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EZH2 Expression is increased in BAP1-mutant renal clear cell carcinoma and is related to poor prognosis

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机构: [1]Department of Urology, Tongren Hospital, Shanghai JiaoTong University School of Medicine. [2]Department of Anaesthesiology, Tongren Hospital, Shanghai JiaoTong University School of Medicine. [3]Department of Urology, Huashan Hospital, Fudan University. [4]Department of Urology, Shanghai Tenth People's Hospital, Tongji University. [5]Department of Urology, Nanjing Medical University Affiliated Suzhou Hospital.
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关键词: EZH2 Expression BAP1-mutant

摘要:
Aim: BAP1 is frequently mutated in clear cell renal cell carcinoma (ccRCC) with a definitive role still unclear. Methods: In silico analysis of BAP1-mutant and wild-type gene enrichment and functional annotation in TCGA-KIRC dataset was performed. Target gene was studied based on functional clustering and was knowledge-based. Validation using in-house pathological sections were performed immunohistochemically. In vitro and in vivo studies on target gene were performed. Results: The TCGA ccRCC dataset included 534 ccRCC samples. BAP1 was frequently mutated and more frequently downregulated in ccRCC compared to normal kidney tissue or benign renal tumors. In the analysis between samples with BAP1 mutation (N = 33) and pan-negative (N = 33), we found that cancers with BAP1 mutation was significantly enriched for 14 pathways, of which 3 were DNA repair pathways, in which EZH2 played a role. CcRCC patients with lower BAP1 expression had poor prognosis and showed higher EZH2 expression, which also conferred worsened survival. Genetic and pharmaceutical inhibition of EZH2 not only inhibited BAP1-mutatn ccRCC cell viability and invasion but also abrogated genetic replenishing of BAP1 expression. Validation cohort encompassing 62 ccRCC samples confirmed the worsened phenotype for cases with higher EZH2 expression and significant positive correlation between expressions of EZH2 and BAP1. EZH2 inhibitor also inhibited tumor growth in xenograft mouse model with BAP1-mutated ccRCC cells with unremarkable toxicity. Conclusion: CcRCC with decreased BAP1 level has poor prognosis and is associated with higher EZH2 expression. Inhibition of EZH2 in BAP1-mutated entity holds promise for further investigation.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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出版当年[2016]版:
Q3 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Department of Urology, Tongren Hospital, Shanghai JiaoTong University School of Medicine. [2]Department of Anaesthesiology, Tongren Hospital, Shanghai JiaoTong University School of Medicine.
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通讯机构: [1]Department of Urology, Tongren Hospital, Shanghai JiaoTong University School of Medicine. [3]Department of Urology, Huashan Hospital, Fudan University. [4]Department of Urology, Shanghai Tenth People's Hospital, Tongji University. [*1]Department of Urology, Tongren Hospital, Shanghai JiaoTong University School of Medicine, 1111 Xian Xia Road, Shanghai 200336, China. [*2]Department of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, PR China
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