Tyrosine kinase inhibitor (TKI) and immune checkpoint inhibitor (ICI) combination therapy is emerging as a major therapeutic strategy for advanced clear cell renal cell carcinoma (ccRCC). To define the druggable targets for improvement of TKI and ICI combination therapy in ccRCC, we analyzed a commercial protein kinase inhibitor dataset and a public ccRCC dataset and identified LRRK2 as a potential candidate that can be targeted by a small molecule inhibitor. We demonstrated that LRRK2 was transcriptionally upregulated by HIF2A and enabled to drive proliferation of ccRCC cells in a manner independent of its kinase activity. LRRK2 inhibits the RBX1-mediated degradation of lipid metabolism modulator LPCAT1 to reducing the sensitivity to TKI and PD-1 blockade in ccRCC. Specifically, LRRK2/LPCAT1 upregulated IL-1 beta expression levels through AKT and also increased IL-1 beta shearing by activating inflammasome. To target the kinase-independent activity of LRRK2, we developed an LR-protac and showed that LR-protac decreased LRRK2 protein level and enhanced the antitumor effect of PD-1 blockade and TKI in ccRCC. These data indicate that LRRK2 is a viable target for improvement of the efficacy of PD-1 blockade and TKI in ccRCC.
第一作者机构:[1]Cent South Univ, Xiangya Hosp 2, Dept Urol, Changsha 410011, Peoples R China[2]Cent South Univ, Natl Clin Res Ctr Metab Dis, Key Lab Diabet Immunol, Minist Educ, Changsha 410011, Hunan, Peoples R China
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通讯作者:
通讯机构:[1]Cent South Univ, Xiangya Hosp 2, Dept Urol, Changsha 410011, Peoples R China[2]Cent South Univ, Natl Clin Res Ctr Metab Dis, Key Lab Diabet Immunol, Minist Educ, Changsha 410011, Hunan, Peoples R China
推荐引用方式(GB/T 7714):
Hong Yulong,Li Wei,Xing Zhuo,et al.LRRK2 reduces the sensitivity to TKI and PD-1 blockade in ccRCC via activating LPCAT1[J].ONCOGENE.2025,44(22):1761-1776.doi:10.1038/s41388-025-03289-0.
APA:
Hong, Yulong,Li, Wei,Xing, Zhuo,Lu, Minghao,Tang, Tianyu...&Ren, Shangqing.(2025).LRRK2 reduces the sensitivity to TKI and PD-1 blockade in ccRCC via activating LPCAT1.ONCOGENE,44,(22)
MLA:
Hong, Yulong,et al."LRRK2 reduces the sensitivity to TKI and PD-1 blockade in ccRCC via activating LPCAT1".ONCOGENE 44..22(2025):1761-1776