Adrenal disease

PDZ-binding Kinase (PBK) as a Potential Biomarker and Therapeutic Target for Metastatic Pheochromocytomas and Paragangliomas

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

PBK serves as a novel metastasis-related biomarker and a promising therapeutic target in PPGLs. Incorporation of the PBK index into risk models may refine metastasis prediction.

Study context

Population
Patients with PPGL in public transcriptome datasets and clinical cohorts; PC-12 cells in vitro
Outcome
PBK and metastasis in PPGL
Methodological detailsbioinformatic analyses of public transcriptomes, validation in clinical PPGL cohorts, multivariate logistic regression, in vitro assays in PC-12 cells
  • Bioinformatic analyses of public transcriptomes
  • Validation in clinical PPGL cohorts
  • Multivariate logistic regression
  • In vitro assays in PC-12 cells

Main finding

As reported in the abstract

PBK index independent predictor of metastasis after adjustment for established risk factors (OR)

1.40

P = .016

PBK index ≥ 3% combined with established predictors, AUC

0.951

Further findings

In vitro effects of PBK silencing in PC-12 cells

PBK silencing significantly impaired cell viability, with S phase arrest and upregulation of p53 and p21
PBK silencing suppressed migration and invasion by downregulating matrix metalloproteinase 2/9, disrupting epithelial-mesenchymal transition and MAPK, Rap1 and TGF-β signaling

Original publication

PBK as a Potential Biomarker and Therapeutic Target for Metastatic Pheochromocytomas and Paragangliomas. J Clin Endocrinol Metab. Published 25 October 2025. doi:10.1210/clinem/dgaf575

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