Abstract
Background
Clear cell renal cell carcinoma (ccRCC) is a highly lethal malignancy with few therapeutic options. Cyclin‑dependent kinase 9 (CDK9), a potential therapeutic target of many cancers, has been recently observed to be upregulated in ccRCC patients. Therefore, we aimed to investigate the therapeutic potential of CDK9 in ccRCC and develop a novel CDK9 inhibitor with low toxicity for ccRCC treatment.
Methods
The expression of CDK9 in ccRCC was checked using the online database and tissue microarray analysis. shRNA-mediated CDK9 knockdown and CDK inhibitor were applied to evaluate the effect of CDK9 on ccRCC. Medicinal chemistry methods were used to develop a new CDK9 inhibitor with drugability. RNA-seq and ChIP-seq experiments were conducted to explore the mechanism of action. MTS, western blotting, and colony formation assays were performed to evaluate the anti-ccRCC effects of CDK9 knockdown and inhibition in vitro. The in vivo anti-tumour efficacy was evaluated in a xenograft model.
Results
CDK9 is overexpressed and associated with poor survival in ccRCC. Knockdown or inhibition of CDK9 significantly suppressed ccRCC cells. XPW1 was identified as a new potent and selective CDK9 inhibitor with excellent anti-ccRCC activity and low toxicity. In mechanism, XPW1 transcriptionally inhibited DNA repair programmes in ccRCC cells, resulting in an excellent anti-tumour effect. CDK9 and BRD4 were two highly correlated transcriptional regulators in ccRCC patients, and the BRD4 inhibitor JQ1 enhanced XPW1’s anti-ccRCC effects in vitro and in vivo.
Conclusions
This work provides valuable insights into the therapeutic potential of CDK9 in ccRCC. The CDK9 inhibitor XPW1 would be a novel therapeutic agent for targeting ccRCC, alone or in rational combinations.
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Data availability
The data used to support the findings of this study are available from the corresponding author upon request.
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Acknowledgements
The authors thank all staffs who assisted with the study.
Funding
This work was supported by grants from the National Natural Science Foundation of China (82125028 and 82102746) and the Fundamental Research Funds for the Central Universities of China (No. 20720180051).
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Study design: ZK, KG, TW, WL and MF; data collection: ZK, KG, YC, MJ, CW, QW, TZ and SL; bioinformatics and statistics: GH and TW; methodology: ZK, KG, MA and JQ; data analysis: ZK, KG, YC, MJ and MH; technical support: CS and ML; study supervision: WL and MF; writing—original draft: ZK, KG, YC and MJ; writing—review and editing: TW, WL and MF.
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The animal studies were approved by the Ethics Committee for Animal Experimentation and Animal Welfare at Xiamen University. The study involved no human subjects.
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Kuang, Z., Guo, K., Cao, Y. et al. The novel CDK9 inhibitor, XPW1, alone and in combination with BRD4 inhibitor JQ1, for the treatment of clear cell renal cell carcinoma. Br J Cancer 129, 1915–1929 (2023). https://doi.org/10.1038/s41416-023-02464-y
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DOI: https://doi.org/10.1038/s41416-023-02464-y