pNaktide reverses metabolic reprogramming and disease progression of ATP1A1-deficiency clear cell renal cell

Yinghong Zhao1, Jialing Lv1, Wen Zhang1

  • 1Department of Oncology, The First People's Hospital of Qujing/The Qujing Affiliated Hospital of Kunming Medical University, Qujing, China.

Cancer Gene Therapy
|October 7, 2025
PubMed

Insights

Low expression of ATP1A1 (Na+/K+-transporting ATPase alpha 1 subunit) is linked to clear cell renal cell carcinoma (ccRCC) progression. Restoring ATP1A1 function via pNaktide peptide shows therapeutic promise for ccRCC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • ATP1A1 (Na+/K+-transporting ATPase alpha 1 subunit) expression varies in tumors, but its role in clear cell renal cell carcinoma (ccRCC) is unknown.
  • Investigating ATP1A1 in ccRCC is crucial for identifying prognostic markers and therapeutic targets.

Purpose of the Study:

  • To elucidate the role of ATP1A1 in ccRCC pathogenesis.
  • To assess ATP1A1 as a prognostic indicator and therapeutic target in ccRCC.
  • To evaluate the therapeutic potential of pNaktide, an ATP1A1-mimicking peptide.

Main Methods:

  • Database analysis and clinical sample evaluation to assess ATP1A1 expression in ccRCC.
  • In vitro and in vivo experiments to determine ATP1A1's functional role and the effects of pNaktide.
  • Co-expression gene analysis to identify pathways regulated by ATP1A1.
  • Nude mouse models to evaluate pNaktide's efficacy in reducing tumor growth.

Main Results:

  • ATP1A1 expression is significantly downregulated in ccRCC, correlating with poor prognosis.
  • ATP1A1 exhibits tumor-suppressive effects by inhibiting SRC kinase activity and promoting metabolic reprogramming from glycolysis to oxidative phosphorylation (OXPHOS).
  • Overexpression of ATP1A1 increases reactive oxygen species (ROS), inducing apoptosis.
  • pNaktide effectively inhibits ccRCC proliferation in vitro and in vivo by suppressing SRC signaling and altering metabolism, significantly reducing tumor volume and weight in mouse models.

Conclusions:

  • Reduced ATP1A1 expression is a key driver of ccRCC progression.
  • pNaktide demonstrates significant therapeutic potential for ccRCC by restoring ATP1A1-like functions.
  • Targeting ATP1A1 or its functional mimics represents a promising therapeutic strategy for ccRCC.

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