STX17-DT facilitates axitinib resistance in renal cell carcinoma by inhibiting mitochondrial ROS accumulation and

Yihui Pan1, Shuang Liu2, Guannan Shu3,4

  • 1Department of Urology, the Third Affiliated Hospital of Soochow University, Changzhou, China. panyihui0314@163.com.

Cell Death & Disease
|February 23, 2025
PubMed

Insights

A novel long non-coding RNA, STX17-DT, drives axitinib resistance in advanced renal cell carcinoma (RCC) by altering cell metabolism and spreading resistance via extracellular vesicles. Targeting STX17-DT offers a new strategy to overcome therapy resistance in RCC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Axitinib resistance is a significant obstacle in treating advanced renal cell carcinoma (RCC).
  • The molecular mechanisms underlying axitinib resistance in RCC are not fully elucidated.
  • Identifying novel therapeutic targets is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the role of long non-coding RNAs (lncRNAs) in axitinib resistance in RCC.
  • To identify specific lncRNAs that drive or mediate resistance to axitinib therapy.
  • To explore potential therapeutic strategies targeting identified resistance mechanisms.

Main Methods:

  • Construction of an in vivo axitinib-resistant RCC model.
  • Expression analysis of lncRNAs in resistant and sensitive RCC cells.
  • In vitro and in vivo validation of STX17-DT's role in axitinib resistance.
  • Mechanistic studies involving mRNA stability, reactive oxygen species (ROS), and ferroptosis.
  • Investigation of extracellular vesicle-mediated transfer of resistance.

Main Results:

  • STX17-DT expression was significantly upregulated in axitinib-resistant RCC cells and associated with poor prognosis.
  • Elevated STX17-DT promoted axitinib resistance both in vitro and in vivo.
  • STX17-DT stabilized IFI6 mRNA via hnRNPA1, reducing ROS and ferroptosis.
  • STX17-DT was packaged into extracellular vesicles, conferring resistance to other cells.
  • Combined axitinib and STX17-DT-targeted siRNA therapy showed enhanced efficacy.

Conclusions:

  • STX17-DT is a key driver of axitinib resistance in advanced RCC.
  • STX17-DT mediates resistance by modulating cellular metabolism and intercellular communication.
  • STX17-DT represents a promising prognostic biomarker and therapeutic target for overcoming axitinib resistance in RCC.

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