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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2022.880100</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Glia Maturation Factor &#x3b2; as a Novel Independent Prognostic Biomarker and Potential Therapeutic Target of Kidney Renal Clear Cell Carcinoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Tong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1522876"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Tianyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1765206"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Feng</surname>
<given-names>Zijun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gao</surname>
<given-names>Furong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1413560"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Jieping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jin</surname>
<given-names>Caixia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tian</surname>
<given-names>Haibin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1207546"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Jingying</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Hao</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ou</surname>
<given-names>Qingjian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1459247"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Juan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1698500"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xu</surname>
<given-names>Guotong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lu</surname>
<given-names>Lixia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1653007"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Ophthalmology of Shanghai Tongji Hospital, Laboratory of Clinical Visual Science of Tongji Eye Institute, School of Medicine, Tongji University</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Biochemistry and Molecular Biology, Tongji University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Ophthalmology of Shanghai Tenth People&#x2019;s Hospital, Tongji University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Pharmacology, Tongji University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Human Genetics, Tongji University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Zhe-Sheng Chen, St. John&#x2019;s University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Jean Paul Thiery, Institute of Molecular and Cell Biology (A*STAR), Singapore; Yuchen Liu, Shenzhen University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Lixia Lu, <email xlink:href="mailto:98738@tongji.edu.cn">98738@tongji.edu.cn</email>; Guotong Xu, <email xlink:href="mailto:gtxu@tongji.edu.cn">gtxu@tongji.edu.cn</email>; Juan Wang, <email xlink:href="mailto:juanwang@tongji.edu.cn">juanwang@tongji.edu.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="equal" id="fn004">
<p>&#x2021;These authors have contributed equally to this work and share last authorship</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Molecular and Cellular Oncology, a section of the journal Frontiers in Oncology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>07</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>880100</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Zhu, Wang, Feng, Gao, Zhang, Jin, Tian, Xu, Chen, Ou, Wang, Xu and Lu</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Zhu, Wang, Feng, Gao, Zhang, Jin, Tian, Xu, Chen, Ou, Wang, Xu and Lu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Kidney renal clear cell carcinoma (KIRC) has the highest mortality rate and potential for invasion among renal cancers. The diagnosis and treatment of KIRC are becoming challenging because of its diverse pathogenic mechanisms. Glia (GMFB) is a highly conserved growth and differentiation factor for glia cells and neurons, and it is closely associated with neurodegenerative diseases. However, its role in KIRC remains unknown. The present study integrated bioinformatics approaches with suitable meta-analyses to determine the position of GMFB in KIRC. There was a significant decrease in <italic>Gmfb</italic> expression in KIRC kidneys compared with normal controls. <italic>Gmfb</italic> expression was negatively associated with pathologic stage, T and M stages, and histologic grade. Univariate and multivariate analyses showed that elevated <italic>Gmfb</italic> expression was an independent factor for a favorable prognosis. Furthermore, the nomogram verified that <italic>Gmfb</italic> is a low-risk factor for KIRC. Knockdown of <italic>Gmfb</italic> in Caki-2 cells increased viability and decreased p21 and p27 levels. Overexpression of <italic>Gmfb</italic> inhibited Caki-2 cell proliferation, migration, and invasion and decreased mitochondrial membrane potential. Gene ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses considering <italic>Gmfb</italic> co-expressed differentially expressed genes (DEGs) showed that collecting duct acid secretion and mineral absorption ranked were the most important upregulated and downregulated DEGs, respectively. The upregulated hub genes for DEGs were mainly involved in nucleosome assembly, nucleosome organization, and chromatin assembly, and the downregulated hub genes were primarily associated with keratinization. The ratio of tumor-infiltrating immune cells in KIRC tissues was evaluated using CIBERSORTx. The results showed that the <italic>Gmfb</italic> expression was significantly positively correlated with macrophage M2 cells and mast resting cell infiltration levels and negatively correlated with T follicular helper, T regulatory, and B plasma cell infiltration levels. The former cell types were associated with a beneficial outcome, while the latter had a worse outcome in patients with KIRC. In summary, this study identified GMFB as a novel independent biomarker and therapeutic target for KIRC, and it provides a helpful and distinct individualized treatment strategy for KIRC with a combination of molecular targets and tumor microenvironment.</p>
</abstract>
<kwd-group>
<kwd>kidney renal clear cell carcinoma</kwd>
<kwd>Glia maturation factor-beta</kwd>
<kwd>biomarker</kwd>
<kwd>prognosis</kwd>
<kwd>immune infiltration</kwd>
</kwd-group>
<counts>
<fig-count count="10"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="59"/>
<page-count count="20"/>
<word-count count="8284"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Kidney cancer is one of the ten most common types of cancer worldwide (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). It is estimated that 300,000 people worldwide develop kidney cancer each year, and approximately half of them die from this disease (<xref ref-type="bibr" rid="B3">3</xref>). Kidney renal clear cell carcinoma (KIRC), which originates from the epithelial cells of the proximal convoluted tubule of the nephron, has become one of the most rapidly evolving areas of oncology, accounting for approximately 75% of kidney cancers (<xref ref-type="bibr" rid="B3">3</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>). In addition to being the most common subtype, KIRC has the highest aggressiveness and metastasis and the highest mortality rate (<xref ref-type="bibr" rid="B4">4</xref>), as well as the highest immunity and vascular infiltration of cancer types (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>).</p>
<p>The molecular mechanisms involved in KIRC pathogenesis are diverse (<xref ref-type="bibr" rid="B8">8</xref>), including direct chromatin configuration alteration, vasculogenesis, and glucose metabolism (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). Over the past few years, many studies have focused on the oncogenes of renal cell carcinoma, resulting in the discovery of a repetitive mutation in KIRC (<xref ref-type="bibr" rid="B10">10</xref>). However, oncogenes and suppressors such as RAS genes, TP53, Rb, CDKN2A, BRAF, PIK3CA, PTEN, EGFR, and ERBB2, which are highly mutated in other adult epithelial cancers, play only a minor role in KIRC (<xref ref-type="bibr" rid="B10">10</xref>). The diagnosis and treatment of KIRC are becoming a challenge for the oncology community. Currently, the most reliable prognostic predictors for KIRC are T, N, and M stages (<xref ref-type="bibr" rid="B11">11</xref>). However, in these indicators, survival rates may vary considerably, even among patients with the same set of illnesses (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Therefore, there is an urgent need to identify novel, reliable prognostic biomarkers and therapeutic targets for patients with KIRC.</p>
<p>Recently, bioinformatics techniques have become crucial for deciphering the molecular mechanisms underlying KIRC. A considerable number of KIRC-related high-throughput microarray datasets and sequencing datasets have been accumulated, resulting in groundbreaking changes in KIRC research. Multi-omics have identified some genes, such as CHAC1 (<xref ref-type="bibr" rid="B13">13</xref>), METTL14 (<xref ref-type="bibr" rid="B14">14</xref>), P4HB (<xref ref-type="bibr" rid="B15">15</xref>), and FOXM1 (<xref ref-type="bibr" rid="B16">16</xref>), as novel prognostic indicators for KIRC. However, the analysis of the tumor microenvironment (TME) linked to the specific targets of KIRC is lacking.</p>
<p>It is well known that heterogeneity, an essential feature of tumors, may contribute to the distinct responses of cancer patients to the same treatment. Single-cell sequencing technology allows for dissecting tumor heterogeneity at the molecular and cellular levels. The TME is increasingly considered a target for drug treatment strategies (<xref ref-type="bibr" rid="B17">17</xref>). Recently, Hu et&#xa0;al. revealed intratumoral heterogeneity in KIRC, resulting in different clinical outcomes in single-cell transcriptomes (<xref ref-type="bibr" rid="B18">18</xref>).</p>
<p>Glia maturation factor-beta (GMFB), a highly conserved brain-specific protein, is a 17-kDa brain protein recognized as a growth and differentiation factor acting on neurons and glia (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>). It is essential for brain growth and development, and it is widely expressed in mammalian neuronal, glia, and parenchymal cells (<xref ref-type="bibr" rid="B21">21</xref>). GMFB is phosphorylated by protein kinase A (PKA) (<xref ref-type="bibr" rid="B19">19</xref>). Furthermore, PKA-phosphorylated GMFB inhibits extracellular signal-regulated kinase (ERK) and enhances p38 (<xref ref-type="bibr" rid="B22">22</xref>). It has been shown that the upregulation of GMFB is closely related to neurodegenerative disorders such as Parkinson&#x2019;s disease (<xref ref-type="bibr" rid="B23">23</xref>). Our previous work revealed that GMFB functions as a novel independent prognostic biomarker and therapeutic target for liver hepatocellular carcinoma (LIHC) (<xref ref-type="bibr" rid="B24">24</xref>). However, the role of GMFB in KIRC remains unclear.</p>
<p>The present study employed The Cancer Genome Atlas (TCGA) database and the CIBERSORTx tool (<uri xlink:href="https://cibersortx.stanford.edu">https://cibersortx.stanford.edu</uri>) to explore the potential effects of GMFB and GMFB-related TME, and the significant findings of molecular signatures were confirmed by quantitative real-time PCR (qRT-PCR), Western blotting, and immunostaining in human renal clear cell carcinoma cell line Caki-2. The obtained results allow further understanding of the interaction between GMFB and the TME in KIRC and thus provide a novel strategy for GMFB-based KIRC immunotherapies.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Data Collection and Differential Expression Analysis</title>
<p>RNA sequencing (RNA-seq), somatic mutations, and related clinical data were downloaded from TCGA (<uri xlink:href="https://portal.gdc.cancer.gov/">https://portal.gdc.cancer.gov/</uri>), containing 11,069 samples from 33 types of cancer (<xref ref-type="bibr" rid="B25">25</xref>). RNA sequence data from 539 patients with KIRC and 72 normal tissues were also downloaded from TCGA database. RNA-seq data and patient clinical information (Workflow Type: HTSeq-FPKM) were acquired using UCSC Xena (<uri xlink:href="https://xena.ucsc.edu/">https://xena.ucsc.edu/</uri>), an online tool for the exploration of gene expression and clinical and phenotypic data. UALCAN (<uri xlink:href="http://ualcan.path.uab.edu">http://ualcan.path.uab.edu</uri>) (<xref ref-type="bibr" rid="B26">26</xref>) and the Human Protein Atlas (HPA) (<uri xlink:href="https://www.Proteinatlas.org/">https://www.Proteinatlas.org/</uri>) (<xref ref-type="bibr" rid="B27">27</xref>) were used to analyze GMFB protein expression patterns and immunohistochemical results in normal kidney tissue and KIRC samples.</p>
</sec>
<sec id="s2_2">
<title>Survival Analysis and the Relationship Between <italic>Gmfb</italic> Expression and Prognosis</title>
<p>Survival and clinical phenotype data were extracted for each sample downloaded from TCGA database. Overall survival (OS) and disease-free survival (DFS) were evaluated to determine the relationship between <italic>Gmfb</italic> expression and patient prognosis. The Kaplan&#x2013;Meier curve and Cox regression analyses were performed to assess the association between <italic>Gmfb</italic> expression and OS in KIRC patients. Subsequently, multivariate analysis was employed to estimate whether <italic>Gmfb</italic> expression was an independent prognostic factor for survival in patients with KIRC.</p>
<p>Gene expression profiling interactive analysis (GEPIA) (<uri xlink:href="http://gepia2.cancer-pku.cn/#index">http://gepia2.cancer-pku.cn/#index</uri>) was used to confirm the correlation between <italic>Gmfb</italic> expression and clinicopathological information in multiple cancer types (<xref ref-type="bibr" rid="B28">28</xref>).</p>
</sec>
<sec id="s2_3">
<title>Enrichment Analysis</title>
<p>The top 2,000 upregulated and downregulated differentially expressed genes (DEGs) between the high and low <italic>Gmfb</italic> expression groups, defined by Spearman&#x2019;s rho above 0.30, were used for enrichment analyses. Pathways within the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) terms were assessed for enrichment using the KEGG Orthology-Based Annotation System (KOBAS) platform (<uri xlink:href="http://kobas.cbi.pku.edu.cn/">http://kobas.cbi.pku.edu.cn/</uri>) (<xref ref-type="bibr" rid="B29">29</xref>&#x2013;<xref ref-type="bibr" rid="B32">32</xref>) and Metascape (<uri xlink:href="https://metascape.org/gp/index.html#/main/step1">https://metascape.org/gp/index.html#/main/step1</uri>) (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>).</p>
