“…With the advancement of precision tumour therapy, new biological markers are urgently needed for definitive diagnosis and precise treatment [ 29 , 30 ].In this study, analysis of the TCGA database clarified that MFN2 was significantly low expressed in renal clear cell carcinoma relative to normal kidney tissue.It has been shown that MFN2 shows low expression in breast cancer, and MFN2 can inhibit mTORC2 expression and inhibit tumor growthby binding to mTORC2 domain HR1 [ 31 ] .A study on gastric cancer showed that the expression of MFN2 was lower than that in normal gastric mucosa tissue, and after overexpressed MFN2, it downregulated the expression of MMP-2 and MMP-9 attenuated the invasion and migration ability of cancer cells by inhibiting PI3K/Akt signaling and inhibited tumor progression [ 32 ].MFN2 regulates mitochondrial fusion / division in cells in thyroid cancer and affects cellular metabolism, which regulates EMT in tumors through induction of the AKT signaling pathway [ 33 ].In ovarian cancer, increased expression of MFN2 triggers AMPK, promotes autophagy, reduces ROS, and suppresses ovarian cancer progression through downregulation of p-mTOR and p-ERK axis [ 34 ] .MFN2 is highly expressed in cervical cancer, and the knockout of MFN2 can significantly inhibit the proliferation and EMT of cervical cancer cells, becoming a new target for the treatment of tumors [ 35 ].MFN2 expression was significantly downregulated in bladder cancer cells, and it can inhibit the Wnt/β-catenin signaling pathway to inhibit tumor progression through [ 36 ].MFN2 induces autophagy and promotes apoptotic in pancreatic cancer cells by inhibiting the PI3K/Akt/mTOR signaling pathway in pancreatic cancer [ 37 ].However, how MFN2 is expressed and how it functions in renal clear cell carcinoma is unclear and requires further study.In our study, MFN2 showed low expression and correlated with worse pathological stage, T-stage, histological grade, and M-stage.In addition, we found that low expression of MFN2 was associated with poorer OS, DSS and PFI, and univariate and multifactorial COX regression analyses showed that MFN2 expression was an important independent prognostic factor for renal clear cell carcinoma. Taken together, MFN2 could be a new molecular candidate to treat renal clear cell carcinoma.…”