Evidence map›Paper›PMID 24632615›Full record

ArticleOncogene2015

PCK2 activation mediates an adaptive response to glucose depletion in lung cancer.

K Leithner, A Hrzenjak, M Trötzmüller, T Moustafa, H C Köfeler, C Wohlkoenig, E Stacher, J Lindenmann, A L Harris, A Olschewski and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 206 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
  6. Review
  7. Glucose and Lactate, Starters or Intermediates of Cancer Metabolic Rewiring.Advances in experimental medicine and biology · 2026
    Review
  8. Cancer biology & therapy · 2025
    Article
  9. Metabolic adaptation of glucose-deprived macrophages involves partial gluconeogenesis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Article
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61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

K LeithnerDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
A Hrzenjak1] Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria [2] Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria.
M TrötzmüllerCore Facility Mass Spectrometry and Lipidomics, Center for Medical Research, Medical University of Graz, Graz, Austria.
T MoustafaInstitute of Molecular Biosciences, Karl Franzens University, Graz, Austria.
H C KöfelerCore Facility Mass Spectrometry and Lipidomics, Center for Medical Research, Medical University of Graz, Graz, Austria.
C WohlkoenigDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
E StacherInstitute of Pathology, Medical University of Graz, Graz, Austria.
J LindenmannDivision of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
A L HarrisWeatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
A Olschewski1] Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria [2] Experimental Anesthesiology, University Clinic for Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
H OlschewskiDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATUniversity of Graz · ATUniversity of Oxford · GB

Funding

Cancer Research UK 11359
6 · The paper itself

Abstract

Cancer cells are reprogrammed to utilize glycolysis at high rates, which provides metabolic precursors for cell growth. Consequently, glucose levels may decrease substantially in underperfused tumor areas. Gluconeogenesis results in the generation of glucose from smaller carbon substrates such as lactate and amino acids. The key gluconeogenic enzyme, phosphoenolpyruvate carboxykinase (PEPCK), has been shown to provide metabolites for cell growth. Still, the role of gluconeogenesis in cancer is unknown. Here we show that the mitochondrial isoform of PEPCK (PCK2) is expressed and active in three lung cancer cell lines and in non-small cell lung cancer samples. PCK2 expression and activity were enhanced under low-glucose conditions. PEPCK activity was elevated threefold in lung cancer samples over normal lungs. To track the conversion of metabolites along the gluconeogenesis pathway, lung cancer cell lines were incubated with (13)C₃-lactate and label enrichment in the phosphoenolpyruvate (PEP) pool was measured. Under low glucose, all three carbons from (13)C₃-lactate appeared in the PEP pool, further supporting a conversion of lactate to pyruvate, via pyruvate carboxylase to oxaloacetate, and via PCK2 to phosphoenolpyruvate. PCK2 small interfering RNA and the pharmacological PEPCK inhibitor 3-mercaptopicolinate significantly enhanced glucose depletion-induced apoptosis in A549 and H23 cells, but not in H1299 cells. The growth of H23 multicellular spheroids was significantly reduced by 3-mercaptopicolinate. The results of this study suggest that lung cancer cells may utilize at least some steps of gluconeogenesis to overcome the detrimental metabolic situation during glucose deprivation and that in human lung cancers this pathway is activated in vivo.

Indexed as

Adaptation, PhysiologicalAMP-Activated Protein Kinase KinasesCarcinoma, Non-Small-Cell LungDose-Response Relationship, DrugGluconeogenesisGlucoseHumansLung NeoplasmsPhosphoenolpyruvate Carboxykinase (ATP)Protein Serine-Threonine KinasesProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras ProteinsTumor Cells, CulturedTumor Suppressor Protein p53AMP-Activated Protein Kinase KinasesGlucoseKRAS protein, humanPCK2 protein, humanPhosphoenolpyruvate Carboxykinase (ATP)Protein Serine-Threonine KinasesProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras ProteinsSTK11 protein, humanTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID24632615
OpenAlexW1986991123

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.