</sec>
<sec id="s2_4">
<title>Assessment of Immune Infiltration</title>
<p>CIBERSORTx (<uri xlink:href="http://cibersort.stanford.edu/">http://cibersort.stanford.edu/</uri>) is a deconvolution algorithm that predicts the cell type components of intricate tissues based on normalized gene expression profiles; its results are usually in agreement with true estimates for many types of cancer (<xref ref-type="bibr" rid="B35">35</xref>). As so, CIBERSORTx was used to evaluate the relative proportions of 22 infiltrating immune cell subtypes in KIRC and LIHC (<xref ref-type="bibr" rid="B35">35</xref>). The percentages of the 22 immune cell subtypes derived from CIBERSORTx were regarded as a correction at p &lt; 0.05 (<xref ref-type="bibr" rid="B36">36</xref>). The relationship between the expression of 22 subtypes of tumor-infiltrating immune cells (TIICs) and the survival of KIRC and LIHC patients was conducted using GEPIA2021 (<uri xlink:href="http://gepia2021.cancer-pku.cns/">http://gepia2021.cancer-pku.cns/</uri>) (<xref ref-type="bibr" rid="B37">37</xref>). The results of the survival analysis were considered statistically significant at p &lt; 0.05.</p>
</sec>
<sec id="s2_5">
<title>Protein&#x2013;Protein Interaction Network Construction and Hub Gene Screening</title>
<p>Protein&#x2013;protein interaction (PPI) networks were constructed using the Search Tool for the Retrieval of Interacting Genes (STRING; <uri xlink:href="http://string-db.org/">http://string-db.org/</uri>) database (<xref ref-type="bibr" rid="B38">38</xref>) (version 11.5) and Metascape (<uri xlink:href="http://metascape.org">http://metascape.org</uri>). Hub genes were identified using the CytoHubba plugin (<xref ref-type="bibr" rid="B39">39</xref>) in the Cytoscape software (<xref ref-type="bibr" rid="B40">40</xref>) (version 3.7.7). The maximal clique centrality (MCC) algorithm was employed to identify hub genes.</p>
</sec>
<sec id="s2_6">
<title>Cell Lines</title>
<p>The human embryonic kidney cell line 293T purchased from American Type Culture Collection (ATCC) and Caki-2 purchased from the Fenghui Institute of Biotechnology were used in this study. The HEK293T and Caki-2 cells were separately maintained in Dulbecco&#x2019;s modified Eagle&#x2019;s medium (DMEM)/high glucose and DMEM/nutrient mixture F12, respectively, supplemented with 10% fetal bovine serum (FBS) (Cat. No. 10091148, Gibco, Waltham, MA, USA) and 1% penicillin/streptomycin (Cat. No. 60162ES76, Yeasen, Shanghai, China) at 37&#xb0;C and 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2_7">
<title>Cell Transfection</title>
<p>The three pairs of small interfering RNA (siRNA) sequences of human <italic>Gmfb</italic> are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1A</bold>
</xref>. A scrambled sequence was used as a siRNA control. The pcDNA-GMFB plasmid and pcDNA3.1 were kindly provided by Wan Sun. Caki-2 cells were transfected using Lipofectamine 2000 (Cat. No. T101, Vazyme, Nanjing, China), according to the manufacturer&#x2019;s instructions. After transfection for 12, 24, and 48 h, cells were collected for subsequent experiments.</p>
</sec>
<sec id="s2_8">
<title>Western Blotting</title>
<p>Caki-2 cells were lysed in radioimmunoprecipitation assay buffer (Cat. No. P0013B, Beyotime, Jiangsu, China) with protease inhibitors (Thermo Fisher Scientific, Waltham, MA, USA) to extract whole-cell proteins. Protein concentration was quantified using a bicinchoninic acid (BCA) kit (Cat. No. 20201ES76, Yeasen, Shanghai, China). A sample (30 &#x3bc;g) of each protein was then separated by sodium dodecyl sulfate&#x2013;polyacrylamide gel electrophoresis, transferred to a polyvinylidene fluoride membrane (Millipore, Burlington, MA, USA), and blocked with 5% bovine serum albumin (BSA) at room temperature for 1 h. After incubation overnight at 4&#xb0;C with primary antibodies against GMFB (1:1,000; Cat. No. 10690-1-AP, ProteinTech, Rosemont, IL, USA), GMFG (1:1,000; Cat. No. D121824, Sangon Biotech, Shanghai, China), p21 (1:1,000; Cat. No. 10355-1-AP, ProteinTech, Rosemont, IL, USA), p27 (1:1,000; Cat. No. #3686, CST, Danvers, MA, USA), and actin (1:10,000; Cat. No. 20536-1-AP, ProteinTech, Rosemont, IL, USA), membranes were incubated with a secondary antibody for 2 h. The secondary antibody used was horseradish peroxidase (HRP)-conjugated goat anti-rabbit IgG (1:10,000; Cat. No. SA00001-2, ProteinTech, Rosemont, IL, USA). The proteins were visualized using enhanced chemiluminescence (ECL) (Cat. No. E412-02, Vazyme, Jiangsu, China). Tanon 5200S (Tanon Science &amp; Technology, Shanghai, China) was used to evaluate the density of protein bands, and relative protein levels were quantified using ImageJ software (<uri xlink:href="https://imagej.nih.gov/ij/">https://imagej.nih.gov/ij/</uri>).</p>
</sec>
<sec id="s2_9">
<title>Quantitative Real-Time PCR</title>
<p>Total RNA was extracted with TRIzol reagent (Cat. No. R401-01, Vazyme) and reverse transcribed into cDNA using the Revert Aid Reverse Transcription System (Takara, Dalian, China) according to the manufacturer&#x2019;s protocol. PrimeScript RT polymerase (Cat. No. RR036A, Takara, Dalian, China) and SYBR Green Master Mix (Cat. No. FP205-02, Tiangen Biotech, Beijing, China) were used for conducting qRT-PCR on a LightCycler 96 Detection System (Bio-Rad Laboratories, Hercules, CA, USA). Data were analyzed using the 2<sup>&#x2212;&#x394;&#x394;Ct</sup> method (<xref ref-type="bibr" rid="B24">24</xref>). Oligos were synthesized by Sangon Biotech. The oligo sequences are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1B</bold>
</xref>.</p>
</sec>
<sec id="s2_10">
<title>Immunofluorescence</title>
<p>Immunofluorescence analysis was performed to detect the colocalization of GMFB and Arp2/3 complex. 293T and Caki-2 cells were fixed with 4% paraformaldehyde for 15 min, permeabilized with 0.3% Triton X-100 in phosphate-buffered saline (PBS) for 30 min, blocked with 3% BSA for 1 h, and incubated with primary antibodies against GMFB (1:200 Cat. No. 10690-1-AP, 60062-1-Ig, ProteinTech, Rosemont, IL, USA), Arp2 (1:50; Cat. No. D260865, Sangon Biotech, Shanghai, China), and Arp3 (1:50; Cat. No. sc-48344, Santa Cruz, Dallas, TX, USA) overnight with immunofluorescence buffer at 4&#xb0;C. Cells were then incubated with secondary antibodies (Invitrogen, Waltham, MA, USA), goat anti-mouse IgG(H+L) cross-adsorbed secondary antibody, Alexa Fluor 488 (Cat. No. A-11001); goat anti-mouse IgG(H+L) cross-adsorbed secondary antibody, Alexa Fluor 555 (Cat. No. A-21422); goat anti-rabbit IgG(H+L) cross-adsorbed secondary antibody, Alexa Fluor 488 (Cat. No. A-11008); and goat anti-rabbit IgG(H+L) cross-adsorbed secondary antibody, Alexa Fluor 555 (Cat. No. A-21428) for 1 h at room temperature. After three washes for 10 min each with 1&#xd7; PBS, cell sections were counterstained and mounted with DAPI Fluoromount-G (Cat. No. D9542, Sigma-Aldrich, St. Louis, MO, USA) and examined under a confocal microscope (Leica, Wetzlar, Germany).</p>
</sec>
<sec id="s2_11">
<title>Determination of Cell Viability</title>
<p>Caki-2 cells were transfected with siRNA and pcDNA-GMFB using Lipo2000 (Cat. No. T101-01, Vazyme, Jiangsu, China). At 12, 24, and 48 h post-transfection, cell viability was tested using a Cell Counting Kit-8 (Cat. No. C0037, Beyotime, Jiangsu, China), according to the manufacturer&#x2019;s instructions. This experiment was repeated four times.</p>
</sec>
<sec id="s2_12">
<title>Measurement of Mitochondrial Membrane Potential</title>
<p>Caki-2 cells were transfected with an empty vector or <italic>Gmfb</italic> overexpression (OE) plasmid. JC-1 staining (Cat. No. C2003S, Beyotime, Jiangsu, China) was performed to determine mitochondrial membrane potential (MMP), according to the manufacturer&#x2019;s instructions. Cell visualization was performed using fluorescence microscopy (Leica, Wetzlar, Germany).</p>
</sec>
<sec id="s2_13">
<title>Wound Healing Assay</title>
<p>Caki-2 cells were seeded in six-well plates and grown to 80%&#x2013;90% confluence. Confluent cell monolayers were scratched using a sterile 200-&#xb5;l pipette tip and rinsed with PBS to remove scratched cells according to our previous work (<xref ref-type="bibr" rid="B24">24</xref>). Wound closure was observed after 24 h. The wound closure rate was calculated as follows: wound closure (%) = (the area of initial wound &#x2212; the area of the final wound)/area of initial wound &#xd7; 100.</p>
</sec>
<sec id="s2_14">
<title>Transwell Migration and Invasion Assays</title>
<p>The migration and invasion abilities of cells were assessed using transwell migration (without Matrigel) and invasion (with Matrigel) assays in 24 wells according to our previous work (<xref ref-type="bibr" rid="B24">24</xref>). Cell suspensions in an FBS-free medium were added to the upper transwell chambers (24-well, 8-&#x3bc;m pores; BD, Franklin Lakes, NJ, USA), whereas 600 &#xb5;l of the medium was supplemented with 10% FBS and added to the lower transwell chambers. The cell count after positive staining with crystal violet indicated migration or invasion.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Clinical Characteristics of Kidney Renal Clear Cell Carcinoma Patients</title>
<p>Detailed information on the clinical and gene expression data of the downloaded 539 samples is presented in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. The median age of participants was 61 years. Among the 539 patients, 353 were male (65.5%) and 186 were female (34.5%). The 269 samples of participants under the age of 60 accounted for 49.9% of all samples. The topographic distribution included 51.6% T1 (n = 278), 13.2% T2 (n = 71), 33.2% T3 (n = 179), and 2% T4 (n = 11) cases. Only 16 patients (6.2%) showed lymph node involvement, while 78 cases (15.4%) had distant metastases. Most patients (467, 87.8%) were white.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Clinical characteristics of the kidney renal clear cell carcinoma patients.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Characteristic</th>
<th valign="top" align="center">Levels</th>
<th valign="top" align="center">Overall</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">n</td>
<td valign="top" align="center"/>
<td valign="top" align="center">539</td>
</tr>
<tr>
<td valign="top" align="left">T stage, n (%)</td>
<td valign="top" align="left">T1</td>
<td valign="top" align="center">278 (51.6%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">T2</td>
<td valign="top" align="center">71 (13.2%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">T3</td>
<td valign="top" align="center">179 (33.2%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">T4</td>
<td valign="top" align="center">11 (2%)</td>
</tr>
<tr>
<td valign="top" align="left">N stage, n (%)</td>
<td valign="top" align="left">N0</td>
<td valign="top" align="center">241 (93.8%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">N1</td>
<td valign="top" align="center">16 (6.2%)</td>
</tr>
<tr>
<td valign="top" align="left">M stage, n (%)</td>
<td valign="top" align="left">M0</td>
<td valign="top" align="center">428 (84.6%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">M1</td>
<td valign="top" align="center">78 (15.4%)</td>
</tr>
<tr>
<td valign="top" align="left">Pathologic stage, n (%)</td>
<td valign="top" align="left">Stage I</td>
<td valign="top" align="center">272 (50.7%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Stage II</td>
<td valign="top" align="center">59 (11%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Stage III</td>
<td valign="top" align="center">123 (22.9%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Stage IV</td>
<td valign="top" align="center">82 (15.3%)</td>
</tr>
<tr>
<td valign="top" align="left">Gender, n (%)</td>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">186 (34.5%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">353 (65.5%)</td>
</tr>
<tr>
<td valign="top" align="left">Race, n (%)</td>
<td valign="top" align="left">Asian</td>
<td valign="top" align="center">8 (1.5%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Black or African American</td>
<td valign="top" align="center">57 (10.7%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">White</td>
<td valign="top" align="center">467 (87.8%)</td>
</tr>
<tr>
<td valign="top" align="left">Age, n (%)</td>
<td valign="top" align="left">&#x2264;60</td>
<td valign="top" align="center">269 (49.9%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">&gt;60</td>
<td valign="top" align="center">270 (50.1%)</td>
</tr>
<tr>
<td valign="top" align="left">Histologic grade, n (%)</td>
<td valign="top" align="left">G1</td>
<td valign="top" align="center">14 (2.6%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">G2</td>
<td valign="top" align="center">235 (44.3%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">G3</td>
<td valign="top" align="center">207 (39%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">G4</td>
<td valign="top" align="center">75 (14.1%)</td>
</tr>
<tr>
<td valign="top" align="left">OS event, n (%)</td>
<td valign="top" align="left">Alive</td>
<td valign="top" align="center">366 (67.9%)</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">Dead</td>
<td valign="top" align="center">173 (32.1%)</td>
</tr>
<tr>
<td valign="top" align="left">Age, median (IQR)</td>
<td valign="top" align="left"/>
<td valign="top" align="center">61 (52, 70)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>OS, overall survival; IQR, interquartile range.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3_2">
<title>Survival Atlas of <italic>Gmfb</italic> in Multiple Cancer Types and Differential Expression of GMFB Between Tumor and Normal Tissue Samples</title>
