| Literature DB >> 31477752 |
Hyo Jung An1, Dae Hyun Song1,2,3, Hyun Min Koh1, Yu-Min Kim3, Gyung Hyuck Ko2,3,4, Jeong-Hee Lee2,3,4, Jong Sil Lee2,3,4, Jung Wook Yang4, Min Hye Kim4, Deok Ha Seo5, Se Min Jang6, Dong Chul Kim7,8,9.
Abstract
Recently, ramucirumab, a drug that targets vascular endothelial growth factor receptor (VEGFR), was clinically approved; therefore, we evaluated VEGFR2 expression and its predictive roles in tumor progression in clear cell renal cell carcinoma (CCRCC). Since we do not have many options for treating aggressive renal cell carcinoma patients, the application of anti-VEGFR2 therapy might be useful. Myoferlin (MYOF) is a 230 kDa transmembrane multi-C2-domain protein that contributes to plasma membrane repair, fusion, and endocytosis and is overexpressed in several invasive cancer cell lines, including breast, pancreas, and malignant melanoma. It forms a complex with VEGFR2 to inhibit VEGFR2 degradation. In this study, a total of 152 patients who had undergone nephrectomy for CCRCC were enrolled. Based on tissue microarray (TMA) blocks, the positive intensity and high proportion of MYOF showed a statistically significant correlation with the negative intensity (p < 0.001) and low proportion (p < 0.001) of VEGFR2, respectively. In addition, Fuhrman's nuclear grade ≥3 showed a significant correlation with VEGFR2 expression. In multivariate analysis, CCRCC patients with positive MYOF and negative VEGFR2 expression demonstrated poor clinical outcomes. We confirmed that positive MYOF expression and negative VEGFR2 expression were positively correlated in this CCRCC population. Knocking down MYOF in Caki-1 cells resulted in the downregulation of VEGFR2 at both mRNA and protein levels. Wound healing assays revealed that the loss of MYOF in Caki-1 cells decreased cell confluence compared to that in control cells. We demonstrated that MYOF influences cellular proliferation of the metastatic CCRCC cell line by regulating VEGFR2 degradation. Combined therapies targeting the MYOF and VEGFR2 pathways might be effective against metastatic CCRCC to increase patient survival.Entities:
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Year: 2019 PMID: 31477752 PMCID: PMC6718427 DOI: 10.1038/s41598-019-48968-7
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Clinicopathological information of clear cell renal cell carcinoma patients.
| Variable | Value (%) (n = 152) | |
|---|---|---|
| Age, mean (range) | 59.9 (32–83) | |
| Sex (Male/Female) | 109/43 | |
| Advanced RCC | Lung metastasis | 9 |
| Multiple metastasis | 6 | |
| Bone metastasis | 4 | |
| Brain metastasis | 2 | |
| Liver metastasis | 1 | |
| Local recurrence | 3 | |
| Follow up period, mean (years) | 4.33 | |
| T stage | 1a | 91 (59.9%) |
| 1b | 24 (15.8%) | |
| 2a | 9 (5.9%) | |
| 2b | 3 (2.0%) | |
| 3a | 21 (13.8%) | |
| 3b | 2 (1.3%) | |
| 4 | 2 (1.3%) | |
| Fuhrman’s nuclear grade | 1 | 26 (17.1%) |
| 2 | 102(67.1%) | |
| 3 | 19 (12.5%) | |
| 4 | 5(3.3%) | |
| VEGFR2 Intensity | Negative (0, 1+) | 99 (33.0%) |
| Positive (2+, 3+) | 201 (67.0%) | |
| VEGFR2 Proportion | low (<30%) | 34 (11.3%) |
| High (30%≤) | 266 (88.7%) |
Values are presented as numbers (%). Four cores for VEGFR2 of tissue microarray were not informative due to loss of the tissue specimen.
Figure 1Representative images of Myoferlin and VEGFR2 staining patterns. (A) Strong positive and distinct membranous staining of MYOF in CCRCC (x200). (B) Negative expression of myoferlin (x200). (C) Strong positive and distinct membranous and cytoplasmic staining of VEGFR2 in CCRCC (x200). (D) Negative expression of VEGFR2 (x200).
The relationship between MYOF expression and the number of CD31-positive endothelial cells. (N = 297).
| CD31-positive endothelial cells | Total | |||
|---|---|---|---|---|
| Less than 5000 cells | More than 5000 cells | |||
| MYOF intensity | Negative | 30 | 59 | 89 |
| Positive | 110 | 98 | 208 | |
| Total | 140 | 157 | p-value = 0.002 | |
Multivariate Cox proportional hazards regression model of disease-free and disease-specific survival for CCRCC patients.
| Variables | Disease-free survival | Disease-specific survival | ||||
|---|---|---|---|---|---|---|
| HR | 95% CI | p-value | HR | 95% CI | p-value | |
| Age (<59 vs ≥59 | 2.383 | 0.943–6.022 | 0.066 | 1.236 | 0.600–2.547 | 0.565 |
| Sex (male vs female) | 1.166 | 0.354–3.841 | 0.800 | 4.007 | 1.386–11.584 |
|
| T stage (1–2 vs ≥3) | 11.138 | 4.580–27.090 | < | 10.857 | 4.418–26.684 | < |
| Grade (1–2 vs ≥3) | 3.577 | 1.543–8.291 |
| 5.561 | 2.504–12.349 | < |
| MYOF intensity (+ vs −) | 3.556 | 1.184–10.684 |
| 2.777 | 1.031–7.482 |
|
| VEGFR2 intensity (− vs +) | 2.069 | 0.933–4.585 | 0.073 | 3.602 | 0.117–0.658 |
|
Figure 2mRNA and protein expression of MYOF and VEGFR2 in Caki-1. (A) Total mRNA extracted from the human metastatic CCRCC cell line (Caki-1) was used to determine the mRNA levels of MYOF and VEGFR2 by quantitative PCR (qPCR). (B) Transfection of Caki-1 with MYO366 siRNAs revealed a decrease in mRNA and (C) protein levels of VEGFR2 compared with transfection with scrambled control siRNAs. Full-length gels and blots are presented in Supplementary Fig. S1. (D) The differences in relative VEGFR2 mRNA levels were larger than those in (E) VEGFR2 protein levels.
Figure 3Wound healing assay. (A) Twenty-four hours of wound healing assay showed no significant difference between the MYOF silencing and the control group. (B) Cell confluence is different at 48 hours, with 83% in the MYOF-silenced group and 98% in the control group.