AIM2 promotes renal cell carcinoma progression and sunitinib resistance through FOXO3a-ACSL4 axis-regulated ferroptosis

Int J Biol Sci. 2023 Feb 13;19(4):1266-1283. doi: 10.7150/ijbs.79853. eCollection 2023.

Abstract

Renal cell carcinoma (RCC) is a serious threat to people's health due to its rapid progression, and patients easily develop resistance to targeted therapy. The absent in melanoma 2 (AIM2) is a receptor protein that has recently been proposed to play an important role in various diseases. In this study, AIM2 was identified as a new biomarker of RCC and promoted RCC progression and sunitinib resistance in an inflammasome-independent manner. Mechanistically, AIM2 promoted FOXO3a phosphorylation and proteasome degradation, thereby reducing its transcriptional effect on ACSL4 and inhibiting ferroptosis. In summary, AIM2 promoted RCC progression and sunitinib resistance through FOXO3a-ACSL4 axis-regulated ferroptosis, which could provide new ideas and therapeutic targets for RCC diagnosis and treatment.

Keywords: ACSL4; Absent in melanoma2; Ferroptosis; Renal cell carcinoma; Sunitinib resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Renal Cell* / drug therapy
  • Carcinoma, Renal Cell* / genetics
  • Carcinoma, Renal Cell* / metabolism
  • Cell Line, Tumor
  • DNA-Binding Proteins
  • Drug Resistance, Neoplasm / genetics
  • Ferroptosis* / genetics
  • Humans
  • Kidney Neoplasms* / drug therapy
  • Kidney Neoplasms* / genetics
  • Kidney Neoplasms* / metabolism
  • Melanoma*
  • Sunitinib / pharmacology
  • Sunitinib / therapeutic use

Substances

  • Sunitinib
  • AIM2 protein, human
  • DNA-Binding Proteins