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.

Nature Metabolism
|February 6, 2025
PubMed

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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