Clear cell renal cell carcinoma (ccRCC) is the most common histologically defined subtype of renal cell carcinoma (RCC). To define the molecular mechanism in the progression of ccRCC, we focused on LOX-like protein 2 (LOXL2), which is critical for the first step in collagen and elastin cross-linking. Using exon array analysis and quantitative validation, LOXL2 was shown to be significantly upregulated in clinical specimens of human ccRCC tumor tissues, compared with adjacent noncancerous renal tissues, and this elevated expression correlated with the pathologic stages of ccRCC. RNAi-mediated knockdown of LOXL2 resulted in marked suppression of stress-fiber and focal adhesion formation in ccRCC cells. Moreover, LOXL2 siRNA knockdown significantly inhibited cell growth, migration, and invasion. Mechanistically, LOXL2 regulated the degradation of both integrins a5 (ITGAV5) and b1 (ITGB1) via protease-and proteasome-dependent systems. In clinical ccRCC specimens, the expression levels of LOXL2 and integrin a5 correlated with the pathologic tumor grades. In conclusion, LOXL2 is a potent regulator of integrin a5 and integrin b1 protein levels and functions in a tumor-promoting capacity in ccRCC.Implications: This is the first report demonstrating that LOXL2 is highly expressed and involved in ccRCC progression by regulating the levels of integrins a5 and b1. Mol Cancer Res; 12(12); 1807-17. Ó2014 AACR.
IntroductionRenal cell carcinoma (RCC) is the leading cause of death among urological malignancies, and clear cell renal cell carcinoma (ccRCC) is the most common histologic subtype of RCC. Early-stage ccRCC is usually curable by clinical surgery, but a large number of early-stage ccRCC cases are asymptomatic, with approximately one-third of all patients presenting with locally metastatic cancer at the time of diagnosis (1). Therefore, a better understanding of the molecular mechanisms of ccRCC progression is crucial for the discovery of novel prognostic markers and targeted therapies.A genetic hallmark of ccRCC is the inactivation of the von Hippel-Lindau (VHL) tumor suppressor gene. VHL functions as a part of an E3 ubiquitin ligase complex that