PMID- 36672355 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230124 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 2 DP - 2023 Jan 7 TI - Role of Clock Genes and Circadian Rhythm in Renal Cell Carcinoma: Recent Evidence and Therapeutic Consequences. LID - 10.3390/cancers15020408 [doi] LID - 408 AB - Circadian rhythm regulates cellular differentiation and physiology and shapes the immune response. Altered expression of clock genes might lead to the onset of common malignant cancers, including Renal Cell Carcinoma (RCC). Data from Cancer Genome Atlas (TCGA) indicate that clock genes PER1-3, CRY2, CLOCK, NR1D2 and RORalpha are overexpressed in RCC tissues and correlate with patients' prognosis. The expression of clock genes could finely tune transcription factor activity in RCC and is associated with the extent of immune cell infiltration. The clock system interacts with hypoxia-induced factor-1alpha (HIF-1alpha) and regulates the circadian oscillation of mammalian target of rapamycin (mTOR) activity thereby conditioning the antitumor effect of mTOR inhibitors. The stimulation of natural killer (NK) cell activity exerted by the administration of interferon-alpha, a cornerstone of the first era of immunotherapy for RCC, relevantly varies according to circadian dosing time. Recent evidence demonstrated that time-of-day infusion directly affects the efficacy of immune checkpoint inhibitors in cancer patients. Compounds targeting the circadian clock have been identified and their role in the era of immunotherapy deserves to be further investigated. In this review, we aimed at addressing the impact of clock genes on the natural history of kidney cancer and their potential therapeutic implications. FAU - Santoni, Matteo AU - Santoni M AD - Oncology Unit, Macerata Hospital, Via Santa Lucia 2, 62100 Macerata, Italy. FAU - Molina-Cerrillo, Javier AU - Molina-Cerrillo J AUID- ORCID: 0000-0003-4616-0598 AD - Department of Medical Oncology, Hospital Ramon y Cajal, 28029 Madrid, Spain. FAU - Santoni, Giorgio AU - Santoni G AUID- ORCID: 0000-0003-2757-7064 AD - Scuola di Scienze del Farmaco e dei Prodotti della Salute, Universita di Camerino, 62032 Camerino, Italy. FAU - Lam, Elaine T AU - Lam ET AD - University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. FAU - Massari, Francesco AU - Massari F AUID- ORCID: 0000-0001-6476-6871 AD - Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy. FAU - Mollica, Veronica AU - Mollica V AD - Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy. FAU - Mazzaschi, Giulia AU - Mazzaschi G AUID- ORCID: 0000-0003-4019-579X AD - Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy. FAU - Rapoport, Bernardo L AU - Rapoport BL AUID- ORCID: 0000-0001-7610-3653 AD - The Medical Oncology Centre of Rosebank, 129 Oxford Road, Saxonwold, Johannesburg 2196, South Africa. AD - Department of Immunology, Faculty of Health Sciences, University of Pretoria, Corner Doctor Savage Road and Bophelo Road, Pretoria 0002, South Africa. FAU - Grande, Enrique AU - Grande E AUID- ORCID: 0000-0002-0134-4732 AD - Department of Medical Oncology, MD Anderson Cancer Center Madrid, 28033 Madrid, Spain. FAU - Buti, Sebastiano AU - Buti S AUID- ORCID: 0000-0003-0876-0226 AD - Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy. LA - eng PT - Journal Article DEP - 20230107 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9856936 OTO - NOTNLM OT - HIF OT - circadian rhythm OT - clock genes OT - immunotherapy OT - renal cell carcinoma COIS- E.G. has received honoraria for speaker engagements, advisory roles or funding of continuous medical education from Adacap, AMGEN, Angelini, Astellas, Astra Zeneca, Bayer, Blueprint, Bristol Myers Squibb, Caris Life Sciences, Celgene, Clovis-Oncology, Eisai, Eusa Pharma, Genetracer, Guardant Health, HRA-Pharma, IPSEN, ITM-Radiopharma, Janssen, Lexicon, Lilly, Merck KGaA, MSD, Nanostring Technologies, Natera, Novartis, ONCODNA (Biosequence), Palex, Pharmamar, Pierre Fabre, Pfizer, Roche, Sanofi-Genzyme, Servier, Taiho, and Thermo Fisher Scientific. E.G. has received research grants from Pfizer, Astra Zeneca, Astellas, and Lexicon Pharmaceuticals. J.M.-C. declares consultant, advisory or speaker roles for IPSEN, Roche, Pfizer, Sanofi, Janssen, and BMS; he also received research grants from Pfizer, IPSEN and Roche. The other authors declare no conflict of interest. EDAT- 2023/01/22 06:00 MHDA- 2023/01/22 06:01 PMCR- 2023/01/07 CRDT- 2023/01/21 01:12 PHST- 2022/11/20 00:00 [received] PHST- 2023/01/03 00:00 [revised] PHST- 2023/01/05 00:00 [accepted] PHST- 2023/01/21 01:12 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/22 06:01 [medline] PHST- 2023/01/07 00:00 [pmc-release] AID - cancers15020408 [pii] AID - cancers-15-00408 [pii] AID - 10.3390/cancers15020408 [doi] PST - epublish SO - Cancers (Basel). 2023 Jan 7;15(2):408. doi: 10.3390/cancers15020408.