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Updated: May 29, 2025

Mapping the Structure-Function Relationships of Disordered Oncogenic Transcription Factors Using Transcriptomic Analysis
Published on: June 27, 2020
Oncogenic TFE3 fusions drive OXPHOS and confer metabolic vulnerabilities in translocation renal cell carcinoma
Jiao Li1,2, Kaimeng Huang2,3, Meha Thakur1
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Abstract:
Translocation renal cell carcinoma (tRCC) is an aggressive subtype of kidney cancer driven by TFE3 gene fusions, which act via poorly characterized downstream mechanisms. Here we report that TFE3 fusions transcriptionally rewire tRCCs toward oxidative phosphorylation (OXPHOS), contrasting with the highly glycolytic nature of most other renal cancers. Reliance on this TFE3 fusion-driven OXPHOS programme renders tRCCs vulnerable to NADH reductive stress, a metabolic stress induced by an imbalance of reducing equivalents. Genome-scale CRISPR screening identifies tRCC-selective vulnerabilities linked to this metabolic state, including EGLN1, which hydroxylates HIF-1α and targets it for proteolysis. Inhibition of EGLN1 compromises tRCC cell growth by stabilizing HIF-1α and promoting metabolic reprogramming away from OXPHOS, thus representing a vulnerability for OXPHOS-dependent tRCC cells. Our study defines tRCC as being dependent on a mitochondria-centred metabolic programme driven by TFE3 fusions and nominates EGLN1 inhibition as a therapeutic strategy in this cancer.
Insights
Translocation renal cell carcinoma (tRCC) uniquely relies on oxidative phosphorylation (OXPHOS) due to TFE3 gene fusions. Inhibiting EGLN1 exploits this metabolic vulnerability, offering a new therapeutic strategy for tRCC.
Area of Science:
- Oncology
- Molecular Biology
- Metabolic Pathways
Background:
- Translocation renal cell carcinoma (tRCC) is an aggressive kidney cancer subtype.
- TFE3 gene fusions drive tRCC pathogenesis through poorly understood mechanisms.
Purpose of the Study:
- To elucidate the metabolic reprogramming driven by TFE3 fusions in tRCC.
- To identify tRCC-specific vulnerabilities associated with its metabolic state.
Main Methods:
- Genome-scale CRISPR screening.
- Analysis of metabolic pathways, focusing on oxidative phosphorylation (OXPHOS) and NADH reductive stress.
- Investigated the role of EGLN1 and HIF-1α.
Main Results:
- TFE3 fusions rewire tRCCs towards OXPHOS, unlike other renal cancers.
- tRCCs exhibit vulnerability to NADH reductive stress.
- EGLN1 was identified as a tRCC-selective vulnerability.
- EGLN1 inhibition stabilizes HIF-1α, halts tRCC growth, and shifts metabolism away from OXPHOS.
Conclusions:
- tRCC is dependent on a mitochondria-centered metabolic program driven by TFE3 fusions.
- EGLN1 inhibition represents a potential therapeutic strategy for OXPHOS-dependent tRCC.
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