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ELA/APELA precursor cleaved by furin displays tumor suppressor function in renal cell carcinoma through mTORC1 activation
Fabienne Soulet, … , Geraldine Siegfried, Abdel-Majid Khatib
Fabienne Soulet, … , Geraldine Siegfried, Abdel-Majid Khatib
Published June 9, 2020
Citation Information: JCI Insight. 2020;5(14):e129070. https://doi.org/10.1172/jci.insight.129070.
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Research Article Nephrology

ELA/APELA precursor cleaved by furin displays tumor suppressor function in renal cell carcinoma through mTORC1 activation

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Abstract

Apelin is a well-established mediator of survival and mitogenic signaling through the apelin receptor (Aplnr) and has been implicated in various cancers; however, little is known regarding Elabela (ELA/APELA) signaling, also mediated by Aplnr, and its role and the role of the conversion of its precursor proELA into mature ELA in cancer are unknown. Here, we identified a function of mTORC1 signaling as an essential mediator of ELA that repressed kidney tumor cell growth, migration, and survival. Moreover, sunitinib and ELA showed a synergistic effect in repressing tumor growth and angiogenesis in mice. The use of site-directed mutagenesis and pharmacological experiments provided evidence that the alteration of the cleavage site of proELA by furin induced improved ELA antitumorigenic activity. Finally, a cohort of tumors and public data sets revealed that ELA was only repressed in the main human kidney cancer subtypes, namely clear cell, papillary, and chromophobe renal cell carcinoma. Aplnr was expressed by various kidney cells, whereas ELA was generally expressed by epithelial cells. Collectively, these results showed the tumor-suppressive role of mTORC1 signaling mediated by ELA and established the potential use of ELA or derivatives in kidney cancer treatment.

Authors

Fabienne Soulet, Clement Bodineau, Katarzyna B. Hooks, Jean Descarpentrie, Isabel Alves, Marielle Dubreuil, Amandine Mouchard, Malaurie Eugenie, Jean-Luc Hoepffner, Jose J. López, Juan A. Rosado, Isabelle Soubeyran, Mercedes Tomé, Raúl V. Durán, Macha Nikolski, Bruno O. Villoutreix, Serge Evrard, Geraldine Siegfried, Abdel-Majid Khatib

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Figure 1

ELA is downregulated in renal cancers.

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ELA is downregulated in renal cancers.
(A) TCGA data set analysis of ELA...
(A) TCGA data set analysis of ELA, APLN, and APLNR expression in various cancers and their corresponding normal tissues. (B) ELA was systematically repressed in the renal cancer subtypes chromophobe RCC (n = 66), papillary RCC (n = 289), and ccRCC (n = 531) compared with normal kidney tissues (n = 25, n = 32, and n = 72, respectively), as assessed by TCGA. (C) TCGA analysis identified a negative correlation between ELA and KI67 expression in all these renal cancer types. APLN expression was positively correlated with KI67 in all subtypes, and APLNR was positively correlated with KI67 only in ccRCC. (D) Relative expression of ELA mRNA level in 22 pairs of ccRCC tumors and their corresponding adjacent noncancerous tissues. (E) Relative expression of APLNR mRNA in the same samples is given for comparison. The relative amounts of mRNA were normalized against GAPDH mRNA and expressed relative to mRNA abundance in noncancerous tissue for each patient assigned 1 (mean ± SEM; n = 22). (F) Representative immunofluorescence images of renal tumor samples and adjacent healthy tissues from 3 patients (patients 1, 3, and 13) derived from (D–E) that were stained with anti-ELA and DAPI. Unpaired t tests were used to analyze the data. ***P < 0.001, ****P < 0.0001. Scale bar: 150 μm.

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