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2017 ; 36
(8
): 1080-1089
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Rho-associated kinase 1 inhibition is synthetically lethal with von Hippel-Lindau
deficiency in clear cell renal cell carcinoma
#MMPMID27841867
Thompson JM
; Nguyen QH
; Singh M
; Pavesic MW
; Nesterenko I
; Nelson LJ
; Liao AC
; Razorenova OV
Oncogene
2017[Feb]; 36
(8
): 1080-1089
PMID27841867
show ga
Clear cell renal cell carcinoma (CC-RCC) is the most lethal of all genitourinary
cancers. The functional loss of the von Hippel-Lindau (VHL) gene occurs in 90% of
CC-RCC, driving cancer progression. The objective of this study was to identify
chemical compounds that are synthetically lethal with VHL deficiency in CC-RCC.
An annotated chemical library, the library of pharmacologically active compounds
(LOPAC), was screened in parallel on VHL-deficient RCC4 cells and RCC4VHL cells
with re-introduced VHL. The ROCK inhibitor, Y-27632, was identified and validated
for selective targeting of VHL-deficient CC-RCC in multiple genetic backgrounds
by clonogenic assays. Downregulation of ROCK1 by small interfering RNA (siRNA)
selectively reduced the colony-forming ability of VHL-deficient CC-RCC, thus
mimicking the effect of Y-27632 treatment, whereas downregulation of ROCK2 had no
effect. In addition, two other ROCK inhibitors, RKI 1447 and GSK 429286,
selectively targeted VHL-deficient CC-RCC. CC-RCC treatment with ROCK inhibitors
is cytotoxic and cytostatic based on bromodeoxyuridine (BrdU) assay, propidium
iodide (PI) staining and growth curves, and blocks cell migration based on
transwell assay. On the one hand, knockdown of hypoxia-inducible factor (HIF) ?
in the VHL-deficient CC-RCC had a protective effect against Y-27632 treatment,
mimicking VHL reintroduction. On the other hand, CC-RCCVHL cells were sensitized
to Y-27632 treatment in hypoxia (2% O(2)). These results suggest that synthetic
lethality between ROCK inhibition and VHL deficiency is dependent on HIF
activation. Moreover, HIF1? or HIF2? overexpression in CC-RCCVHL cells is
sufficient to sensitize them to ROCK inhibition. Finally, Y-27632 treatment
inhibited growth of subcutaneous 786-OT1 CC-RCC tumors in mice. Thus, ROCK
inhibitors represent potential therapeutics for VHL-deficient CC-RCC.