Abstract

Metastasis-associated protein 2 (MTA2) was previously known as a requirement to maintain malignant potentials in several human cancers. However, the role of MTA2 in the progression of renal cell carcinoma (RCC) has not yet been delineated. In this study, MTA2 expression was significantly increased in RCC tissues and cell lines. Increased MTA2 expression was significantly associated with tumour grade (p = 0.002) and was an independent prognostic factor for overall survival with a high RCC tumour grade. MTA2 knockdown inhibited the migration, invasion, and in vivo metastasis of RCC cells without effects on cell proliferation. Regarding molecular mechanisms, MTA2 knockdown reduced the activity, protein level, and mRNA expression of matrix metalloproteinase-9 (MMP-9) in RCC cells. Further analyses demonstrated that patients with lower miR-133b expression had poorer survival rates than those with higher expression from The Cancer Genome Atlas database. Moreover, miR-133b modulated the 3′untranslated region (UTR) of MMP-9 promoter activities and subsequently the migratory and invasive abilities of these dysregulated expressions of MTA2 in RCC cells. The inhibition of MTA2 could contribute to human RCC metastasis by regulating the expression of miR-133b targeting MMP-9 expression.

Highlights

  • Renal cell carcinoma (RCC), which accounts for more than 90% of new cases of kidney cancer, is the most lethal genitourinary cancer, with limited median survival time and overall survival when advanced or distant metastasis occurs [1,2]

  • Metastasis-associated protein 2 (MTA2) expression was examined through immunohistochemical (IHC) staining using a human kidney clear cell carcinoma tissue array procedure

  • Patients diagnosed with grade 2 or 3 cancer had a significantly higher percentage of MTA2 expression compared with those diagnosed with grade 1 (p = 0.002)

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Summary

Introduction

Renal cell carcinoma (RCC), which accounts for more than 90% of new cases of kidney cancer, is the most lethal genitourinary cancer, with limited median survival time and overall survival when advanced or distant metastasis occurs [1,2]. Genetics and clinical response help to determine the cell type of RCC [3,4], and clear cell RCC (ccRCC) are the most common subtypes and account for the highest RCC mortality and incidence rates [5]. (CRISPR-Cas9), small molecule inhibitors, and immune checkpoint inhibitors have had promising clinical outcomes against advanced RCC [6,7,8,9]. The development of potential and novel molecular targets for treating advanced or metastatic RCC has currently become a critical topic. Metastasis-associated protein 2 (MTA2) is a central component of the

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