Single‐Cell Analysis Reveals that Vitamin C Inhibits Bone Metastasis of Renal Cancer via Cell Cycle Arrest and Microenvironment Remodeling
Bone metastasis is the second most common site of distant metastatic spread in renal cell carcinoma (RCC) patients, significantly contributing to cancer-related mortality. The metastatic process is driven by both intrinsic tumor cell properties, such as cancer stem cell-like characteristics, and the bone microenvironment. Understanding the complex interactions between cancer cells and their niche is crucial for identifying therapeutic targets to eliminate metastasis-initiating cells and prevent overt metastasis. In this study, a murine bone metastasis model is developed using renal cancer cells derived from fibrin gel-induced 3D tumor spheres, which exhibit stem-like phenotypes. It is found that a stable form of vitamin C, L-ascorbic acid 2-phosphate sesquimagnesium (APM), significantly inhibits the growth of renal cancer stem-like cells in vitro and the progression of RCC bone metastasis in vivo. Single-cell RNA sequencing revealed that APM induces cell cycle arrest and reduces the metastatic potential of cancer cells. Furthermore, APM remodels the tumor microenvironment by suppressing osteoclast differentiation and neutrophil recruitment. Combining APM with a CXCR2 antagonist, SB225002, further inhibits bone metastasis progression. This study provides a high-resolution profile of vitamin C's antitumor effects in the bone metastatic microenvironment and supports the rationale for clinical trials of vitamin C in bone metastatic RCC.
Authors
- Yue Shi (ORCID: https://orcid.org/0000-0002-3352-9045)
- Yuanyuan Ma (ORCID: https://orcid.org/0000-0001-5384-2664)
- Weimin Ci (ORCID: https://orcid.org/0000-0002-4111-5360)
- Ninghan Feng (ORCID: https://orcid.org/0000-0002-0892-6102)
- Liqun Zhou (ORCID: https://orcid.org/0000-0002-3561-7495)
- Jie Qi (ORCID: https://orcid.org/0000-0001-9636-755X)
- Yanqing Gong (ORCID: https://orcid.org/0000-0003-0410-6489)
- Gang Lin (ORCID: https://orcid.org/0000-0003-3789-9753)
- Shiming He (ORCID: https://orcid.org/0000-0002-7697-9337)
- Ping Wang (ORCID: https://orcid.org/0000-0001-6474-2722)
- Qi Zhang (ORCID: https://orcid.org/0009-0009-8777-8264)
- Yuan Liang (ORCID: https://orcid.org/0000-0002-1861-4479)
- Mei Zhang (ORCID: https://orcid.org/0000-0001-7705-1090)
- Juan Li (ORCID: https://orcid.org/0000-0001-8320-2406)
- Xuesong Li (ORCID: https://orcid.org/0000-0002-5373-7941)
- Yang Wang (ORCID: https://orcid.org/0000-0002-0535-2414)
- Jianye Zhang
- Ying Wang (ORCID: https://orcid.org/0000-0002-2571-9367)
Institutions
- Chinese Academy of Sciences (CN)
- Peking University (CN)
- Beijing Institute of Genomics (CN)
- Chinese PLA General Hospital (CN)
- Wuxi No.2 People's Hospital (CN)
- Peking University First Hospital (CN)
- First Affiliated Hospital of Henan University (CN)
- Shanghai Center For Bioinformation Technology (CN)
- Nanjing Medical University (CN)
Publication Details
- Journal
- Advanced Science
- Published
- 2025-05-28
- DOI
- https://doi.org/10.1002/advs.202501011
- Citations
- 3
- Primary Topic
- Vitamin D Research Studies
- Type
- article
- Field-Weighted Citation Impact
- 4.41
Funders
- Peking University First Hospital
- National Natural Science Foundation of China
- Natural Science Foundation of Beijing Municipality
- Peking University
- Capital Health Research and Development of Special Fund