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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.
Abstract:
Axitinib resistance remains a serious challenge in the treatment of advanced renal cell carcinoma (RCC), and the underlying mechanisms are not fully understood. Here, we constructed an in vivo axitinib-resistant RCC model and identified the long non-coding RNA STX17-DT as a driver of therapy resistance in RCC. The expression of STX17-DT was significantly elevated in axitinib-resistant RCC cells and correlated with poorer prognosis in RCC patients. Elevated levels of STX17-DT contributed to the development of resistance to axitinib both in vitro and in vivo. Mechanistically, STX17-DT modulated the stability of IFI6 mRNA by recruiting and binding to hnRNPA1, leading to decreased accumulation of mitochondrial reactive oxygen species (ROS) and attenuated ferroptosis. Meanwhile, STX17-DT was packaged into extracellular vesicles through hnRNPA1, thus transmitting axitinib resistance to other cells. Compared with axitinib monotherapy, combined treatment of axitinib and STX17-DT-targeted in vivo siRNA demonstrated enhanced therapeutic efficacy. These findings indicate a novel molecular mechanism of axitinib resistance in RCC and suggest that STX17-DT may serve as a prognostic indicator and potential therapeutic target to overcome resistance to targeted therapy.
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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