ALDH1L2 Perturbation in Sunitinib-Treated RCC Organoids
Measure renal-cancer organoid viability and ferroptosis-associated redox responses after ALDH1L2 perturbation and drug treatment.
KidneyOrganoids
History Museum of Huazhong University of Science and Technology, photographed in November 2023. (Yumeto, CC BY-SA 4.0)
Research Applications
Preclinical study of ALDH1L2-associated sunitinib sensitivity and candidate combination activity.
Model & Design
Three renal cell carcinoma organoid lines from patients with poor sunitinib response; renal cancer cells and an organoid-derived xenograft provide separate follow-up systems.
Sunitinib 0.1–1,000 μM with untreated control for the concentration response; 10 μM for 48 hours in follow-up. ATP-based viability, live/dead staining and redox measurements.
Component
Mechanistic comparisons
Description
ALDH1L2 overexpression or reduction, erastin challenge, and HA-1 plus sunitinib. Readouts include ROS, GPX4/SLC7A11, glutathione, NADP+/NADPH, Fe2+ and malondialdehyde.
Measurements & Endpoints
ATP viability and IC50
Reactive oxygen and ferroptosis-associated markers
Xenograft growth response
HA-1 binding and thermal-stability change
Analysis
Compare drug injury across ALDH1L2 states and matched treatment controls. Keep direct binding, protein abundance and enzyme inhibition as distinct claims; the last was not directly assayed.
Published Evidence
Study Sample
Three donor-derived organoid lines; five separately examined paired clinical tissue samples; 24 xenograft mice, six per group.
Comparison
Control versus ALDH1L2 perturbation, sunitinib alone versus combination, and erastin challenge.
Finding
ALDH1L2 overexpression reduced sunitinib-associated injury and oxidative changes, while reduction shifted responses oppositely. HA-1 bound ALDH1L2 with Kd 7.83 × 10⁻⁶ M and strengthened combination activity in culture. The HA-1 combination was not validated in vivo.
Interpretation & Limits
No ferroptosis-inhibitor rescue or lipid-ROS assay establishes death-pathway specificity.
The TCGA tumor-versus-normal ROC does not validate sunitinib-resistance prediction.
Three renal cancer organoid models linked ALDH1L2 to redox changes and reduced sunitinib response. A candidate compound, HA-1, bound ALDH1L2 and strengthened the organoid response to sunitinib, while its mechanism, exposure and safety remain unresolved.