Comparative transcriptome atlas as an assistive modality for complex classification of rare kidney cancers
There is a great unmet medical need for development of molecularly characterizing modalities to assist in the complex classification of rare kidney cancers, some of which are diagnosed as unclassified renal cell carcinoma (unclassified RCC) due to complex histology. Here we show utility of the comparative transcriptome atlas as an assistive modality for complex classification of rare kidney cancers. Whereas whole genome sequencing (WGS) of 52 rare kidney cancers identifies very few clinically significant variants in a subset of cases, unsupervised clustering results of RNA-seq data from 219 renal tumors including 140 rare kidney cancers are largely consistent with the histological classification based on WHO2022 classification. Additionally, the comparative transcriptome atlas may provide an opportunity to define the molecular characteristics of unclassified RCC and might predict patient outcome. These findings support the comparative transcriptome atlas as an assistive modality for complex classification of rare kidney cancers.
Authors
- Mitsuko Furuya (ORCID: https://orcid.org/0000-0002-6220-8179)
- Shinji Ohtake (ORCID: https://orcid.org/0000-0003-3532-1034)
- Yukihide Momozawa (ORCID: https://orcid.org/0000-0001-5638-3504)
- Hajime Sasagawa (ORCID: https://orcid.org/0000-0001-6538-4955)
- Hwajin Lee (ORCID: https://orcid.org/0000-0001-7122-5256)
- Kentaro Muraoka (ORCID: https://orcid.org/0000-0001-6055-1857)
- Takehiko Ogawa (ORCID: https://orcid.org/0000-0002-1422-0317)
- Kazuhiro Maejima
- Takashi Kawahara (ORCID: https://orcid.org/0000-0002-7049-3379)
- Tomonori Habuchi (ORCID: https://orcid.org/0000-0003-0998-4432)
- Yuji Miura (ORCID: https://orcid.org/0000-0002-7091-628X)
- Haruka Hamanoue (ORCID: https://orcid.org/0000-0002-6008-4002)
- Yusuke Ito (ORCID: https://orcid.org/0000-0002-3239-1152)
- Mitsuru Komeya (ORCID: https://orcid.org/0000-0002-0744-7492)
- Kazuyuki Numakura
- Todd A. Johnson (ORCID: https://orcid.org/0000-0003-3377-6692)
- Shota Sasagawa
- Brian Shuch (ORCID: https://orcid.org/0000-0003-2065-3570)
- Shigekatsu Maekawa (ORCID: https://orcid.org/0000-0003-4620-2831)
- Toyonori Tsuzuki (ORCID: https://orcid.org/0000-0002-4855-4366)
- Yoji Nagashima (ORCID: https://orcid.org/0000-0002-6536-648X)
- Hiroki Ito (ORCID: https://orcid.org/0000-0002-4433-370X)
- Go Kimura (ORCID: https://orcid.org/0000-0003-0088-9324)
- Wataru Obara (ORCID: https://orcid.org/0000-0003-2720-9640)
- Hisashi Hasumi (ORCID: https://orcid.org/0000-0001-8211-8835)
- Yasuhiro Iribe
- Ryosuke Jikuya (ORCID: https://orcid.org/0000-0002-3446-6293)
- Kazuhide Makiyama (ORCID: https://orcid.org/0000-0002-7449-2015)
- Akira Nishiyama (ORCID: https://orcid.org/0000-0002-8802-3770)
- Go Noguchi (ORCID: https://orcid.org/0000-0003-4360-0391)
- Toshio Suda (ORCID: https://orcid.org/0000-0001-7540-1771)
- Masahiro Yao
- Tomoyuki Tatenuma (ORCID: https://orcid.org/0000-0002-1908-4975)
- Masaya Baba (ORCID: https://orcid.org/0000-0002-5308-6683)
- Taku Mitome (ORCID: https://orcid.org/0000-0002-0959-7312)
- Kota Aomori
- Daiki Ueno (ORCID: https://orcid.org/0009-0002-3574-4264)
- Erika Muraoka
- Takanori Hasegawa (ORCID: https://orcid.org/0000-0001-7251-9950)
- Yuki Kanazashi
- Sachi Kawaura
- Hidewaki Nakagawa (ORCID: https://orcid.org/0000-0003-1807-772X)
- Ikuma Kato (ORCID: https://orcid.org/0000-0002-7731-9509)
- Woojeung Song (ORCID: https://orcid.org/0000-0003-2324-0157)
- Laura S. Schmidt (ORCID: https://orcid.org/0000-0002-5050-5491)
- Christopher J. Ricketts (ORCID: https://orcid.org/0000-0003-4814-7207)
- Seiya Imoto (ORCID: https://orcid.org/0000-0002-2989-308X)
- Tomohiko Tamura (ORCID: https://orcid.org/0000-0002-9664-1747)
- Satoshi Fujii
- Tatsuhiko Kodama (ORCID: https://orcid.org/0000-0003-3747-7956)
- W. Marston Linehan (ORCID: https://orcid.org/0000-0001-7983-3109)
- Hiroji Uemura
- Hirotaka Nagasaka
Institutions
- National Institutes of Health (US)
- Iwate Medical University (JP)
- Akita University (JP)
- UCLA Health (US)
- Kyung Hee University (KR)
- Tokyo Metropolitan Institute of Medical Science (JP)
- Aichi Medical University Hospital (JP)
- Frederick National Laboratory for Cancer Research (US)
- Tokyo Women's Medical University (JP)
- The Cancer Institute Hospital (JP)
- National Cancer Institute (US)
- Hokkaido University Hospital (JP)
- Center for Cancer Research (US)
- RIKEN Center for Integrative Medical Sciences (JP)
- Japanese Foundation For Cancer Research (JP)
- The University of Tokyo (JP)
- Nippon Medical School (JP)
- Yokohama City University (JP)
- Kumamoto University (JP)
Publication Details
- Journal
- Nature Communications
- Published
- 2025-11-24
- DOI
- https://doi.org/10.1038/s41467-025-65303-z
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Health and Human Services
- Frederick National Laboratory for Cancer Research
- Nippon Shinyaku
- National Institutes of Health
- Japan Society for the Promotion of Science
- National Cancer Institute