Abstract

We investigated the role of mitochondrial DNA (mtDNA) copy number alteration in human renal cell carcinoma (RCC). The mtDNA copy numbers of paired cancer and non-cancer parts from five resected RCC kidneys after radical nephrectomy were determined by quantitative polymerase chain reaction (Q-PCR). An RCC cell line, 786-O, was infected by lentiviral particles to knock down mitochondrial transcriptional factor A (TFAM). Null target (NT) and TFAM-knockdown (TFAM-KD) represented the control and knockdown 786-O clones, respectively. Protein or mRNA expression levels of TFAM; mtDNA-encoded NADH dehydrogenase subunit 1 (ND1), ND6 and cytochrome c oxidase subunit 2 (COX-2); nuclear DNA (nDNA)-encoded succinate dehydrogenase subunit A (SDHA); v-akt murine thymoma viral oncogene homolog 1 gene (AKT)-encoded AKT and v-myc myelocytomatosis viral oncogene homolog gene (c-MYC)-encoded MYC; glycolytic enzymes including hexokinase II (HK-II), glucose 6-phosphate isomerase (GPI), phosphofructokinase (PFK), and lactate dehydrogenase subunit A (LDHA); and hypoxia-inducible factors the HIF-1α and HIF-2α, pyruvate dehydrogenase kinase 1 (PDK1), and pyruvate dehydrogenase E1 component α subunit (PDHA1) were analyzed by Western blot or Q-PCR. Bioenergetic parameters of cellular metabolism, basal mitochondrial oxygen consumption rate (mOCRB) and basal extracellular acidification rate (ECARB), were measured by a Seahorse XFe-24 analyzer. Cell invasiveness was evaluated by a trans-well migration assay and vimentin expression. Doxorubicin was used as a chemotherapeutic agent. The results showed a decrease of mtDNA copy numbers in resected RCC tissues (p = 0.043). The TFAM-KD clone expressed lower mtDNA copy number (p = 0.034), lower mRNA levels of TFAM (p = 0.008), ND1 (p = 0.007), and ND6 (p = 0.017), and lower protein levels of TFAM and COX-2 than did the NT clone. By contrast, the protein levels of HIF-2α, HK-II, PFK, LDHA, AKT, MYC and vimentin; trans-well migration activity (p = 0.007); and drug resistance to doxorubicin (p = 0.008) of the TFAM-KD clone were significantly higher than those of the NT clone. Bioenergetically, the TFAM-KD clone expressed lower mOCRB (p = 0.009) but higher ECARB (p = 0.037) than did the NT clone. We conclude that a reduction of mtDNA copy number and decrease of respiratory function of mitochondria in RCC might be compensated for by an increase of enzymes and factors that are involved in the upregulation of glycolysis to confer RCC more invasive and a drug-resistant phenotype in vitro.

Highlights

  • Mitochondria are the organelle responsible for ATP production in human cells [1,2]

  • We have proposed a molecular mechanism to explain the role of mitochondrial DNA (mtDNA) copy number alterations in the pathophysiology of human renal cell carcinoma (RCC)

  • Decrease of mtDNA Copy Number in Human RCC Tissues Compared to the paired non-cancerous counterparts, the mtDNA copy numbers of the five RCC

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Summary

Introduction

Mitochondria are the organelle responsible for ATP production in human cells [1,2]. Each human cell contains several hundreds to one thousand mitochondria and each mitochondrion harbors 2–10 mitochondrial DNA (mtDNA) copies to form the mitochondrial network [3,4,5,6]. About 80 years ago, Dr Otto Warburg found that human cancers displayed decreased mitochondrial respiration but increased glycolysis for ATP production during glucose metabolism. He contended that human cancer mitochondria are defective, impaired, or even destroyed. An increase of the mtDNA copy number was noted in head and neck cancers, or esophageal squamous cell carcinoma, especially cigarette smokers [18,19,20,21,22] Such an increase was supposed to compensate for the damaged mtDNA to keep the supply of ATP by mitochondrial respiration above a threshold.

Results
Higher Expressions of Glycolytic Enzymes in the TFAM-KD Clone
Alterations of Proteins Related to HIF Pathway in the TFAM-KD Clone
Lower OCR and Higher ECAR of Cellular Metabolism in the TFAM-KD Clone
Collection of Clinical Samples and DNA Extraction
RCC Cell Line
Viral Infection to Knockdown TFAM Expression
Analysis of Bioenergetic Parameters by the XFe-24 Analyzer
Trans-Well Migration Activity Assay
Drug Resistance to Doxorubicin
4.10. Statistical Analysis
Conclusions
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