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Updated: May 17, 2025

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
GAMT facilitates tumor progression via inhibiting p53 in clear cell renal cell carcinoma
Background:
Clear cell renal cell carcinoma (ccRCC) is the most common type of RCC. Even though the targeted drugs for the treatment of ccRCC have a certain therapeutic effect, due to the problem of drug resistance, the search for new targets for targeted therapy of ccRCC remains urgent. GAMT is an enzyme involved in creatine metabolism. However, the precise biological roles and molecular mechanisms of GAMT in ccRCC are not fully understood.
Results:
Here, we found that GAMT was upregulated in ccRCC cells and tissues and associated with poor prognosis. Further, GAMT has pro-oncogenic abilities in promoting ccRCC development and progression. Intriguingly, GAMT exerted biological functions independent of its role in catalyzing creatine synthesis. Mechanistically, GAMT overexpression contributes to the development and progression of ccRCC by inhibiting tumor suppressor p53. Finally, we identified fisetin as a novel GAMT inhibitor and validated its role in suppressing ccRCC progression and sensitizing ccRCC cells to targeted drug axitinib via in vivo and in vitro assays.
Conclusions:
This study reveals that GAMT has pro-oncogenic abilities in promoting ccRCC development and progression. GAMT exerted its non-enzymatic functions possibly by regulating the expression of p53. Fisetin, the novel GAMT inhibitor identified herein, may serve as a new antitumor drug for ccRCC treatment.
Insights
The enzyme GAMT promotes clear cell renal cell carcinoma (ccRCC) progression by inhibiting p53. Fisetin, a GAMT inhibitor, shows potential for ccRCC treatment and can sensitize cells to axitinib.
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Clear cell renal cell carcinoma (ccRCC) is the most prevalent kidney cancer subtype.
- Existing targeted therapies for ccRCC face challenges due to drug resistance, necessitating novel therapeutic targets.
- The role of Guanidinoacetate N-methyltransferase (GAMT) in ccRCC pathogenesis is not well-defined.
Purpose of the Study:
- To investigate the biological functions and molecular mechanisms of GAMT in ccRCC.
- To identify potential therapeutic strategies targeting GAMT for ccRCC treatment.
Main Methods:
- Analysis of GAMT expression in ccRCC tissues and cell lines.
- In vitro and in vivo assays to assess GAMT's pro-oncogenic role.
- Investigation of GAMT's interaction with p53.
- Screening for and validation of GAMT inhibitors, including fisetin.
- Evaluation of fisetin's efficacy in combination with axitinib.
Main Results:
- GAMT is upregulated in ccRCC and correlates with poor prognosis.
- GAMT promotes ccRCC development and progression independently of its enzymatic activity.
- GAMT overexpression inhibits the tumor suppressor p53.
- Fisetin was identified as a GAMT inhibitor that suppresses ccRCC progression.
- Fisetin sensitizes ccRCC cells to axitinib in preclinical models.
Conclusions:
- GAMT exhibits pro-oncogenic functions in ccRCC, potentially through non-enzymatic regulation of p53.
- Fisetin represents a novel therapeutic agent for ccRCC, capable of inhibiting tumor progression and enhancing targeted therapy efficacy.
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