The molecular axis hnRNPU/circKCNK2/EDC4/IL-11 aggravates osteolytic bone metastasis of RCC

Yiqiu Wang1,2,3, Ding Zhao4, Jiayi Lu1

  • 1Department of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Oncogene
|July 10, 2025
PubMed

Insights

A novel circular RNA, circKCNK2, is upregulated in renal cell carcinoma bone metastases and drives osteolytic destruction by promoting IL-11 secretion. Targeting circKCNK2 offers a promising therapeutic strategy for advanced RCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Bone metastasis is a significant complication of renal cell carcinoma (RCC), leading to poor outcomes and limited treatment options.
  • Understanding the molecular mechanisms driving RCC bone metastasis is crucial for developing effective therapies.

Purpose of the Study:

  • To identify key molecular players involved in RCC bone metastasis.
  • To elucidate the role of circKCNK2 in osteoclast differentiation and bone destruction.
  • To explore potential therapeutic strategies targeting circKCNK2.

Main Methods:

  • High-throughput screening of circRNA expression in primary RCC and bone metastasis samples.
  • Investigating the effect of circKCNK2 overexpression on osteoclast differentiation and IL-11 secretion.
  • Analyzing the molecular interaction of circKCNK2 with EDC4 and its impact on P-body function.
  • Examining the influence of the tumor microenvironment (acidic pH) on circKCNK2 expression via hnRNPU.

Main Results:

  • circKCNK2 (hsa_circ_0016459) was identified as significantly upregulated in RCC bone metastases.
  • Overexpression of circKCNK2 promotes osteoclast differentiation and bone destruction by increasing IL-11 secretion.
  • circKCNK2 disrupts P-body function by interacting with EDC4, leading to increased IL-11 mRNA and STAT-3 activation.
  • Acidic microenvironment decreases hnRNPU, leading to increased circKCNK2 production in bone metastases.
  • An anti-IL-11 strategy may be more beneficial than denosumab for high circKCNK2 expressing RCC.

Conclusions:

  • circKCNK2 plays a critical role in linking P-bodies to the IL-11/STAT-3 signaling pathway in RCC bone metastasis.
  • circKCNK2 is a potential therapeutic target for managing RCC bone metastasis.
  • Targeted gene delivery systems for circKCNK2 hold promise for future RCC treatment strategies.

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