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Publication : RANK rewires energy homeostasis in lung cancer cells and drives primary lung cancer.

First Author  Rao S Year  2017
Journal  Genes Dev Volume  31
Issue  20 Pages  2099-2112
PubMed ID  29118048 Mgi Jnum  J:260458
Mgi Id  MGI:6149676 Doi  10.1101/gad.304162.117
Citation  Rao S, et al. (2017) RANK rewires energy homeostasis in lung cancer cells and drives primary lung cancer. Genes Dev 31(20):2099-2112
abstractText  Lung cancer is the leading cause of cancer deaths. Besides smoking, epidemiological studies have linked female sex hormones to lung cancer in women; however, the underlying mechanisms remain unclear. Here we report that the receptor activator of nuclear factor-kB (RANK), the key regulator of osteoclastogenesis, is frequently expressed in primary lung tumors, an active RANK pathway correlates with decreased survival, and pharmacologic RANK inhibition reduces tumor growth in patient-derived lung cancer xenografts. Clonal genetic inactivation of KRas(G12D) in mouse lung epithelial cells markedly impairs the progression of KRas(G12D) -driven lung cancer, resulting in a significant survival advantage. Mechanistically, RANK rewires energy homeostasis in human and murine lung cancer cells and promotes expansion of lung cancer stem-like cells, which is blocked by inhibiting mitochondrial respiration. Our data also indicate survival differences in KRas(G12D) -driven lung cancer between male and female mice, and we show that female sex hormones can promote lung cancer progression via the RANK pathway. These data uncover a direct role for RANK in lung cancer and may explain why female sex hormones accelerate lung cancer development. Inhibition of RANK using the approved drug denosumab may be a therapeutic drug candidate for primary lung cancer.
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