<p>The contribution of <italic>Gmfb</italic> to pan-cancer OS and DFS in the GEPIA2 database was compared using the Mantel&#x2013;Cox test. The criterion for significant differences was a false discovery rate (FDR) &lt;0.05, also known as p-value adjustment. OS analysis showed that <italic>Gmfb</italic> expression was negatively correlated with the hazard ratio (HR) of KIRC but positively correlated with the HR of LIHC in pan-cancers (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). This was consistent with a previous report (<xref ref-type="bibr" rid="B24">24</xref>), in which <italic>Gmfb</italic> expression was negatively correlated with the HR of KIRC but positively correlated with the HR of adrenocortical carcinoma (ACC) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Based on the correlation of <italic>Gmfb</italic> with OS and DFS in pan-cancer analysis, GMFB may be a promising novel prognostic factor for KIRC.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Survival map and differential expression of the mRNA and protein level of GMFB in pan-cancer and KIRC. <bold>(A)</bold> Comparing the survival contribution of GMFB in pan-cancer, estimated using Mantel&#x2013;Cox test, including overall survival (OS) and disease-free survival (DFS). Tumor types with significant differences (p-value adjustment &lt;0.05) were highlighted. HR, hazard ratio. <bold>(B)</bold> Comparison expression of <italic>Gmfb</italic> mRNA level between tumor and normal tissues (pair samples). <bold>(C)</bold> Comparison expression of <italic>Gmfb</italic> mRNA level between tumor and normal tissues (unpaired samples). <bold>(D)</bold> Comparison expression of <italic>Gmfb</italic> mRNA level between HEK293T and Caki-2 cells tested by RT-qPCR. <bold>(E)</bold> Comparison of GMFB protein level expression between normal and KIRC tumor tissues (unpaired samples). <bold>(F)</bold> Immunohistochemistry images in normal and KIRC tumor tissues. <bold>(G)</bold> Comparison expression of GMFB protein level between 293T and Caki-2 cells tested by Western blotting. <bold>(H)</bold> Colocalization of GMFB with Arp2 in 293T and Caki-2 cells. <bold>(I)</bold> Colocalization of GMFB co-localized with Arp3 in 293T and Caki-2 cells. Scale bar = 25 &#x3bc;m. White arrows indicate co-location. KIRC, kidney renal clear cell carcinoma. Error bars represent SD. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g001.tif"/>
</fig>
<p>
<italic>Gmfb</italic> expression levels were analyzed in pan-cancer tissues using TCGA dataset. Analysis of unpaired samples of 63 types of cancer tissues showed that <italic>Gmfb</italic> expression differed in 15 types of cancer tissues (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>), and it was downregulated in KIRC (p &lt; 0.001) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). In the paired KIRC samples, the expression of <italic>Gmfb</italic> was also downregulated (p &lt; 0.001) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Protein expression analysis indicated that GMFB was weakly expressed in KIRC (p &lt; 0.001) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). To verify GMFB expression at the protein level, we used the immunohistochemical results of KIRC provided by the HPA database (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>), which were consistent with those obtained from TCGA database. <italic>Gmfb</italic> was generally downregulated in renal cancer tissues.</p>
<p>
<italic>In vitro</italic>, we confirmed that the <italic>Gmfb</italic> mRNA (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>) and protein (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>) levels were significantly decreased in Caki-2 cells when compared with HEK293T cells, which was consistent with the results of immunostaining of GMFB in HEK293T and Caki-2 cells (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1H&#x2013;I</bold>
</xref>). We also detected the colocalization of GMFB and Arp2/3, which were known interaction partners of GMFB (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1H,I</bold>
</xref>), supporting that GMFB was an intracellular protein.</p>
</sec>
<sec id="s3_3">
<title>Correlation of <italic>Gmfb</italic> Expression With Clinical Characteristics of Kidney Renal Clear Cell Carcinoma</title>
<p>The association between <italic>Gmfb</italic> expression and clinical features of KIRC patients is summarized in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>. T stage (p &lt; 0.001), M stage (p &lt; 0.004), primary therapy outcome (p = 0.016), pathologic stage (p &lt; 0.001), gender (p = 0.002), histological grade (p &lt; 0.001), and OS events (p &lt; 0.001) were all significantly associated with <italic>Gmfb</italic> expression.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Logistic analysis of the association between <italic>Gmfb</italic> expression and clinical characteristics.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Characteristics</th>
<th valign="top" align="center">Total (N)</th>
<th valign="top" align="center">Odds ratio (OR)</th>
<th valign="top" align="center">p-Value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">T stage (T2 and T3 and T4 vs. T1)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">0.503 (0.356&#x2013;0.710)</td>
<td valign="top" align="center">&lt;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Pathologic stage (stage II and stage III and stage IV vs. stage I)</td>
<td valign="top" align="center">527</td>
<td valign="top" align="center">0.490 (0.346&#x2013;0.692)</td>
<td valign="top" align="center">&lt;0.001</td>
</tr>
<tr>
<td valign="top" align="left">N stage (N1 vs. N0)</td>
<td valign="top" align="center">255</td>
<td valign="top" align="center">0.299 (0.082&#x2013;0.886)</td>
<td valign="top" align="center">0.041</td>
</tr>
<tr>
<td valign="top" align="left">M stage (M1 vs. M0)</td>
<td valign="top" align="center">498</td>
<td valign="top" align="center">0.468 (0.279&#x2013;0.768)</td>
<td valign="top" align="center">0.003</td>
</tr>
<tr>
<td valign="top" align="left">Gender (male vs. female)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">0.511 (0.355&#x2013;0.734)</td>
<td valign="top" align="center">&lt;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Age (&gt;60 vs. &#x2264;60)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">0.941 (0.669&#x2013;1.323)</td>
<td valign="top" align="center">0.728</td>
</tr>
<tr>
<td valign="top" align="left">Hemoglobin (low and elevated vs. normal)</td>
<td valign="top" align="center">450</td>
<td valign="top" align="center">0.815 (0.559&#x2013;1.188)</td>
<td valign="top" align="center">0.287</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The differential expression of <italic>Gmfb</italic> was examined according to age, gender, pathologic stage, T classification, N classification, M classification, and histological grade (G) of KIRC patients (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). Expression of <italic>Gmfb</italic> was significantly downregulated in men compared to women (p = 0.004) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>); it was also significantly associated with pathologic stage (stage IV compared to stage I, p = 0.002; stage III compared to stage I, p &lt; 0.001) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>), T stage (T3 compared to T1, p &lt; 0.001) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), M stage (M1 compared to M0, p = 0.007) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), and histological grade (G4 compared to G2, p &lt; 0.001; G3 compared to G2, p = 0.003) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). There was no significant relationship between <italic>Gmfb</italic> expression and age (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>) or N classification (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Association between the expression of <italic>Gmfb</italic> and the key clinicopathological characteristics of kidney renal clear cell carcinoma (KIRC). <bold>(A)</bold> Gender. <bold>(B)</bold> Pathologic grade. <bold>(C)</bold> T stage. <bold>(D)</bold> M stage. <bold>(E)</bold> Histologic grade. <bold>(F)</bold> Age. <bold>(G)</bold> N stage. **p &lt; 0.01, ***p &lt; 0.001, ns not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g002.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Prognostic Value of <italic>Gmfb</italic> Across Kidney Renal Clear Cell Carcinoma</title>
<p>OS analysis showed that <italic>Gmfb</italic> was a low-risk gene in kidney tissue (p = 0.00018) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). The Kaplan&#x2013;Meier DFS analysis also demonstrated that patients with high <italic>Gmfb</italic> expression levels survived longer than patients with low <italic>Gmfb</italic> expression (p = 0.00013) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Cox OS analysis demonstrated that a significant prognostic difference existed between the high and low <italic>Gmfb</italic> expression groups in both univariate (HR 0.541, 95% CI, 0.397&#x2013;0.736, p &lt; 0.001) and multivariate (HR 0.578, 95% CI, 0.374&#x2013;0.892; p = 0.013) analyses (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). A receiver operating characteristic (ROC) curve was used to evaluate the prediction accuracy of intensity. The <italic>Gmfb</italic> score, in terms of the ROC curve, was 0.905 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), indicating that <italic>Gmfb</italic> was a very sensitive biomarker for KIRC.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>The prognostic value of <italic>GMFB</italic> expression in kidney renal clear cell carcinoma (KIRC). <bold>(A)</bold> Kaplan&#x2013;Meier survival curves for the effect of <italic>Gmfb</italic> expression on overall survival. <bold>(B)</bold> Kaplan&#x2013;Meier survival curves for the outcome of GMFB expression on disease-free survival. <bold>(C)</bold> Receiver operating characteristic analysis (ROC) curve of GMFB in KIRC. <bold>(D)</bold> <italic>Gmfb</italic> expression association with different clinical characteristics shown on the Sankey diagram. <bold>(E)</bold> The integrated <italic>Gmfb</italic> and other prognostic factors in KIRC from The Cancer Genome Atlas (TCGA) data by nomogram. <bold>(F)</bold> The calibration curve of the nomogram.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g003.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Univariate and multivariate Cox proportional hazard analyses of <italic>Gmfb</italic> expression and overall survival (OS) for patients with KIRC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Characteristics</th>
<th valign="top" rowspan="2" align="center">Total (N)</th>
<th valign="top" colspan="2" align="center">Univariate analysis</th>
<th valign="top" colspan="2" align="center">Multivariate analysis</th>
</tr>
<tr>
<th valign="top" align="center">Hazard ratio (95% CI)</th>
<th valign="top" align="center">p-Value</th>
<th valign="top" align="center">Hazard ratio (95% CI)</th>
<th valign="top" align="center">p-Value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">T stage (T2 and T3 and T4 vs. T1)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">2.872 (2.063&#x2013;3.998)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
<td valign="top" align="center">1.555 (0.936&#x2013;2.584)</td>
<td valign="top" align="center">0.088</td>
</tr>
<tr>
<td valign="top" align="left">N stage (N1 vs. N0)</td>
<td valign="top" align="center">255</td>
<td valign="top" align="center">3.426 (1.818&#x2013;6.456)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
<td valign="top" align="center">2.006 (1.037&#x2013;3.879)</td>
<td valign="top" align="center">
<bold>0.039</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">M stage (M1 vs. M0)</td>
<td valign="top" align="center">498</td>
<td valign="top" align="center">4.333 (3.170&#x2013;5.922)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
<td valign="top" align="center">3.230 (1.994&#x2013;5.232)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">Age (&gt;60 vs. &#x2264;60)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">1.753 (1.290&#x2013;2.383)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
<td valign="top" align="center">1.856 (1.211&#x2013;2.844)</td>
<td valign="top" align="center">
<bold>0.005</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">Gender (male vs. female)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">0.951 (0.697&#x2013;1.296)</td>
<td valign="top" align="center">0.750</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">GMFB (high vs. low)</td>
<td valign="top" align="center">530</td>
<td valign="top" align="center">0.541 (0.397&#x2013;0.736)</td>
<td valign="top" align="center">
<bold>&lt;0.001</bold>
</td>
<td valign="top" align="center">0.578 (0.374&#x2013;0.892)</td>
<td valign="top" align="center">
<bold>0.013</bold>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>KIRC, kidney renal clear cell carcinoma. Bold values, p &lt; 0,05</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The Sankey diagram further demonstrated the association between age, gender, <italic>Gmfb</italic> expression, and clinical status (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). Each column represents a characteristic (gender; T, N, and M stages; and expression of <italic>Gmfb</italic>; different colors represent the various states of these characteristics, and lines represent the distribution of the same sample in other characteristic variables). As shown in the diagram, most female and male patients progressed to stage I. Most patients with stage I disease had high <italic>Gmfb</italic> expression and a high survival rate. Conversely, patients with more severe diseases tended to have lower <italic>Gmfb</italic> expression and lower survival rates. A nomogram of OS was constructed to integrate <italic>Gmfb</italic> expression and some prognostic factors, including T, N, and M classifications and age (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). A higher nomogram score represented worse predictive probability. The calibration curve assessed the performance of the nomogram for <italic>Gmfb</italic>, and the C-index for OS was 0.755 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F</bold>
</xref>). In conclusion, this nomogram is a good model for predicting the survival of patients with KIRC.</p>
</sec>
<sec id="s3_5">
<title>The Effects of Overexpression of <italic>Gmfb</italic> in Caki-2 Cells on Viability, Proliferation, Invasion, and Mitochondrial Membrane Potential</title>
<p>To clarify the association between <italic>Gmfb</italic> expression and cell viability in KIRC, the effects of <italic>Gmfb</italic> OE and knockdown (KD) on the viability of Caki-2 cells were examined. First, we designed three siRNA sequences for <italic>Gmfb</italic>, and KD efficiency was determined in HEK293T by Western blotting. As shown in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>, the siRNA1 with the highest KD efficiency in HEK 293T cells was used for the subsequent experiment (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Then, <italic>Gmfb</italic> KD and OE in Caki-2 cells were confirmed by Western blotting (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B, C</bold>
