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ORIGINAL RESEARCH article

Front. Genet.

Sec. Cancer Genetics and Oncogenomics

This article is part of the Research TopicUnraveling Renal Cell Carcinoma: Pathogenesis, Therapeutic Strategies, and Future PerspectivesView all articles

Mechanistic Study of TFE3 Breakage in TFE3-Rearranged Renal Cell Carcinoma: The Perspective of Non-canonical DNA Structures and Their Stability

Provisionally accepted
Xiaopo  ZhangXiaopo Zhang1Qinshuang  DangQinshuang Dang2Xinghe  PanXinghe Pan2Zhenggen  DengZhenggen Deng3Yanhao  XuYanhao Xu3Weidong  GanWeidong Gan1,2,3*Hong  Qian GuoHong Qian Guo3
  • 1Department of Urology, Nanjing Drum Tower Hospital, Nanjing Drum Tower Hospital Clinical College, Nanjing Medical University, Nanjing 210000, China, Nanjing Medical University, Nanjing, China
  • 2Department of Urology, Nanjing Drum Tower Hospital, Nanjing Drum Tower Hospital Clinical College, Nanjing University of Chinese Medicine, Nanjing 210000, China, Nanjing University of Chinese Medicine, Nanjing, China
  • 3Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210000, China, Nanjing University, Nanjing, China

The final, formatted version of the article will be published soon.

To address the unelucidated mechanisms of breakpoint formation in TFE3-rearranged renal cell carcinoma (TFE3-rRCC), this study characterizes breakpoint distribution within the TFE3 gene. We further explore how non-canonical DNA structures and their thermodynamic stability fluctuation may act as predisposing factors for the genomic instability driving these characteristic translocations. TFE3 breakpoints were identified in a cohort of 31 TFE3-rRCC tumor samples. The chi-square test was used to assess the statistical significance of breakpoint clustering. To investigate potential structural determinants, we predicted the distribution of G-quadruplex-forming sequences and palindromic motifs. Moving beyond simple motif density, we calculated the local Gibbs free energy changes (ΔG) associated with DNA secondary structures using Mfold and RNAfold to model thermodynamic stability across the TFE3 gene. This thermodynamic stability fluctuation was quantified as the maximum absolute local change in folding free energy (|dΔG|). Finally, this correlation between thermodynamic stability fluctuation and breakpoint location was validated by analyzing the 13 most frequently rearranged genes reported in the COSMIC database. A significant breakpoint cluster was identified within intron 5 of TFE3, containing 23 of 31 breakpoints (74.19%; chi-square test, P < 0.05). While the simple density of G-quadruplex or palindromic motifs did not directly correlate with breakpoint locations, a strong association with local thermodynamic stability fluctuation was observed. The region within intron 5 exhibited the highest thermodynamic stability fluctuation. This result suggests that regions of high thermodynamic stability fluctuation are correlated with increased susceptibility to DNA breakage. This finding was corroborated in the COSMIC dataset, where breakpoints in 12 of the 13 most frequently rearranged genes were similarly located near peaks of high |dΔG|. Our findings indicate that breakpoint events in TFE3-rRCC are non-randomly clustered within intron 5. This clustering correlates strongly with regions characterized by high thermodynamic stability fluctuation (|dΔG|) of potential non-canonical DNA secondary structures. The principle that elevated local thermodynamic stability fluctuation is a feature of breakpoint locations was supported by analysis of a broader set of oncogenes, suggesting that high local thermodynamic stability fluctuation is a common feature of translocation-prone regions in cancer, representing a plausible, though not proven, contributor to genomic fragility.

Keywords: TFE3-rearranged renal cell carcinoma, Chromosome breakpoint, Non-canonical DNAstructure, Gibbs free energy, genome instability

Received: 28 Aug 2025; Accepted: 13 Nov 2025.

Copyright: © 2025 Zhang, Dang, Pan, Deng, Xu, Gan and Guo. 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) or licensor 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.

* Correspondence: Weidong Gan, gwd@nju.edu.cn

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