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HIF Family Transcription Factor Expression in a Cohort of 4062 Patients with Renal Cell Carcinoma (RCC)

Background

  • The HIF pathway drives RCC pathogenesis operating through transcription factors (TFs).
  • TFs function as heterodimers of the oxygen-sensitive α (HIF1α or HIF2α) and constitutively expressed β subunits (HIF1β or HIF2β). 
  • Loss of VHL leads to HIFα stabilization, nuclear translocation, and formation of transcriptional complexes with β subunits. 
  • We aimed to characterize the molecular and clinical features associated of HIF TF mRNA expression in RCC:
    • Evaluate HIF TF expression levels across racial/ethnic groups, primary/metastatic tumors and different RCC histology.
    • Investigate the association between HIF TF expression and co-occurring alterations in genes frequently mutated in RCC.
    • Assess the relationship between HIF TF expression and overall survival. 
    • Determine the potential of HIF TF expression as a predictive biomarker for benefit to VEGF TKIs.
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