</xref>) and qRT-PCR (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4D, E</bold>
</xref>). In parallel, the expression of GMFG protein, a homolog of GMFB, remained unchanged after transfection with <italic>siGmfb</italic> or Gmfb OE plasmid, indicating that <italic>Gmfb</italic> KD specificity was reasonable (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4F, G</bold>
</xref>). After transfection with siRNA and OE plasmids at 12, 24, and 48 h, a significant increase in viability after <italic>Gmfb</italic> KD was obtained at 24 h (p &lt; 0.05) and 48 h (p &lt; 0.01) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4H</bold>
</xref>), while a significant decrease in viability after <italic>Gmfb</italic> OE was observed at 24 h (p &lt; 0.01) and 48 h (p &lt; 0.001) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4I</bold>
</xref>). These results indicated that GMFB expression level was negatively correlated with tumor cell viability. Moreover, we investigate the effect of altered <italic>Gmfb</italic> expression on the Caki-2 cell cycle. At 48 h post-transfection of <italic>siGmfb</italic> in Caki-2 cells, the expression levels of p21 (CDKN1A) and p27 (CDKN1B) significantly decreased when compared with those in the scramble group (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4J, K</bold>
</xref>). The downregulation of p21 and p27 was required for the cellular transition from quiescence to the proliferative state (<xref ref-type="bibr" rid="B41">41</xref>). <italic>Gmfb</italic> OE in Caki-2 cells led to a lower number of migrated cells than in the empty vector group (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4L, M</bold>
</xref>). Invasion assays showed that <italic>Gmfb</italic> OE inhibited Caki-2 cell invasion (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4L, N</bold>
</xref>) and significantly reduced wound closure (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4O, P</bold>
</xref>). Detection of MMP using the JC-1 assay revealed a shift from red to green fluorescence in <italic>Gmfb</italic> OE Caki-2 cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4Q</bold>
</xref>), indicating that a high level of GMFB led to MMP loss. Taken together, we proposed that <italic>Gmfb</italic> was a suppressor gene in KIRC.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>The effects of <italic>Gmfb</italic> knockdown and <italic>Gmfb</italic> overexpression on proliferation, migration, and invasion in Caki-2 cells. <bold>(A)</bold> The knockdown efficiency of three pairs of <italic>siGmfb</italic> was tested by Western blotting in HEK 293T cells. <bold>(B&#x2013;E)</bold> GMFB silencing RNA and overexpression <italic>Gmfb</italic> plasmid efficiency were tested by Western blotting and RT-qPCR in Caki-2 cells. <bold>(F, G)</bold> GMFG protein level was tested by Western blotting after Caki-2 cells were transferred with siRNA and overexpression plasmid of GMFB. <bold>(H, I)</bold> Cell viabilities were determined after Caki-2 cells were transferred with siRNA and overexpression plasmid of <italic>Gmfb</italic> by CCK8 assay at 12, 24, and 48(h) <bold>(J, K)</bold> The extent of the cell cycle was further determined by CDKN1A (p21) and CDKN1B (p27) using Western blotting. <bold>(L)</bold> Transwell migration and invasion assays were used to examine the migration and invasion ability of Caki-2 cells. Scale bar = 50 &#x3bc;m. <bold>(M, N)</bold> Quantification of migration and invasion assays. <bold>(O)</bold> Image of the scratch assay. Scale bar = 100 &#x3bc;m. <bold>(P)</bold> Quantification of the scratch assay. <bold>(Q)</bold> Fluorescence microscopy imaging of Caki-2 cells stained with JC-1. Scale bar = 50 &#x3bc;m. Error bars represent SD. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g004.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>Functional Enrichment Analysis of <italic>Gmfb</italic> in Kidney Renal Clear Cell Carcinoma Patients</title>
<p>To elucidate the molecular mechanism of GMFB in KIRC, <italic>Gmfb</italic> co-expressed DEGs were used for functional enrichment analysis. The 3493 DEGs identified based on |log2 fold-change| &gt; 1 (adjusted p &lt; 0.05) corresponded to 912 upregulated genes and 2,581 downregulated genes. Detailed information on the DEGs is presented in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;2</bold>
</xref>. DEG expression is shown in the volcano plot (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), and the heatmap exhibits a corresponding hierarchical clustering analysis (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). The details of the top 10 DEGs with upregulation and downregulation are listed in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;3</bold>
</xref>, respectively. Most of these DEGs have not been reported in previous KIRC studies, except for ALDH6A1 and NCR3LG1. Six DEGs with unknown biological functions and three non-coding RNAs were not identified, including AC003072.1, AC073896.4, AC108673.3, AP001505.1, AC012510.1, AC084036.1, PWAR5, SCARNA10, and SNORA53. Among these, the mRNA levels of seven upregulated and four downregulated DEGs with known functions were further validated by qRT-PCR. Due to the very high cycle threshold values for ZNF196 and SELENOP (38 to 39), we did not redesign the primer for the validation experiment. Consistent with the results of the meta-analysis, INAFM1, HCFC1R1, and METTL26 were downregulated, and ATP6V0D2, TBC1D14, OXCT1, ALDH6A1, FAM160A1, and NCR3LG1 were upregulated in <italic>Gmfb</italic> OE Caki-2 cells (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C, D</bold>
</xref>). The details of the nine validated DEGs are listed in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>, and the remaining 11 DEGs that were not validated are provided in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;3</bold>
</xref>.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>The identification of DEGs. <bold>(A)</bold> Volcano plot of differentially expressed genes (DEGs). <bold>(B)</bold> Heatmap of DEGs. <bold>(C)</bold> Downregulated DEGs (INAFM1, HCFC1R1, and METTL26) were determined by RT-qPCR. <bold>(D)</bold> Upregulated DEGs (ATP6V0D2, TBC1D14, OXCT1, ALDH6A1, FAM160A1, and NCR3LG1) were determined by RT-qPCR. Error bars represent SD. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g005.tif"/>
</fig>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>The significant DEGs with validation.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Gene symbol</th>
<th valign="top" align="center">p adj</th>
<th valign="top" align="center">Gene ID</th>
<th valign="top" align="center">Published role in KIRC</th>
<th valign="top" align="center">Function</th>
<th valign="top" align="center">Correlation with GMFB in meta-analysis</th>
<th valign="top" align="center">Validation in Caki-2</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>INAFM1</bold>
</td>
<td valign="top" align="center">6.27E&#x2212;53</td>
<td valign="top" align="center">255783</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Predicted to be an integral component of membrane</td>
<td valign="top" align="left">Negative</td>
<td valign="top" align="left">Negative</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>HCFC1R1</bold>
</td>
<td valign="top" align="center">8.32E&#x2212;51</td>
<td valign="top" align="center">54985</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Regulating HCFC1 activity by modulating its subcellular localization</td>
<td valign="top" align="left">Negative</td>
<td valign="top" align="left">Negative</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>METTL26</bold>
</td>
<td valign="top" align="center">3.24E&#x2212;50</td>
<td valign="top" align="center">84326</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Diseases associated with METTL26 include anauxetic dysplasia 1</td>
<td valign="top" align="left">Negative</td>
<td valign="top" align="left">Negative</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>ATP6V0D2</bold>
</td>
<td valign="top" align="center">4.02E&#x2212;40</td>
<td valign="top" align="center">245972</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Predicted to be involved in vacuolar acidification and vacuolar transport. Located in the apical plasma membrane. Part of vacuolar proton-transporting V-type ATPase complex</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>TBC1D14</bold>
</td>
<td valign="top" align="center">3.95E&#x2212;39</td>
<td valign="top" align="center">57533</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Enabling protein kinase binding activity. Involved in negative regulation of autophagy, recycling endosome to Golgi transport, and regulation of autophagosome assembly</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>OXCT1</bold>
</td>
<td valign="top" align="center">4.44E&#x2212;37</td>
<td valign="top" align="center">5019</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Key enzyme for ketone body catabolism. Transfers the CoA moiety from succinate to acetoacetate</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>ALDH6A1</bold>
</td>
<td valign="top" align="center">2.68E&#x2212;36</td>
<td valign="top" align="center">4329</td>
<td valign="top" align="left">PMID:33686951 PMID:32737333 PMID:30793530</td>
<td valign="top" align="left">Playing a role in valine and pyrimidine metabolism. Binds fatty acyl-CoA</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>FAM160A1</bold>
</td>
<td valign="top" align="center">3.20E&#x2212;33</td>
<td valign="top" align="center">729830</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Involved in protein localization to perinuclear region of cytoplasm</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>NCR3LG1</bold>
</td>
<td valign="top" align="center">4.93E&#x2212;33</td>
<td valign="top" align="center">374383</td>
<td valign="top" align="left">PMID:31921143</td>
<td valign="top" align="left">Interaction of B7H6 with NK p30 results in natural killer (NK) cell activation and cytotoxicity</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">Positive</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>ZNF296</bold>
</td>
<td valign="top" align="center">1.04E&#x2212;46</td>
<td valign="top" align="center">162979</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Enabling sequence-specific double-stranded DNA binding activity</td>
<td valign="top" align="left">Negative</td>
<td valign="top" align="left">NA</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SELENOP</bold>
</td>
<td valign="top" align="left">5.77E&#x2212;38</td>
<td valign="top" align="left">6414</td>
<td valign="top" align="left">NOT</td>
<td valign="top" align="left">Might be responsible for some of the extracellular antioxidant defense properties of selenium or might be involved in the transport of selenium</td>
<td valign="top" align="left">Positive</td>
<td valign="top" align="left">NA</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>DEGs, differentially expressed genes; KIRC, kidney renal clear cell carcinoma. NA, Not Available</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The KEGG pathway and GO enrichment analyses using KOBAS are shown in <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>. The neuroactive ligand&#x2013;receptor interaction ranked 1 in the top 10 DEGs enriched KEGG pathways, followed by collecting duct acid secretion, linoleic acid metabolism, alpha-linolenic acid metabolism, and mineral absorption (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). GO enrichment analysis showed that cornification, extracellular region, and serine-type endopeptidase activity were the most enriched terms in biological process (BP), cellular compartment (CC), and molecular function (MF) categories, respectively (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;4</bold>
</xref>). The top ten enriched KEGG pathways, GO terms, and the heatmap of associated DEGs are shown in <xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A&#x2013;D</bold>
</xref> (upregulated DEGs) and <xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E&#x2013;H</bold>
</xref> (downregulated DEGs). Upregulated DEGs were most enriched in collecting duct acid secretion (KEGG pathway), cellular protein metabolic process (BP category of GO), an integral component of the plasma membrane (CC of GO), and serine-type endopeptidase activity (MF of GO) (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A&#x2013;D</bold>
</xref>). Downregulated DEGs were most enriched in mineral absorption (KEGG pathway), cornification (BP of GO), extracellular region (CC of GO), and antigen-binding (MF of GO) (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E&#x2013;H</bold>
</xref>). There was more overlap in the KEGG pathway and GO analyses between total DEGs and downregulated DEGs than between upregulated DEGs, indicating that the downregulated DEGs may play a more critical and dominant role in KIRC. To this end, we selected five genes involved in the mineral absorption pathway (MT2A, 1G, 1F, TF, and S100G) for qRT-PCR validation of the RNA-seq results. The qRT-PCR revealed that MT2A, MT1G, and MT1F were downregulated, whereas S100G and TF did not show a significant change in <italic>Gmfb</italic> OE Caki-2 cells (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6I, J</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Differentially expressed genes with <italic>Gmfb</italic> in significant Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway and Gene Ontology (GO) term analyses in kidney renal clear cell carcinoma (KIRC). <bold>(A)</bold> Significant KEGG pathways of 958 upregulated differentially expressed genes (DEGs) and the heatmap of genes in the first pathway collecting duct acid secretion. <bold>(B)</bold> Enriched GO-BP terms in 958 upregulated DEGs and the heatmap of genes in the first term cellular protein metabolic process. <bold>(C)</bold> Enriched GO-CC terms in 958 upregulated DEGs and the heatmap of genes in the first term integral component of the plasma membrane. <bold>(D)</bold> Enriched GO-MF terms in 958 upregulated DEGs and the heatmap of genes in the first term serine-type peptidase activity of <bold>(G, E)</bold> Significant KEGG pathways of 2,581 downregulated DEGs and the heatmap of genes in the first pathway mineral absorption. <bold>(F)</bold> Enriched GO-BP terms in 2,581 downregulated DEGs and the heatmap of genes in the first term cornification. <bold>(G)</bold> Enriched GO-CC terms in 2581 downregulated DEGs and the heatmap of genes in the first term extracellular region. <bold>(H)</bold> Enriched GO-MF terms in 2,581 downregulated DEGs and the heatmap of genes in the first term antigen binding. <bold>(I, J)</bold> The downregulated DEGs of mineral absorption were determined by RT-qPCR. <bold>(I)</bold> MT2A, MT1G, and MT1F had a significant difference. <bold>(J)</bold> TF and S100G had no significant difference. Error bars represent SD. **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g006.tif"/>
