1. Academic Validation
  2. HIF-activated priming of TRAIL-induced cell death determines epigenetic vulnerability in kidney cancer

HIF-activated priming of TRAIL-induced cell death determines epigenetic vulnerability in kidney cancer

  • Cell Rep Med. 2026 Mar 17;7(3):102630. doi: 10.1016/j.xcrm.2026.102630.
Yong Wang 1 Yan Xiong 2 Shuiqiao Liu 1 Lei Bao 1 Xing Qiu 2 Ilia Korboukh 2 Xiangyang Song 2 Vanina Toffessi Tcheuyap 3 Sipeng Wu 1 Mingyi Chen 1 James Brugarolas 3 Jian Jin 2 Yingfei Wang 4 Weibo Luo 5
Affiliations

Affiliations

  • 1 Department of Pathology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
  • 2 Mount Sinai Center for Therapeutics Discovery, Departments of Pharmacological Sciences, Oncological Sciences and Neuroscience, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
  • 3 Kidney Cancer Program, Harold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.
  • 4 Department of Pathology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Neurology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: yingfei.wang@utsouthwestern.edu.
  • 5 Department of Pathology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: weibo.luo@utsouthwestern.edu.
Abstract

Activation of hypoxia-inducible factors (HIFs) supports Cancer cell survival, yet how HIFs govern cell death remains unclear, despite evidence that HIF-1 acts as a tumor suppressor in cell renal cell carcinoma (ccRCC). Here, we report a cell death-priming role for HIF-1/2 in ccRCC. Through cell viability screens with chemical libraries, we identify SGI1027 and its analog MS1129 as HIF-1/2-dependent cell death inducers that specifically kill VHL-deficient ccRCC cells in vitro and patient-derived xenografts in mice. Mechanistically, SGI1027 and MS1129 induce proteasomal degradation of DNMT1/DNMT3A/DNMT3B proteins, leading to the loss of promoter methylation and subsequent upregulation of TRAIL, DR4, and DR5 in ccRCC cells. HIF-1/2 induces procaspase-10 expression serving a commitment point to activate TRAIL-induced Apoptosis in VHL-deficient ccRCC following SGI1027 or MS1129 treatment. Notably, recombinant TRAIL protein synergizes with SGI1027 or MS1129 to kill VHL-deficient ccRCC in mice. Collectively, our study unveils an Apoptosis induction strategy that involves hijacking HIFs for ccRCC treatment.

Keywords

DNMT; HIF; TRAIL; VHL; cell death priming; death receptors; epigenetic vulnerability.

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