Classification of clear cell renal cell carcinoma based on PKM alternative splicing

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Li X., TURANLI B., Juszczak K., Kim W., Arif M., Sato Y., ...Daha Fazla

HELIYON, cilt.6, sa.2, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1016/j.heliyon.2020.e03440
  • Dergi Adı: HELIYON
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Emerging Sources Citation Index (ESCI), Scopus, CAB Abstracts, Veterinary Science Database, Directory of Open Access Journals
  • Anahtar Kelimeler: Bioinformatics, Cancer research, Systems biology, PKM, Alternative splicing, Transcriptomics, Biomarker, Drug repositioning, PYRUVATE-KINASE M2, ISOFORM EXPRESSION, CANCER METABOLISM, BILE-ACIDS, SIGNATURES, MIGRATION, ANGIOGENESIS, PROGRESSION, MODULATION, INVASION
  • Marmara Üniversitesi Adresli: Hayır

Özet

Clear cell renal cell carcinoma (ccRCC) accounts for 70-80% of kidney cancer diagnoses and displays high molecular and histologic heterogeneity. Hence, it is necessary to reveal the underlying molecular mechanisms involved in progression of ccRCC to better stratify the patients and design effective treatment strategies. Here, we analyzed the survival outcome of ccRCC patients as a consequence of the differential expression of four transcript isoforms of the pyruvate kinase muscle type (PKM). We first extracted a classification biomarker consisting of eight gene pairs whose within-sample relative expression orderings (REOs) could be used to robustly classify the patients into two groups with distinct molecular characteristics and survival outcomes. Next, we validated our findings in a validation cohort and an independent Japanese ccRCC cohort. We finally performed drug repositioning analysis based on transcriptomic expression profiles of drug-perturbed cancer cell lines and proposed that paracetamol, nizatidine, dimethadione and conessine can be repurposed to treat the patients in one of the subtype of ccRCC whereas chenodeoxycholic acid, fenoterol and hexylcaine can be repurposed to treat the patients in the other subtype.