You have accessJournal of UrologyKidney Cancer: Basic Research I1 Apr 2012151 ECTOPIC EXPRESSION OF THE TERE1 (UBIAD1) PROTEIN INHIBITS GROWTH OF RENAL CLEAR CELL CARCINOMA CELLS AND REDUCES CHOLESTEROL William Fredericks, Priti Lal, Nathaniel Fredericks, Stephen Malkowicz, John Tomaszewski, and S. Bruce Malkowicz William FredericksWilliam Fredericks Philadelphia, PA More articles by this author , Priti LalPriti Lal Philadelphia, PA More articles by this author , Nathaniel FredericksNathaniel Fredericks Philadelphia, PA More articles by this author , Stephen MalkowiczStephen Malkowicz Philadelphia, PA More articles by this author , John TomaszewskiJohn Tomaszewski Philadelphia, PA More articles by this author , and S. Bruce MalkowiczS. Bruce Malkowicz Philadelphia, PA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.201AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Elevated intracellular cholesterol is an emerging mechanism of tumor progression in several cancers, including renal clear cell carcinoma (RCC) and is based on the pleiotropic effects of cholesterol on metabolism, growth signaling, and apoptosis. Recently, we found that expression of the TERE1 protein can significantly reduce cholesterol levels in bladder and prostate cancer cell lines. This is consistent with the role of TERE1 in synthesis of vitamin K2, which is known to activate SXR-driven cholesterol efflux mechanisms. We also identified TBL2 as a TERE1-interacting protein that co-localizes to mitochondria. Our objective was to examine the relationship between TERE1, cell growth and the elevated cholesterol phenotype of RCC cells to support a potential tumor suppressor role for TERE1 as has been demonstrated with bladder and prostate cancer cells. METHODS A TMA panel of 100 RCC lesions was evaluated for TERE1 expression by immunohistochemistry. TERE1 and TBL2 dosage was manipulated in the RCC cell lines: Caki-1 and Caki-2 and in HEK 293 cells by adenovirus and nucleofection-mediated ectopic expression. Cell proliferation was examined via ATP luminometry and cellular cholesterol was determined by Amplex Red assay. Vitamins K2 and K3 were used as positive controls. RESULTS In 57% of RCC lesions, TERE1 expression was reduced (36%) or absent (21%). Ectopic TERE1 or TBL2 expression in Caki-1, Caki-2, and HEK 293 cells reduced cholesterol by up to 40%. Vitamins K2 and K3 (30μM) reduced cholesterol up to 50%. Over-expression of TERE1 resulted in an 80% decrease in growth of Caki-1 and Caki-2 cell lines over 10-days. CONCLUSIONS Current theories recognize that reduced cholesterol efflux may contribute to oxidative stress associated with malignant progression. Loss of TERE1 in RCC may contribute to the elevated cholesterol phenotype associated with progression. TERE1-mediated synthesis of the redox-cycling and alkylating quinones, vitamin K-2 and K-3, suggests that loss of TERE1 expression may be a mechanism tumors use to uncouple oxidative stress signaling in mitochondria from apoptosis or negative growth signaling by elevation of cholesterol. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e62-e63 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information William Fredericks Philadelphia, PA More articles by this author Priti Lal Philadelphia, PA More articles by this author Nathaniel Fredericks Philadelphia, PA More articles by this author Stephen Malkowicz Philadelphia, PA More articles by this author John Tomaszewski Philadelphia, PA More articles by this author S. Bruce Malkowicz Philadelphia, PA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...