</fig>
<p>To clarify the links between terms, PPI network and MCODE component analyses of the top 2,000 DEGs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1C</bold>
</xref>), upregulated (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>) and downregulated (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>), were performed using Metascape. <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;5</bold>
</xref> provides detailed data. The PPI network showed that the predominant GO annotations of MCODE1 were cornified envelopes and keratinization in the total DEGs. Among the DEGs associated with upregulated <italic>Gmfb</italic>, GO annotations of MCODE1 were mainly linked with nucleosome assembly, nucleosome organization, and chromatin assembly. Among the DEGs related to downregulated <italic>Gmfb</italic>, GO annotations of MCODE1 were specifically associated with G-protein-coupled receptor (GPCR) downstream signaling, GPCR signaling, and GPCR ligand binding (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;5</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Protein&#x2013;protein interaction (PPI) network of differentially expressed genes (DEGs) with <italic>Gmfb</italic> in kidney renal clear cell carcinoma (KIRC) by Metascape. <bold>(A)</bold> Upregulated DEGs. <bold>(B)</bold> Downregulated DEGs.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g007.tif"/>
</fig>
</sec>
<sec id="s3_7">
<title>Identification of Hub Genes Using STRING and Cytoscape</title>
<p>Upregulated DEGs were projected separately into the human PPI network in the STRING database, and the hub genes were filtered using the MCC algorithm (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>). The details of the top ten hub genes are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;6</bold>
</xref>. The top six upregulated hub genes (HIST1H2BB, HIST1H1A, HIST1H4F, HIST1H3J, HIST2H2AB, and HIST1H1B) (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8B</bold>
</xref>) belong to the histone cluster family and are mainly involved in nucleosome assembly, nucleosome organization, and chromatin assembly. The top ten downregulated hub genes included SPRR1B, SPRR1A, IVL, SPRR3, SPRR2A, TGM1, SPRR2D, SPRR2E, PI3, and CASP14 (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8D</bold>
</xref>). Except for CASP14 and TGM1, these genes were mainly associated with keratinization, and none has been reported in KIRC. These results suggest that GMFB may play a vital role in modulating nucleosome structure, cellular senescence, mitotic prophase, and keratinization in KIRC.</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Identification of hub genes. <bold>(A)</bold> The protein&#x2013;protein interaction (PPI) network was constructed with upregulated differentially expressed genes (DEGs). <bold>(B)</bold> The hub genes identified with Cytoscape for upregulated DEGs. <bold>(C)</bold> The PPI network was constructed with downregulated DEGs. <bold>(D)</bold> The hub genes identified with Cytoscape for downregulated DEGs.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g008.tif"/>
</fig>
</sec>
<sec id="s3_8">
<title>Correlation Between <italic>Gmfb</italic> Expression, Immune Cell Infiltration, and Prognostic Value of Tumor-Infiltrating Immune Cells in Kidney Renal Clear Cell Carcinoma</title>
<p>Based on the importance of TME, the relationship between immunity and <italic>Gmfb</italic> expression was further explored. Tumor RNA-seq data (retrieved from TCGA) of 33 different tumor patients and matched normal tissue samples from the Genomic Data Commons (GDC) website were downloaded to analyze the relationship between <italic>Gmfb</italic> expression and 22 types of TIICs. The heatmap of KIRC and LIHC analysis indicated <italic>Gmfb</italic> mRNA expression significantly correlated with TIICs (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). The analysis by CIBERSORTx showed that the <italic>Gmfb</italic> mRNA expression positively correlated with the infiltration of T CD4+ memory resting cells (p = 0.00007, R = 0.172), monocytes (p = 5.68E&#x2212;06, R = 0.196), mast resting cells (p = 0.047, R = 0.086), mast activated cells (p = 0.0017, R = 0.136), macrophage M2 cells (p = 1.81E&#x2212;09, R = 0.257), macrophage M1 T cells (p = 0.0028, R = 0.13), eosinophil (p = 7.74E&#x2212;11, R = 0.278), and B na&#xef;ve cells (p = 9.95E&#x2212;08, R = 0.229) but negatively correlated with the infiltration of regulatory T cells (Tregs) (p = 1.09E&#x2212;31, R = &#x2212;0.479), T follicular helper cells (TFH) (p = 1.43E&#x2212;15, R = &#x2212;0.337), T CD8+ cells (p = 4.97E&#x2212;14, R = &#x2212;0.319), natural killer activated cells (p = 7.42E&#x2212;13, R = &#x2212;0.305), B plasma cells (p = 0.0058, R = &#x2212;0.12), and B memory cells (p = 0.00001, R = &#x2212;0.185) (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). However, our previous work showed that higher expression levels of <italic>Gmfb</italic> predicted poor prognostic outcomes in LIHC (<xref ref-type="bibr" rid="B26">26</xref>). To explore the possible mechanism underlying the differential effects of <italic>Gmfb</italic> on LIHC and KIRC, the correlation between <italic>Gmfb</italic> expression and TIIC in LIHC was analyzed. As shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>, the infiltration of B memory cells, mast activated cells, and neutrophils was significantly increased in LIHC (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;2A&#x2013;B</bold>
</xref>) and was uniformly correlated with worse OS (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;2C&#x2013;E</bold>
</xref>). None of these three immune cell types affected the OS of KIRC patients (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). Moreover, the levels of B memory cells, mast activated cells, and neutrophils did not correlate significantly with <italic>Gmfb</italic> expression in the LIHC group (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>).</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Analysis of the fraction of tumor-infiltrating immune cells (TIICs) in kidney renal clear cell carcinoma (KIRC) and liver hepatocellular carcinoma (LIHC). <bold>(A)</bold> Correlation between 22 tumor-infiltrating immune cells and <italic>Gmfb</italic> expression in KIRC and LIHC samples from The Cancer Genome Atlas (TCGA). <bold>(B&#x2013;F)</bold> Kaplan&#x2013;Meier survival curves for TIICs on overall survival. <bold>(B)</bold> Macrophages M2, <bold>(C)</bold> resting mast cells, <bold>(D)</bold> T help cells, <bold>(E)</bold> regulatory T cells (Tregs), and <bold>(F)</bold> plasma cells. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g009.tif"/>
</fig>
<p>The association between TIICs and KIRC tumor tissues was examined. The relationship between the 22 TIICs and KIRC prognosis was investigated using GEPIA2021. The Kaplan&#x2013;Meier survival curves (p &lt; 0.05) are shown in <xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9B&#x2013;F</bold>
</xref>, and further results are summarized in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>. The fractions of macrophages M2 cells (p = 0.05) and resting mast cells (p = 0.000403) were associated with improved survival (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9B, C</bold>
</xref>), but high levels of TFH cells (p = 0.05), Tregs (p = 0.00138), and B plasma cells (p = 0.00844) were associated with worse outcomes (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9D&#x2013;F</bold>
</xref>).</p>
<p>Taken together, the higher expression of <italic>Gmfb</italic> in KIRC predicted a better prognosis, partially due to the optimal TME.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>KIRC is a cancer with high prevalence and mortality (<xref ref-type="bibr" rid="B3">3</xref>). However, it can be diagnosed early and successfully treated with surgical or ablative strategies; up to a third of cases present with or develop metastases (<xref ref-type="bibr" rid="B42">42</xref>). Thus, a deeper understanding of the molecular mechanisms underlying KIRC is needed. The present study integrated different KIRC databases with suitable meta-analysis approaches, identified GMFB as a novel independent prognostic biomarker, positively correlated with OS and DFS in KIRC patients, and further dissected the possible contribution of GMFB-relevant TME to good clinical outcomes in KIRC patients.</p>
<p>Two studies have shown that GMFB is a prognostic biomarker for astrocytomas (<xref ref-type="bibr" rid="B43">43</xref>) and serous ovarian cancers (<xref ref-type="bibr" rid="B44">44</xref>). However, using GEPIA2.0 and TCGA in pan-cancer analysis, we failed to obtain consistent results with previous reports (data not shown), possibly due to dynamic updates of the cancer database with increasing sample data deposition. We previously found that <italic>Gmfb</italic> KD significantly inhibited the proliferation, migration, and invasion of Hep3B cells, and higher <italic>Gmfb</italic> expression predicted a poor prognosis in LIHC (<xref ref-type="bibr" rid="B24">24</xref>). In the present study, a completely distinct relationship between <italic>Gmfb</italic> and OS/DFS in KIRC was obtained; namely, higher expression of GMFB was associated with a better prognosis for KIRC patients (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). To confirm the meta-analysis results, <italic>Gmfb</italic> KD and OE were performed in Caki-2 cells. We found that <italic>Gmfb</italic> KD promoted cell viability partly due to the downregulation of p21 and p27 protein levels in Caki-2 cells (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4J, K</bold>
</xref>). The downregulation of p21 and p27 protein levels indicated the transition of the cell cycle from quiescent to proliferation (<xref ref-type="bibr" rid="B41">41</xref>). Moreover, <italic>Gmfb</italic> OE inhibited the proliferation, migration, and decreased MMP in Caki-2 cells, and when MMP was disturbed, reactive oxygen species caused the oxidation of mitochondrial pores (<xref ref-type="bibr" rid="B45">45</xref>). Taken together, the <italic>in vitro</italic> results support that high expression of GMFB is beneficial for KIRC patients&#x2019; survival. The distinct molecular mechanisms underlying GMFB in LIHC and KIRC merit further investigation.</p>
<p>To reveal the molecular mechanism underlying <italic>Gmfb</italic> effects in KIRC, we enriched the DEGs with <italic>Gmfb</italic> co-expression for bioinformatics analysis. KEGG pathway and GO analyses were performed for the top 2,000 downregulated and upregulated DEGs. We validated nine significant DEGs. Consistent with the results from the meta-analysis, INAFM1, HCFC1R1, and METTL26 were downregulated, and ATP6V0D2, TBC1D14, OXCT1, ALDH6A1, FAM160A1, and NCR3LG1 were upregulated in GMFB overexpressed Caki-2 cells (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C, D</bold>
</xref>). The validated DEGs with GMFB co-expression may participate in multiple pathways in KIRC biology, including enhancing response in KIRC cell to NK cell (NCR3LG1) (<xref ref-type="bibr" rid="B46">46</xref>), negatively regulating autophagy (TBC1D14) (<xref ref-type="bibr" rid="B47">47</xref>), and being regulated by lactate (ATP6V0D2) (<xref ref-type="bibr" rid="B48">48</xref>) in TMEs.</p>
<p>In the upregulated pathways, collecting duct acid secretion was the most enriched, containing DEGs ATP6V0A4, ATP6V1G3, ATP6V0D2, ATP6V1B1 (vacuolar proton pump subunit), SLC4A1 (chloride/bicarbonate exchanger), and CLCNKB (voltage-gated chloride channels). Lower CLCNKB expression has been reported in renal cancer (<xref ref-type="bibr" rid="B49">49</xref>). We hypothesized that the upregulated collecting duct acid secretion might play a role in maintaining acid&#x2013;base homeostasis in the renal tubule.</p>
<p>Mineral absorption, neuroactive ligand&#x2013;receptor interaction, and estrogen signaling in the downregulated panel were the three most enriched pathways (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>). Metallothionein (MT) proteins, such as MT1A, B, E, G, F, H, 349 HL1, X, M, MT2A, TF, and S100G, were enriched in the mineral absorption pathway. MTs have a high content of cysteine residues that bind various heavy metals. In this family, MT1A, B, E, G, F, H, HL1, X, M, MT2A, TF, and S100G (vitamin D-dependent calcium-binding protein) are enriched in the mineral absorption pathway. The dysregulation of MTs in renal cell cancer has also been reported. The toxic metals cadmium and lead are associated with renal cell cancer progression (<xref ref-type="bibr" rid="B50">50</xref>). A decrease in MT levels in renal cell cancer has also been reported (<xref ref-type="bibr" rid="B51">51</xref>). In the present study, we conducted qRT-PCR to validate some of the mRNA levels of several MTs in Caki-2 cells. The results showed that MT2A, MT1G, and MT1F were downregulated, but S100G and TF did not show a significant change in <italic>Gmfb</italic> OE Caki-2 cells (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6I</bold>
</xref>). This indicates that low expression of <italic>Gmfb</italic> may lead to increased circulating levels of toxic heavy metals, thus contributing to the progression of KIRC. Currently, there are no relevant reports on S100G and TF in KIRC, and their role, therefore, remains unclear. Cornification, keratinization, and the classical complement activation pathway were significantly enriched in the BP category of GO. There were 23 shared genes between the BP terms cornification and keratinization (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;7</bold>
</xref>). Only CK7 (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>) and AE1AE3 (<xref ref-type="bibr" rid="B54">54</xref>) cytokeratins have been examined in KIRC. The fundamental functions of other cornification-related genes remain elusive, probably implicating an alteration of epithelial and mesenchymal immunophenotypes for KIRC, which requires further investigation. KOBAS-based GO enrichment analysis revealed downregulated DEGs in the extracellular region, extracellular space, and Ig complex circulating GO-CC category (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6G</bold>
