PMID- 31710966 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2589-0042 (Electronic) IS - 2589-0042 (Linking) VI - 21 DP - 2019 Nov 22 TI - HIF-mediated Suppression of DEPTOR Confers Resistance to mTOR Kinase Inhibition in Renal Cancer. PG - 509-520 LID - S2589-0042(19)30428-6 [pii] LID - 10.1016/j.isci.2019.10.047 [doi] AB - Mechanistic target of rapamycin (mTOR) is a fundamental regulator of cell growth, proliferation, and metabolism. mTOR is activated in renal cancer and accelerates tumor progression. Here, we report that the mTOR inhibitor, DEP domain-containing mTOR-interacting protein (DEPTOR), is strikingly suppressed in clear cell renal cell carcinoma (ccRCC) tumors and cell lines. We demonstrate that DEPTOR is repressed by both hypoxia-inducible factors, HIF-1 and HIF-2, which occurs through activation of the HIF-target gene and transcriptional repressor, BHLHe40/DEC1/Stra13. Restoration of DEPTOR- and CRISPR/Cas9-mediated knockout experiments demonstrate that DEPTOR is growth inhibitory in ccRCC. Furthermore, loss of DEPTOR confers resistance to second-generation mTOR kinase inhibitors through deregulated mTORC1 feedback to IRS-2/PI3K/Akt. This work reveals a hitherto unknown mechanism of resistance to mTOR kinase targeted therapy that is mediated by HIF-dependent reprograming of mTOR/DEPTOR networks and suggests that restoration of DEPTOR in ccRCC will confer sensitivity to mTOR kinase therapeutics. CI - Copyright (c) 2019 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Doan, Hong AU - Doan H AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK. FAU - Parsons, Alexander AU - Parsons A AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK. FAU - Devkumar, Shruthi AU - Devkumar S AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK; Centre for Biomedical Education, Institute of Medical and Biomedical Education, St George's, University of London, London SW17 0RE, UK. FAU - Selvarajah, Jogitha AU - Selvarajah J AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK; Centre for Biomedical Education, Institute of Medical and Biomedical Education, St George's, University of London, London SW17 0RE, UK. FAU - Miralles, Francesc AU - Miralles F AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK; Centre for Biomedical Education, Institute of Medical and Biomedical Education, St George's, University of London, London SW17 0RE, UK. FAU - Carroll, Veronica A AU - Carroll VA AD - Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK; Centre for Biomedical Education, Institute of Medical and Biomedical Education, St George's, University of London, London SW17 0RE, UK. Electronic address: vcarroll@sgul.ac.uk. LA - eng PT - Journal Article DEP - 20191026 PL - United States TA - iScience JT - iScience JID - 101724038 PMC - PMC6849413 OTO - NOTNLM OT - Biological Sciences OT - Cancer OT - Cell Biology EDAT- 2019/11/12 06:00 MHDA- 2019/11/12 06:01 PMCR- 2019/10/26 CRDT- 2019/11/12 06:00 PHST- 2018/08/08 00:00 [received] PHST- 2019/07/26 00:00 [revised] PHST- 2019/10/23 00:00 [accepted] PHST- 2019/11/12 06:00 [pubmed] PHST- 2019/11/12 06:01 [medline] PHST- 2019/11/12 06:00 [entrez] PHST- 2019/10/26 00:00 [pmc-release] AID - S2589-0042(19)30428-6 [pii] AID - 10.1016/j.isci.2019.10.047 [doi] PST - ppublish SO - iScience. 2019 Nov 22;21:509-520. doi: 10.1016/j.isci.2019.10.047. Epub 2019 Oct 26.