Abstract. Inhibitor of growth family member 4 (ING4) is a candidate tumor suppressor that serves important roles in tumor growth and angiogenesis. In the present study ING4 expression was assessed in clear cell renal carcinoma (CCRC) tissues and its association with the progression of CCRC was determined. The expression of ING4 in 125 patients with CCRC was analyzed using reverse transcription-quantitative polymerase chain reaction (RT-qPCR), western blot analysis and immunohistochemical methods. A total of 40 adjacent normal renal tissues were used as control samples. The results identified that ING4 expression was positive in 100% of normal renal tissues, but in only 82.3% CCRC samples. RT-qPCR and western blotting results demonstrated that expression levels of ING4 mRNA and protein were significantly decreased in CCRC compared with in normal tissues (P<0.0001). ING4 expression was not associated with sex, age or tumor volume (P>0.05), but was associated with the nuclear grade of renal cancer (P<0.0001), the clinical stage of CCRC (P<0.0001) and lymphatic metastasis (P<0.0001). The results of the present study indicated that dysregulation of ING4 expression may be involved in the initiation and progression of CCRC.
IntroductionInhibitor of growth (ING) is a family of tumor suppressor genes, and the well-known members of this family are inhibitor of growth family member 1 (ING1), ING2, ING3, ING4 and ING5 (1,2). The ING4 gene is localized at chromosome 12p13, consists of 8 exons and encodes a 29-kDa nuclear protein; its expression is ubiquitous in multiple different human tissues (3)(4)(5). The biological functions of ING4 have been extensively investigated, with a previous study demonstrating that ING4 protein promoted tumor protein p53 activity through direct interaction with it (6). As a consequence of the interaction between ING4 and p53, tumor protein p21 expression was upregulated, leading to cell cycle arrest (7,8). In addition, ING4 altered apoptosis, contact inhibition and DNA repair (9,10). ING4 has been considered as an important tumor suppressor gene, whose expression was significantly downregulated in a number of malignant tumors, including breast cancer, glioma and lung cancer (8,11,12). However, the expression of ING4 has not been investigated in renal cell carcinoma. Approximately 15 million people worldwide are diagnosed with renal cell carcinoma annually (13), of which 75% of cases are clear cell renal carcinoma (CCRC) (14). The molecular mechanism of renal cell carcinoma has been extensively investigated, but there is no targeted therapy owing to a lack of targets. As ING4 was downregulated, or even mutated, in multiple cancer types (8,15,16), In the present study, ING4 was inferred to be associated with multiple cancer types, potentially making it an ideal target for cancer therapy. In the present study, the level of ING4 mRNA and protein was probed in renal cancer tissue specimens in 125 patients with CCRC, and the adjacent normal tissue from 40 patients were used as a control.
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