</xref>). Most genes in the extracellular region (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;4</bold>
</xref>) encode MMPs, cytokines, chemokines, growth factors, and others. These results, combined with the DEGs enriched in GO-MF (antigen binding, Ig receptor binding, and serine-type endopeptidase activity) (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6H</bold>
</xref>), suggest cell&#x2013;cell interactions.</p>
<p>Analyzing PPI networks is increasingly recognized as meaningful to characterize the underlying biology of genes associated with complex diseases (<xref ref-type="bibr" rid="B55">55</xref>). As shown in <xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>, histone cluster family members were enriched in CytoHubba with upregulated DEGs (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8B</bold>
</xref>), and the formation of the cornified envelope was enriched in CytoHubba with downregulated DEGs (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8D</bold>
</xref>). The former is possibly linked to epigenetic regulation in KIRC. In contrast, the latter may contribute to metastasis by disrupting the formation of the cornified envelope, which requires further validation.</p>
<p>The actual context of KIRC is quite diverse due to intratumoral or intertumoral TME heterogeneity. The enriched pathways and GO terms, including extracellular region and neuroactive ligand&#x2013;receptor binding, encouraged us to analyze the <italic>Gmfb</italic>-relevant TME.</p>
<p>TME is a complex ecosystem, and it plays a crucial function in cancer progression and response to immunotherapy (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B56">56</xref>). The TME is composed of adaptive immune cells (T and B lymphocytes) and innate immune response cells (including dendritic cells, mast cells, macrophages, neutrophils, myeloid-derived suppressor cells, and natural killer cells) as well as cancer cells and stroma (i.e., endothelial cells, fibroblasts, pericytes, and mesenchymal cells) (<xref ref-type="bibr" rid="B56">56</xref>). Immune and inflammatory responses are strongly associated with survival outcomes in patients with KIRC. Zhang et&#xa0;al. recently revealed insights into the TME in KIRC using single-cell sequencing technology (<xref ref-type="bibr" rid="B57">57</xref>) and elucidated an active role for tumor epithelia in promoting immune cell infiltration. In contrast, the immune cell composition in the TME may impact clinical outcomes. Infiltration by CD8+ T cells is associated with a worse prognosis in KIRC (<xref ref-type="bibr" rid="B58">58</xref>). CCR4 has been identified as a TME target for renal cancer (<xref ref-type="bibr" rid="B59">59</xref>). In the present study, we further integrated the OS data obtained from GEPIA2021 with the results of CIBERSORTx. We found a significant association between GMFB-associated immune cells and OS in patients with KIRC. A significant correlation between GMFB expression and KIRC is shown in <xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>. GMFB expression was positively correlated with macrophage M2 cells and resting mast cells but negatively associated with T follicular helper cells, Tregs, and plasma cells (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). In addition, high levels of M2 macrophages (p = 0.05) and resting mast cells (p = 0.000403) favored a better prognosis (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9B, C</bold>
</xref>), while high levels of TFH cells (p = 0.05), Tregs (p = 0.00138), and plasma cells (p = 0.00844) caused deleterious clinical outcomes in patients with KIRC (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9D&#x2013;F</bold>
</xref>). We summarized the role of <italic>Gmfb</italic> and <italic>Gmfb</italic>-related TME in KIRC in <xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10</bold>
</xref>.</p>
<fig id="f10" position="float">
<label>Figure&#xa0;10</label>
<caption>
<p>Schematic molecular mechanism of GMFB in the development of kidney renal clear cell carcinoma (KIRC). Created with <uri xlink:href="https://BioRender.com">BioRender.com</uri>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-880100-g010.tif"/>
</fig>
<p>The <italic>Gmfb</italic>-related TME in LICH was analyzed. Unexpectedly, the <italic>Gmfb</italic>-related TME in LIHC was quite different from that in KIRC (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>). Thus, we speculated that the distinct effects of <italic>Gmfb</italic> expression on the OS of LIHC and KIRC patients might be due to different immune cell infiltration.</p>
<p>This study had several limitations. The first one was mainly based on bioinformatics analysis, especially datasets from bulk RNA-seq, and lacked validation experiments with human KIRC samples. Secondly, the <italic>Gmfb</italic>-related TME also needed to be validated with human KIRC samples. The critical molecular signatures identified in KIRC merit further clinical investigation.</p>
<p>In conclusion, our study demonstrated that GMFB could be considered a novel independent prognostic biomarker for KIRC. Modulation of the TME in KIRC by GMFB intervention may represent a novel immunotherapeutic strategy for KIRC and probably improve clinical outcomes.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author Contributions</title>
<p>LL, GX, and JW conceived, developed, and mentored the project. TZ designed the study, performed the experiments, and wrote the manuscript. TW performed part of the data analysis and interpreted the experimental data. ZF performed part of the data analysis. FG, JZ, CJ, HT, JX, HC, and QO provided technical support and analyzed the data. All authors read and approved the final manuscript.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>This paper was supported by the Ministry of Science and Technology of China (2020YFA0113101), the National Natural Science Foundation of China (32070719, 81770942), and the Fundamental Research Funds for the Central Universities (22120220009).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank all members of our laboratory for many helpful discussions.</p>
</ack>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fonc.2022.880100/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fonc.2022.880100/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.zip" id="SM1" mimetype="application/zip"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siegel</surname> <given-names>RL</given-names>
</name>
<name>
<surname>Miller</surname> <given-names>KD</given-names>
</name>
<name>
<surname>Jemal</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Cancer Statistics, 2019</article-title>. <source>CA Cancer J Clin</source> (<year>2019</year>) <volume>69</volume>(<issue>1</issue>):<fpage>7</fpage>&#x2013;<lpage>34</lpage>. doi: <pub-id pub-id-type="doi">10.3322/caac.21551</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wan</surname> <given-names>P</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Decreased Expression of HADH is Related to Poor Prognosis and Immune Infiltration in Kidney Renal Clear Cell Carcinoma</article-title>. <source>Genomics</source> (<year>2021</year>) <volume>113</volume>(<issue>6</issue>):<page-range>3556&#x2013;64</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.ygeno.2021.08.008</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mitchell</surname> <given-names>TJ</given-names>
</name>
<name>
<surname>Turajlic</surname> <given-names>S</given-names>
</name>
<name>
<surname>Rowan</surname> <given-names>A</given-names>
</name>
<name>
<surname>Nicol</surname> <given-names>D</given-names>
</name>
<name>
<surname>Farmery</surname> <given-names>JHR</given-names>
</name>
<name>
<surname>O'Brien</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Timing the Landmark Events in the Evolution of Clear Cell Renal Cell Cancer: TRACERx Renal</article-title>. <source>Cell</source> (<year>2018</year>) <volume>173</volume>(<issue>3</issue>):<fpage>611</fpage>&#x2013;<lpage>23.e17</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2018.02.020</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shuch</surname> <given-names>B</given-names>
</name>
<name>
<surname>Amin</surname> <given-names>A</given-names>
</name>
<name>
<surname>Armstrong</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Eble</surname> <given-names>JN</given-names>
</name>
<name>
<surname>Ficarra</surname> <given-names>V</given-names>
</name>
<name>
<surname>Lopez-Beltran</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Understanding Pathologic Variants of Renal Cell Carcinoma: Distilling Therapeutic Opportunities From Biologic Complexity</article-title>. <source>Eur Urol</source> (<year>2015</year>) <volume>67</volume>(<issue>1</issue>):<fpage>85</fpage>&#x2013;<lpage>97</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.eururo.2014.04.029</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pena-Llopis</surname> <given-names>S</given-names>
</name>
<name>
<surname>Vega-Rub&#xed;n-de-Celis</surname> <given-names>S</given-names>
</name>
<name>
<surname>Liao</surname> <given-names>A</given-names>
</name>
<name>
<surname>Leng</surname> <given-names>N</given-names>
</name>
<name>
<surname>Pav&#xed;a-Jim&#xe9;nez</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>BAP1 Loss Defines a New Class of Renal Cell Carcinoma</article-title>. <source>Nat Genet</source> (<year>2012</year>) <volume>44</volume>(<issue>7</issue>):<page-range>751&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1038/ng.2323</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Koh</surname> <given-names>MY</given-names>
</name>
<name>
<surname>Sayegh</surname> <given-names>N</given-names>
</name>
<name>
<surname>Agarwal</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Seeing the Forest for the Trees-Single-Cell Atlases Link CD8(+) T Cells and Macrophages to Disease Progression and Treatment Response in Kidney Cancer</article-title>. <source>Cancer Cell</source> (<year>2021</year>) <volume>39</volume>(<issue>5</issue>):<page-range>594&#x2013;6</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.ccell.2021.03.008</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Braun</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Street</surname> <given-names>K</given-names>
</name>
<name>
<surname>Burke</surname> <given-names>KP</given-names>
</name>
<name>
<surname>Cookmeyer</surname> <given-names>DL</given-names>
</name>
<name>
<surname>Denize</surname> <given-names>T</given-names>
</name>
<name>
<surname>Pedersen</surname> <given-names>CB</given-names>
</name>
<etal/>
</person-group>. <article-title>Progressive Immune Dysfunction With Advancing Disease Stage in Renal Cell Carcinoma</article-title>. <source>Cancer Cell</source> (<year>2021</year>) <volume>39</volume>(<issue>5</issue>):<fpage>632</fpage>&#x2013;<lpage>48.e8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ccell.2021.02.013</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hakimi</surname> <given-names>AA</given-names>
</name>
<name>
<surname>Ostrovnaya</surname> <given-names>I</given-names>
</name>
<name>
<surname>Jacobsen</surname> <given-names>A</given-names>
</name>
<name>
<surname>Susztak</surname> <given-names>K</given-names>
</name>
<name>
<surname>Coleman</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Russo</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Validation and Genomic Interrogation of the MET Variant Rs11762213 as a Predictor of Adverse Outcomes in Clear Cell Renal Cell Carcinoma</article-title>. <source>Cancer</source> (<year>2016</year>) <volume>122</volume>(<issue>3</issue>):<page-range>402&#x2013;10</page-range>. doi: <pub-id pub-id-type="doi">10.1002/cncr.29765</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Singer</surname> <given-names>EA</given-names>
</name>
<name>
<surname>Bratslavsky</surname> <given-names>G</given-names>
</name>
<name>
<surname>Middelton</surname> <given-names>L</given-names>
</name>
<name>
<surname>Srinivasan</surname> <given-names>R</given-names>
</name>
<name>
<surname>Linehan</surname> <given-names>WM</given-names>
</name>
</person-group>. <article-title>Impact of Genetics on the Diagnosis and Treatment of Renal Cancer</article-title>. <source>Curr Urol Rep</source> (<year>2011</year>) <volume>12</volume>(<issue>1</issue>):<fpage>47</fpage>&#x2013;<lpage>55</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11934-010-0156-y</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dalgliesh</surname> <given-names>GL</given-names>
</name>
<name>
<surname>Furge</surname> <given-names>K</given-names>
</name>
<name>
<surname>Greenman</surname> <given-names>C</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Bignell</surname> <given-names>G</given-names>
</name>
<name>
<surname>Butler</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Systematic Sequencing of Renal Carcinoma Reveals Inactivation of Histone Modifying Genes</article-title>. <source>Nature</source> (<year>2010</year>) <volume>463</volume>(<issue>7279</issue>):<page-range>360&#x2013;3</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nature08672</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Martinez-Salamanca</surname> <given-names>JI</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>WC</given-names>
</name>
<name>
<surname>Mill&#xe1;n</surname> <given-names>I</given-names>
</name>
<name>
<surname>Bertini</surname> <given-names>R</given-names>
</name>
<name>
<surname>Bianco</surname> <given-names>FJ</given-names>
</name>
<name>
<surname>Carballido</surname> <given-names>JA</given-names>
</name>
<etal/>
</person-group>. <article-title>Prognostic Impact of the 2009 UICC/AJCC TNM Staging System for Renal Cell Carcinoma With Venous Extension</article-title>. <source>Eur Urol</source> (<year>2011</year>) <volume>59</volume>(<issue>1</issue>):<page-range>120&#x2013;7</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.eururo.2010.10.001</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Delahunt</surname> <given-names>B</given-names>
</name>
<name>
<surname>Dagher</surname> <given-names>J</given-names>
</name>
<name>
<surname>Egevad</surname> <given-names>L</given-names>
</name>
<name>
<surname>Yaxley</surname> <given-names>J</given-names>
</name>
<name>
<surname>Varma</surname> <given-names>M</given-names>
