Nat Commun. 2026 Oct 8;17(1):11459.doi: 10.1038/s41467-026-78285-3.(IF:18.1).

本文采用的英格恩产品: 其它病毒感染增强试剂

SWI/SNF subunit SMARCD1 deficiency promotes clear cell renal cell carcinoma progression via mitochondrial reprogramming.

Waikeong Un 1,2,3, Chunlin Hao 4,5,6, Zhihua Wang 1,2, Daoyun Sun 7, Kaiyin Song 3, Dan Deng 3, Le Li 1,2, Zhiquan Hu 1,2, Qiu Zhao 8,9, Qing K Wang 10, Yufeng Yao 11, Xing Zeng 12,13

Affiliations

  • 1 Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 2 Hubei Provincial Clinical Medical Research Center for Minimally Invasive Treatment of Urology, Tongji Hospital, Wuhan, China.
  • 3 Center for Human Genome Research, Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China.
  • 4 Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, China. chaoaa@connect.ust.hk.
  • 5 Hubei Clinical Center and Key Laboratory of Intestinal and Colorectal Disease, Wuhan, China. chaoaa@connect.ust.hk.
  • 6 Center for Proteomics and Drug Innovation, Zhangjiajie College, Zhangjiajie, China. chaoaa@connect.ust.hk.
  • 7 Center for Proteomics and Drug Innovation, Zhangjiajie College, Zhangjiajie, China.
  • 8 Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • 9 Hubei Clinical Center and Key Laboratory of Intestinal and Colorectal Disease, Wuhan, China.
  • 10 Center for Human Genome Research, Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China. wangqing118@hust.edu.cn.
  • 11 Center for Human Genome Research, Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China. yaoyfeng@hust.edu.cn.
  • 12 Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. 2013tj0589@hust.edu.cn.
  • 13 Hubei Provincial Clinical Medical Research Center for Minimally Invasive Treatment of Urology, Tongji Hospital, Wuhan, China. 2013tj0589@hust.edu.cn.

Abstract

Clear cell renal cell carcinoma (ccRCC) remains a lethal malignancy driven in part by SWI/SNF dysfunction, yet the mechanistic basis of this link is unclear. We identify SMARCD1, a core SWI/SNF subunit, as a tumor suppressor progressively silenced by DNMT3B-mediated promoter hypermethylation in ccRCC. SMARCD1 loss enables DDX3X binding to the MAFF promoter, leading to transcriptional upregulation of MAFF, which in turn promotes ubiquitin-mediated degradation of the mitochondrial fusion protein MFN1. The SMARCD1-MAFF-MFN1 axis disrupts mitochondrial fusion, reprograms metabolism toward oxidative phosphorylation, and enhances metastatic potential. Therapeutically, pharmacological restoration of MFN1 with the FDA-approved immunosuppressant leflunomide reverses mitochondrial dysfunction and suppresses tumor progression in multiple preclinical models. In patient-derived xenografts, leflunomide also potentiates tyrosine kinase inhibitor and immune checkpoint blockade efficacy. These findings establish a direct link between chromatin remodeling defects and mitochondrial dysregulation and highlight leflunomide repurposing as a clinically actionable strategy in SMARCD1-deficient ccRCC.

https://doi.org/10.1038/s41467-026-78285-3

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