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Comparing Metastatic Clear Cell Renal Cell Carcinoma Model Established in Mouse Kidney and on Chicken Chorioallantoic Membrane
Published on: February 8, 2020
Sodium-Glucose Cotransporter 2 and Glucose Levels Affect Clear Cell Renal Cell Carcinoma Progression
Yujiro Nagata1, Ikko Tomisaki1, Hisami Aono1
1Department of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan.
Abstract:
The biological significance of sodium-glucose cotransporter 2 (SGLT2) in clear cell renal cell carcinoma (ccRCC) has yet to be elucidated. In this study, we aimed to determine the role of SGLT2 in ccRCC tumor progression. The human ccRCC line KMRC-1, which contains a von Hippel-Lindau (VHL) gene mutation, was used to assess the effects of the SGLT2 inhibitor (SGLT2i) dapagliflozin on proliferation and migration in media containing different glucose concentrations (25, 12.5, or 5 mM). Dapagliflozin significantly reduced cell proliferation and migration in 25 mM glucose medium. Similarly, SGLT2 knockdown involving short hairpin RNA lentiviral transfection significantly decreased cell viability, migration, and colony formation compared with the control subline in 25 mM glucose medium. Moreover, tumor progression was inhibited in the media with low glucose concentrations. Remarkably, 2 µM dapagliflozin inhibited the progression of ccRCC at concentrations as low as 5 mM (normoglycemic model) glucose medium as well as 25 mM (severe glycemia model) glucose medium. In addition, dapagliflozin treatment significantly enhanced the apoptosis of ccRCC cells. Our findings demonstrate that SGLT2 impacts the progression of ccRCC with the VHL mutation. In light of the above findings, SGLT2is, which exert the dual effects of SGLT2 blockade and glycemic control, may represent a novel therapeutic agent, particularly in patients with ccRCC who suffer from concurrent diabetes mellitus. To the best of our knowledge, this is the first preclinical study demonstrating the impact of SGLT2 inhibition on the progression of ccRCC with the VHL mutation.
Insights
Sodium-glucose cotransporter 2 (SGLT2) inhibition significantly reduced clear cell renal cell carcinoma (ccRCC) progression and enhanced apoptosis. SGLT2 inhibitors may offer novel therapeutic potential for ccRCC patients, especially those with diabetes.
Area of Science:
- Oncology
- Nephrology
- Endocrinology
Background:
- The role of sodium-glucose cotransporter 2 (SGLT2) in clear cell renal cell carcinoma (ccRCC) progression remains unclear.
- Understanding SGLT2's biological significance is crucial for identifying new therapeutic targets in ccRCC.
Purpose of the Study:
- To investigate the role of SGLT2 in ccRCC tumor progression.
- To evaluate the efficacy of SGLT2 inhibition on ccRCC cell proliferation, migration, and apoptosis.
Main Methods:
- Utilized the KMRC-1 ccRCC cell line with a VHL gene mutation.
- Assessed the effects of the SGLT2 inhibitor dapagliflozin and SGLT2 knockdown on ccRCC cells under varying glucose concentrations.
- Measured cell viability, migration, colony formation, and apoptosis.
Main Results:
- Dapagliflozin significantly reduced ccRCC cell proliferation and migration, particularly in high glucose conditions (25 mM).
- SGLT2 knockdown also decreased cell viability, migration, and colony formation.
- SGLT2 inhibition demonstrated efficacy in both normoglycemic (5 mM) and severe hyperglycemia (25 mM) models, enhancing apoptosis.
Conclusions:
- SGLT2 plays a significant role in the progression of ccRCC with VHL mutations.
- SGLT2 inhibitors show promise as a novel therapeutic strategy for ccRCC, especially in patients with concurrent diabetes mellitus.
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