</name>
<name>
<surname>Samaratunga</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Is the UICC/AJCC Pt2 Staging Category for Clear Cell Renal Cell Carcinoma Meaningful</article-title>? <source>Am J Surg Pathol</source> (<year>2019</year>) <volume>43</volume>(<issue>9</issue>):<page-range>1249&#x2013;52</page-range>. doi: <pub-id pub-id-type="doi">10.1097/PAS.0000000000001308</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>D</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Ferroptosis-Related Gene CHAC1 is a Valid Indicator for the Poor Prognosis of Kidney Renal Clear Cell Carcinoma</article-title>. <source>J Cell Mol Med</source> (<year>2021</year>) <volume>25</volume>(<issue>7</issue>):<page-range>3610&#x2013;21</page-range>. doi: <pub-id pub-id-type="doi">10.1111/jcmm.16458</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Wan</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Qian</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of METTL14 in Kidney Renal Clear Cell Carcinoma Using Bioinformatics Analysis</article-title>. <source>Dis Markers</source> (<year>2019</year>) <volume>2019</volume>:<fpage>5648783</fpage>. doi: <pub-id pub-id-type="doi">10.1155/2019/5648783</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xie</surname> <given-names>L</given-names>
</name>
<name>
<surname>Li</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>X</given-names>
</name>
<name>
<surname>Dang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Autophagy-Related Gene P4HB: A Novel Diagnosis and Prognosis Marker for Kidney Renal Clear Cell Carcinoma</article-title>. <source>Aging (Albany NY)</source> (<year>2020</year>) <volume>12</volume>(<issue>2</issue>):<page-range>1828&#x2013;42</page-range>. doi: <pub-id pub-id-type="doi">10.18632/aging.102715</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname> <given-names>J</given-names>
</name>
<name>
<surname>Song</surname> <given-names>F</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>K</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>R</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Multi-Omics Analysis Reveals Epithelial-Mesenchymal Transition-Related Gene FOXM1 as a Novel Prognostic Biomarker in Clear Cell Renal Carcinoma</article-title>. <source>Aging (Albany NY)</source> (<year>2019</year>) <volume>11</volume>(<issue>22</issue>):<page-range>10316&#x2013;37</page-range>. doi: <pub-id pub-id-type="doi">10.18632/aging.102459</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Albini</surname> <given-names>A</given-names>
</name>
<name>
<surname>Sporn</surname> <given-names>MB</given-names>
</name>
</person-group>. <article-title>The Tumor Microenvironment as a Target for Chemoprevention</article-title>. <source>Nat Rev Cancer</source> (<year>2007</year>) <volume>7</volume>(<issue>2</issue>):<page-range>139&#x2013;47</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nrc2067</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Bao</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>L</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>Single-Cell Transcriptome Analysis Reveals Intratumoral Heterogeneity in ccRCC, Which Results in Different Clinical Outcomes</article-title>. <source>Mol Ther</source> (<year>2020</year>) <volume>28</volume>(<issue>7</issue>):<page-range>1658&#x2013;72</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.ymthe.2020.04.023</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Inagaki</surname> <given-names>M</given-names>
</name>
<name>
<surname>Aoyama</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sobue</surname> <given-names>K</given-names>
</name>
<name>
<surname>Yamamoto</surname> <given-names>N</given-names>
</name>
<name>
<surname>Morishima</surname> <given-names>T</given-names>
</name>
<name>
<surname>Moriyama</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Sensitive Immunoassays for Human and Rat GMFB and GMFG, Tissue Distribution and Age-Related Changes</article-title>. <source>Biochim Biophys Acta</source> (<year>2004</year>) <volume>1670</volume>(<issue>3</issue>):<page-range>208&#x2013;16</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.bbagen.2003.12.006</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zuo</surname> <given-names>P</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>T</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>F</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>The Expression of Glia Maturation Factors and the Effect of Glia Maturation Factor-Gamma on Angiogenic Sprouting in Zebrafish</article-title>. <source>Exp Cell Res</source> (<year>2013</year>) <volume>319</volume>(<issue>5</issue>):<page-range>707&#x2013;17</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.yexcr.2013.01.004</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yin</surname> <given-names>G</given-names>
</name>
<name>
<surname>Du</surname> <given-names>M</given-names>
</name>
<name>
<surname>Li</surname> <given-names>R</given-names>
</name>
<name>
<surname>Li</surname> <given-names>K</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Duan</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Glia Maturation Factor Beta is Required for Reactive Gliosis After Traumatic Brain Injury in Zebrafish</article-title>. <source>Exp Neurol</source> (<year>2018</year>) <volume>305</volume>:<page-range>129&#x2013;38</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.expneurol.2018.04.008</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zaheer</surname> <given-names>A</given-names>
</name>
<name>
<surname>Lim</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Protein Kinase A (PKA)- and Protein Kinase C-Phosphorylated Glia Maturation Factor Promotes the Catalytic Activity of PKA</article-title>. <source>J Biol Chem</source> (<year>1997</year>) <volume>272</volume>(<issue>8</issue>):<page-range>5183&#x2013;6</page-range>. doi: <pub-id pub-id-type="doi">10.1074/jbc.272.8.5183</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Werner</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Heyny-von Haussen</surname> <given-names>R</given-names>
</name>
<name>
<surname>Mall</surname> <given-names>G</given-names>
</name>
<name>
<surname>Wolf</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Proteome Analysis of Human Substantia Nigra in Parkinson's Disease</article-title>. <source>Proteome Sci</source> (<year>2008</year>) <volume>6</volume>:<fpage>8</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1477-5956-6-8</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>W</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Glia Maturation Factor Beta as a Novel Biomarker and Therapeutic Target for Hepatocellular Carcinoma</article-title>. <source>Front Oncol</source> (<year>2021</year>) <volume>11</volume>:<elocation-id>744331</elocation-id>. doi: <pub-id pub-id-type="doi">10.3389/fonc.2021.744331</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hutter</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zenklusen</surname> <given-names>JC</given-names>
</name>
</person-group>. <article-title>The Cancer Genome Atlas: Creating Lasting Value Beyond Its Data</article-title>. <source>Cell</source> (<year>2018</year>) <volume>173</volume>(<issue>2</issue>):<page-range>283&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2018.03.042</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chandrashekar</surname> <given-names>DS</given-names>
</name>
<name>
<surname>Bashel</surname> <given-names>B</given-names>
</name>
<name>
<surname>Balasubramanya</surname> <given-names>SAH</given-names>
</name>
<name>
<surname>Creighton</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Ponce-Rodriguez</surname> <given-names>I</given-names>
</name>
<name>
<surname>Chakravarthi</surname> <given-names>BVSK</given-names>
</name>
<etal/>
</person-group>. <article-title>UALCAN: A Portal for Facilitating Tumor Subgroup Gene Expression and Survival Analyses</article-title>. <source>Neoplasia</source> (<year>2017</year>) <volume>19</volume>(<issue>8</issue>):<page-range>649&#x2013;58</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.neo.2017.05.002</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thul</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Lindskog</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>The Human Protein Atlas: A Spatial Map of the Human Proteome</article-title>. <source>Protein Sci</source> (<year>2018</year>) <volume>27</volume>(<issue>1</issue>):<page-range>233&#x2013;44</page-range>. doi: <pub-id pub-id-type="doi">10.1002/pro.3307</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Li</surname> <given-names>C</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>T</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
</person-group>. <article-title>GEPIA2: An Enhanced Web Server for Large-Scale Expression Profiling and Interactive Analysis</article-title>. <source>Nucleic Acids Res</source> (<year>2019</year>) <volume>47</volume>(<issue>W1</issue>):<page-range>W556&#x2013;60</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkz430</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bu</surname> <given-names>D</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>H</given-names>
</name>
<name>
<surname>Huo</surname> <given-names>P</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>S</given-names>
</name>
<name>
<surname>He</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>KOBAS-I: Intelligent Prioritization and Exploratory Visualization of Biological Functions for Gene Enrichment Analysis</article-title>. <source>Nucleic Acids Res</source> (<year>2021</year>) <volume>49</volume>(<issue>W1</issue>):<page-range>W317&#x2013;25</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkab447</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ai</surname> <given-names>C</given-names>
</name>
<name>
<surname>Kong</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>CGPS: A Machine Learning-Based Approach Integrating Multiple Gene Set Analysis Tools for Better Prioritization of Biologically Relevant Pathways</article-title>. <source>J Genet Genomics</source> (<year>2018</year>) <volume>45</volume>(<issue>9</issue>):<fpage>489</fpage>&#x2013;<lpage>504</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jgg.2018.08.002</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Cai</surname> <given-names>T</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>KOBAS Server: A Web-Based Platform for Automated Annotation and Pathway Identification</article-title>. <source>Nucleic Acids Res</source> (<year>2006</year>) <volume>34</volume>(<issue>Web Server issue</issue>):<page-range>W720&#x2013;4</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkl167</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xie</surname> <given-names>C</given-names>
</name>
<name>
<surname>Mao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ding</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Dong</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>KOBAS 2.0: A Web Server for Annotation and Identification of Enriched Pathways and Diseases</article-title>. <source>Nucleic Acids Res</source> (<year>2011</year>) <volume>39</volume>(<issue>Web Server issue</issue>):<page-range>W316&#x2013;22</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkr483</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>The Anti-Tumor Effect of OP-B on Ovarian Cancer <italic>In Vitro</italic> and <italic>In Vivo</italic>, and its Mechanism: An Investigation Using Network Pharmacology-Based Analysis</article-title>. <source>J Ethnopharmacol</source> (<year>2021</year>) <volume>p</volume>:<fpage>114706</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jep.2021.114706</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>B</given-names>
</name>
<name>
<surname>Pache</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>M</given-names>
</name>
<name>
<surname>Khodabakhshi</surname> <given-names>AH</given-names>
</name>
<name>
<surname>Tanaseichuk</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Metascape Provides a Biologist-Oriented Resource for the Analysis of Systems-Level Datasets</article-title>. <source>Nat Commun</source> (<year>2019</year>) <volume>10</volume>(<issue>1</issue>):<fpage>1523</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-019-09234-6</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>B</given-names>
</name>
<name>
<surname>Khodadoust</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Newman</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Alizadeh</surname> <given-names>AA</given-names>
</name>
</person-group>. <article-title>Profiling Tumor Infiltrating Immune Cells With CIBERSORT</article-title>. <source>Methods Mol Biol</source> (<year>2018</year>) <volume>1711</volume>:<page-range>243&#x2013;59</page-range>. doi: <pub-id pub-id-type="doi">10.1007/978-1-4939-7493-1_12</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Newman</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Green</surname> <given-names>MR</given-names>
</name>
<name>
<surname>Gentles</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>W</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Robust Enumeration of Cell Subsets From Tissue Expression Profiles</article-title>. <source>Nat Methods</source> (<year>2015</year>) <volume>12</volume>(<issue>5</issue>):<page-range>453&#x2013;7</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nmeth.3337</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>C</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>GEPIA2021: Integrating Multiple Deconvolution-Based Analysis Into GEPIA</article-title>. <source>Nucleic Acids Res</source> (<year>2021</year>) <volume>49</volume>(<issue>W1</issue>):<page-range>W242&#x2013;6</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkab418</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Szklarczyk</surname> <given-names>D</given-names>
</name>
<name>
<surname>Gable</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Lyon</surname> <given-names>D</given-names>
</name>
<name>
<surname>Junge</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wyder</surname> <given-names>S</given-names>
</name>
<name>
<surname>Huerta-Cepas</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>STRING V11: Protein-Protein Association Networks With Increased Coverage, Supporting Functional Discovery in Genome-Wide Experimental Datasets</article-title>. <source>Nucleic Acids Res</source> (<year>2019</year>) <volume>47</volume>(<issue>D1</issue>):<page-range>D607&#x2013;13</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gky1131</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chin</surname> <given-names>CH</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>SH</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>CW</given-names>
