Nucleo-mitochondrial asymmetry profiles the proliferative engine and spatial niche reconstruction in clear cell renal cell carcinoma
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By
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Shansen Peng
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Zhouzhou Xie
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Ting Hu
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Xia Li
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Chunmei Yan
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Chuyang Jiang
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Huiming Jiang
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Guihao Zhang
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Nanhui Chen
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June 12, 2026
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Clinical Scorecard: Nucleo-Mitochondrial Expression Asymmetry Influences Proliferation and Spatial Niche Dynamics in Clear Cell Renal Cell Carcinoma
At a Glance
| Category | Detail |
| Condition | Clear Cell Renal Cell Carcinoma (ccRCC) |
| Key Mechanisms | Nucleo-mitochondrial expression asymmetry (NMA) characterized by dysregulated mitochondrial DNA expression relative to nuclear genome. |
| Target Population | Patients with clear cell renal cell carcinoma. |
| Care Setting | Clinical oncology and research settings. |
Key Highlights
- NMA identified as a hallmark of ccRCC progression and spatial niche reconstruction.
- Unique malignant subpopulation (C0) characterized by high ribosomal activity and metabolic hub function.
- MT-CO1 protein levels correlate with proliferation marker Ki67 and overall survival.
Guideline-Based Recommendations
Diagnosis
- Utilize multi-omics approaches including scRNA-seq and stRNA-seq for characterizing ccRCC.
Management
- Consider MT-CO1 as a histological proxy for assessing mitochondrial activity and prognosis.
Monitoring & Follow-up
- Monitor NMA-driven niches for changes in tumor dynamics and therapeutic resistance.
Risks
- Increased risk of therapeutic resistance and metastasis associated with NMA-driven subpopulations.
Patient & Prescribing Data
Patients diagnosed with clear cell renal cell carcinoma.
NMA may inform metabolic risk stratification and therapeutic targeting.
Clinical Best Practices
- Integrate multi-omics data for comprehensive tumor characterization.
- Validate findings with independent patient cohorts to ensure clinical relevance.
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