Nuclear NADPH oxidase-4 associated with disease progression in renal cell carcinoma

Nuclear NADPH oxidase-4 (Nox4) is a key component of metabolic reprogramming and is often overexpressed in renal cell carcinoma (RCC). However, its prognostic role in RCC remains unclear. Here we examined the significance of nuclear Nox4 on disease progression and development of drug resistance in a...

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Veröffentlicht in:Translational research : the journal of laboratory and clinical medicine 2020-09, Vol.223, p.1-14
Hauptverfasser: Kaushik, Dharam, Ashcraft, Keith A., Wang, Hanzhang, Shanmugasundaram, Karthigayan, Shah, Pankil K., Gonzalez, Gabriela, Nazarullah, Alia, Tye, Cooper B., Liss, Michael A., Pruthi, Deepak K., Mansour, Ahmed M., Chowdhury, Wasim, Bacich, Dean, Zhang, Hao, Watson, Amanda L., Block, Karen, O'Keefe, Denise, Rodriguez, Ronald
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container_title Translational research : the journal of laboratory and clinical medicine
container_volume 223
creator Kaushik, Dharam
Ashcraft, Keith A.
Wang, Hanzhang
Shanmugasundaram, Karthigayan
Shah, Pankil K.
Gonzalez, Gabriela
Nazarullah, Alia
Tye, Cooper B.
Liss, Michael A.
Pruthi, Deepak K.
Mansour, Ahmed M.
Chowdhury, Wasim
Bacich, Dean
Zhang, Hao
Watson, Amanda L.
Block, Karen
O'Keefe, Denise
Rodriguez, Ronald
description Nuclear NADPH oxidase-4 (Nox4) is a key component of metabolic reprogramming and is often overexpressed in renal cell carcinoma (RCC). However, its prognostic role in RCC remains unclear. Here we examined the significance of nuclear Nox4 on disease progression and development of drug resistance in advanced RCC. We analyzed human RCC tissue from multiple regions in the primary index tumor, cancer-associated normal adjacent parenchyma, intravascular tumor in locally advanced cancer patients. We found that the higher nuclear Nox4 expression was significantly associated with progression and death. These findings were consistent after controlling for other competing clinical variables. In contrast, patients with lower nuclear Nox4, even in higher stage RCC had better prognosis. We identified a subset of patients with high nuclear Nox4 who had rapid disease progression or died within 6 months of surgery. In addition, higher nuclear Nox4 level correlated with resistance to targeted therapy and immunotherapy. Western blotting performed on fresh human RCC tissue as well as cell-lines revealed increased nuclear Nox4 expression. Our data support an important prognostic role of Nox4 mediated regulation of RCC independent of other competing variables. Nox4 localizes to the nucleus in high-grade, high-stage RCC. Higher nuclear Nox4 has prognostic significance for disease progression, poor survival, and development of drug resistance in RCC.
doi_str_mv 10.1016/j.trsl.2020.05.009
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However, its prognostic role in RCC remains unclear. Here we examined the significance of nuclear Nox4 on disease progression and development of drug resistance in advanced RCC. We analyzed human RCC tissue from multiple regions in the primary index tumor, cancer-associated normal adjacent parenchyma, intravascular tumor in locally advanced cancer patients. We found that the higher nuclear Nox4 expression was significantly associated with progression and death. These findings were consistent after controlling for other competing clinical variables. In contrast, patients with lower nuclear Nox4, even in higher stage RCC had better prognosis. We identified a subset of patients with high nuclear Nox4 who had rapid disease progression or died within 6 months of surgery. In addition, higher nuclear Nox4 level correlated with resistance to targeted therapy and immunotherapy. 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subjects Carcinoma, Renal Cell - enzymology
Carcinoma, Renal Cell - pathology
Cell Line, Tumor
Cell Nucleus - enzymology
Disease Progression
Female
Humans
Kaplan-Meier Estimate
Kidney Neoplasms - enzymology
Kidney Neoplasms - pathology
Male
Middle Aged
Multivariate Analysis
NADPH Oxidase 4 - metabolism
Progression-Free Survival
title Nuclear NADPH oxidase-4 associated with disease progression in renal cell carcinoma
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