</name>
<name>
<surname>Ko</surname> <given-names>MT</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>CY</given-names>
</name>
</person-group>. <article-title>Cytohubba: Identifying Hub Objects and Sub-Networks From Complex Interactome</article-title>. <source>BMC Syst Biol</source> (<year>2014</year>) <volume>8 Suppl 4</volume>:<fpage>S11</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1752-0509-8-S4-S11</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shannon</surname> <given-names>P</given-names>
</name>
<name>
<surname>Markiel</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ozier</surname> <given-names>O</given-names>
</name>
<name>
<surname>Baliga</surname> <given-names>NS</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>JT</given-names>
</name>
<name>
<surname>Ramage</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Cytoscape: A Software Environment for Integrated Models of Biomolecular Interaction Networks</article-title>. <source>Genome Res</source> (<year>2003</year>) <volume>13</volume>(<issue>11</issue>):<page-range>2498&#x2013;504</page-range>. doi: <pub-id pub-id-type="doi">10.1101/gr.1239303</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kaji</surname> <given-names>N</given-names>
</name>
<name>
<surname>Ohashi</surname> <given-names>K</given-names>
</name>
<name>
<surname>Shuin</surname> <given-names>M</given-names>
</name>
<name>
<surname>Niwa</surname> <given-names>R</given-names>
</name>
<name>
<surname>Uemura</surname> <given-names>T</given-names>
</name>
<name>
<surname>Mizuno</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Cell Cycle-Associated Changes in Slingshot Phosphatase Activity and Roles in Cytokinesis in Animal Cells</article-title>. <source>J Biol Chem</source> (<year>2003</year>) <volume>278</volume>(<issue>35</issue>):<page-range>33450&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1074/jbc.M305802200</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jonasch</surname> <given-names>E</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Rathmell</surname> <given-names>WK</given-names>
</name>
</person-group>. <article-title>Renal Cell Carcinoma</article-title>. <source>BMJ</source> (<year>2014</year>) <volume>349</volume>:<fpage>g4797</fpage>. doi: <pub-id pub-id-type="doi">10.1136/bmj.g4797</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kuang</surname> <given-names>XY</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Cui</surname> <given-names>W</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>XF</given-names>
</name>
</person-group>. <article-title>Association of GMF-Beta Expression With Ki-67 and its Significance in the Prognostic Evaluation of Astrocytoma</article-title>. <source>Zhonghua Bing Li Xue Za Zhi</source> (<year>2021</year>) <volume>50</volume>(<issue>11</issue>):<page-range>1252&#x2013;6</page-range>. doi: <pub-id pub-id-type="doi">10.3760/cma.j.cn112151-20210627-00459</pub-id>
</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>YL</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>F</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>XD</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>CY</given-names>
</name>
<name>
<surname>L&#xfc;</surname> <given-names>WG</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of Glia Maturation Factor Beta as an Independent Prognostic Predictor for Serous Ovarian Cancer</article-title>. <source>Eur J Cancer</source> (<year>2010</year>) <volume>46</volume>(<issue>11</issue>):<page-range>2104&#x2013;18</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.ejca.2010.04.015</pub-id>
</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garcia-Martinez</surname> <given-names>T</given-names>
</name>
<name>
<surname>Vendrell-Flotats</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Rodero</surname> <given-names>I</given-names>
</name>
<name>
<surname>Ord&#xf3;&#xf1;ez-Le&#xf3;n</surname> <given-names>EA</given-names>
</name>
<name>
<surname>&#xc1;lvarez-Rodr&#xed;guez</surname> <given-names>M</given-names>
</name>
<name>
<surname>L&#xf3;pez-B&#xe9;jar</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Glutathione Ethyl Ester Protects <italic>In Vitro-</italic>Maturing Bovine Oocytes Against Oxidative Stress Induced by Subsequent Vitrification/Warming</article-title>. <source>Int J Mol Sci</source> (<year>2020</year>) <volume>21</volume>(<issue>20</issue>):<fpage>7547</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms21207547</pub-id>
</citation>
</ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sheffer</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lowry</surname> <given-names>E</given-names>
</name>
<name>
<surname>Beelen</surname> <given-names>N</given-names>
</name>
<name>
<surname>Borah</surname> <given-names>M</given-names>
</name>
<name>
<surname>Amara</surname> <given-names>SN</given-names>
</name>
<name>
<surname>Mader</surname> <given-names>CC</given-names>
</name>
<etal/>
</person-group>. <article-title>Genome-Scale Screens Identify Factors Regulating Tumor Cell Responses to Natural Killer Cells</article-title>. <source>Nat Genet</source> (<year>2021</year>) <volume>53</volume>(<issue>8</issue>):<page-range>1196&#x2013;206</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41588-021-00889-w</pub-id>
</citation>
</ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lu</surname> <given-names>T</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Pan</surname> <given-names>M</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>TBC1D14 Inhibits Autophagy to Suppress Lymph Node Metastasis in Head and Neck Squamous Cell Carcinoma by Downregulating Macrophage Erythroblast Attacher</article-title>. <source>Int J Biol Sci</source> (<year>2022</year>) <volume>18</volume>(<issue>5</issue>):<page-range>1795&#x2013;812</page-range>. doi: <pub-id pub-id-type="doi">10.7150/ijbs.68992</pub-id>
</citation>
</ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>N</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kuang</surname> <given-names>D</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Duan</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Xia</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Lactate Inhibits ATP6V0d2 Expression in Tumor-Associated Macrophages to Promote HIF-2alpha-Mediated Tumor Progression</article-title>. <source>J Clin Invest</source> (<year>2019</year>) <volume>129</volume>(<issue>2</issue>):<page-range>631&#x2013;46</page-range>. doi: <pub-id pub-id-type="doi">10.1172/JCI123027</pub-id>
</citation>
</ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Murakami</surname> <given-names>T</given-names>
</name>
<name>
<surname>Sano</surname> <given-names>F</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Komiya</surname> <given-names>A</given-names>
</name>
<name>
<surname>Baba</surname> <given-names>M</given-names>
</name>
<name>
<surname>Osada</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification and Characterization of Birt-Hogg-Dube Associated Renal Carcinoma</article-title>. <source>J Pathol</source> (<year>2007</year>) <volume>211</volume>(<issue>5</issue>):<page-range>524&#x2013;31</page-range>. doi: <pub-id pub-id-type="doi">10.1002/path.2139</pub-id>
</citation>
</ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tarabay</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Abol-Enein</surname> <given-names>H</given-names>
</name>
<name>
<surname>Awadalla</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mortada</surname> <given-names>WI</given-names>
</name>
<name>
<surname>Abdel-Aziz</surname> <given-names>AF</given-names>
</name>
</person-group>. <article-title>Gene Expression and Oxidative Stress Markers Profile Associated With Toxic Metals in Patients With Renal Cell Carcinoma</article-title>. <source>Mol Biol Rep</source> (<year>2022</year>) <volume>49</volume>(<issue>2</issue>):<page-range>1161&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1007/s11033-021-06944-3</pub-id>
</citation>
</ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ishii</surname> <given-names>K</given-names>
</name>
<name>
<surname>Usui</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yamamoto</surname> <given-names>H</given-names>
</name>
<name>
<surname>Sugimura</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Tatematsu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Hirano</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Decreases of Metallothionein and Aminopeptidase N in Renal Cancer Tissues</article-title>. <source>J Biochem</source> (<year>2001</year>) <volume>129</volume>(<issue>2</issue>):<page-range>253&#x2013;8</page-range>. doi: <pub-id pub-id-type="doi">10.1093/oxfordjournals.jbchem.a002852</pub-id>
</citation>
</ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Truong</surname> <given-names>LD</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>SS</given-names>
</name>
</person-group>. <article-title>Immunohistochemical Diagnosis of Renal Neoplasms</article-title>. <source>Arch Pathol Lab Med</source> (<year>2011</year>) <volume>135</volume>(<issue>1</issue>):<fpage>92</fpage>&#x2013;<lpage>109</lpage>. doi: <pub-id pub-id-type="doi">10.5858/2010-0478-RAR.1</pub-id>
</citation>
</ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Williamson</surname> <given-names>SR</given-names>
</name>
<name>
<surname>Gadde</surname> <given-names>R</given-names>
</name>
<name>
<surname>Trpkov</surname> <given-names>K</given-names>
</name>
<name>
<surname>Hirsch</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Srigley</surname> <given-names>JR</given-names>
</name>
<name>
<surname>Reuter</surname> <given-names>VE</given-names>
</name>
<etal/>
</person-group>. <article-title>Diagnostic Criteria for Oncocytic Renal Neoplasms: A Survey of Urologic Pathologists</article-title>. <source>Hum Pathol</source> (<year>2017</year>) <volume>63</volume>:<page-range>149&#x2013;56</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.humpath.2017.03.004</pub-id>
</citation>
</ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stepan</surname> <given-names>AE</given-names>
</name>
<name>
<surname>M&#x103;rg&#x10d;ritescu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Stoica</surname> <given-names>LE</given-names>
</name>
<name>
<surname>Stepan</surname> <given-names>MD</given-names>
</name>
<name>
<surname>Simionescu</surname> <given-names>CE</given-names>
</name>
</person-group>. <article-title>Clear Cell Renal Cell Carcinomas - Epithelial and Mesenchymal Immunophenotype</article-title>. <source>Rom J Morphol Embryol</source> (<year>2018</year>) <volume>59</volume>(<issue>4</issue>):<page-range>1189&#x2013;94</page-range>.</citation>
</ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Goni</surname> <given-names>J</given-names>
</name>
<name>
<surname>Esteban</surname> <given-names>FJ</given-names>
</name>
<name>
<surname>de Mendiz&#xe1;bal</surname> <given-names>NV</given-names>
</name>
<name>
<surname>Sepulcre</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ardanza-Trevijano</surname> <given-names>S</given-names>
</name>
<name>
<surname>Agirrezabal</surname> <given-names>I</given-names>
</name>
<etal/>
</person-group>. <article-title>A Computational Analysis of Protein-Protein Interaction Networks in Neurodegenerative Diseases</article-title>. <source>BMC Syst Biol</source> (<year>2008</year>) <volume>2</volume>:<fpage>52</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1752-0509-2-52</pub-id>
</citation>
</ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Grivennikov</surname> <given-names>SI</given-names>
</name>
<name>
<surname>Greten</surname> <given-names>FR</given-names>
</name>
<name>
<surname>Karin</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Immunity, Inflammation, and Cancer</article-title>. <source>Cell</source> (<year>2010</year>) <volume>140</volume>(<issue>6</issue>):<page-range>883&#x2013;99</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2010.01.025</pub-id>
</citation>
</ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Narayanan</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Mannan</surname> <given-names>R</given-names>
</name>
<name>
<surname>Raskind</surname> <given-names>G</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Vats</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Single-Cell Analyses of Renal Cell Cancers Reveal Insights Into Tumor Microenvironment, Cell of Origin, and Therapy Response</article-title>. <source>Proc Natl Acad Sci U S A</source> (<year>2021</year>) <volume>118</volume>(<issue>24</issue>):<elocation-id>e2103240118</elocation-id>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2103240118</pub-id>
</citation>
</ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Giraldo</surname> <given-names>NA</given-names>
</name>
<name>
<surname>Becht</surname> <given-names>E</given-names>
</name>
<name>
<surname>Vano</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Petitprez</surname> <given-names>F</given-names>
</name>
<name>
<surname>Lacroix</surname> <given-names>L</given-names>
</name>
<name>
<surname>Validire</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Tumor-Infiltrating and Peripheral Blood T-Cell Immunophenotypes Predict Early Relapse in Localized Clear Cell Renal Cell Carcinoma</article-title>. <source>Clin Cancer Res</source> (<year>2017</year>) <volume>23</volume>(<issue>15</issue>):<page-range>4416&#x2013;28</page-range>. doi: <pub-id pub-id-type="doi">10.1158/1078-0432.CCR-16-2848</pub-id>
</citation>
</ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Berlato</surname> <given-names>C</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>MN</given-names>
</name>
<name>
<surname>Schioppa</surname> <given-names>T</given-names>
</name>
<name>
<surname>Thompson</surname> <given-names>R</given-names>
</name>
<name>
<surname>Maniati</surname> <given-names>E</given-names>
</name>
<name>
<surname>Montfort</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>A CCR4 Antagonist Reverses the Tumor-Promoting Microenvironment of Renal Cancer</article-title>. <source>J Clin Invest</source> (<year>2017</year>) <volume>127</volume>(<issue>3</issue>):<page-range>801&#x2013;13</page-range>. doi: <pub-id pub-id-type="doi">10.1172/JCI82976</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>