mesenchymal transition (EMT) via the AKT-FOXO1 signaling pathway.
  • ACE enhanced the antitumor effect of everolimus and its expression is regulated by ZBTB26.

Conclusions:

  • ACE plays an inhibitory role in ccRCC progression, growth, and metastasis.
  • ACE exerts its effects by promoting FOXO1 expression, a downstream target of the PI3K-AKT pathway.
  • ACE represents a potential therapeutic target for ccRCC treatment.

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