Evidence map›Paper›PMID 28538732›Full record

ArticleNature2017

CPS1 maintains pyrimidine pools and DNA synthesis in KRAS/LKB1-mutant lung cancer cells.

Jiyeon Kim, Zeping Hu, Ling Cai, Kailong Li, Eunhee Choi, Brandon Faubert, Divya Bezwada, Jaime Rodriguez-Canales, Pamela Villalobos, Yu-Fen Lin and 16 more

Erratum issuedAbstract read
In one paragraph

Article in Nature, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 230 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 1% 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

230 citing papers in PubMed, 1 synthesis or guideline pooled it, 306 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Lung cancer metabolism: a dynamic and adaptive network.Cellular and molecular life sciences : CMLS · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Cancers · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. The Role of Urea Cycle Functional Studies in Preclinical Research.Journal of inherited metabolic disease · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Nitrogen Isotope Effects in Urea Metabolism: From Biochemistry toInternational journal of molecular sciences · 2026
    Review

170 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 7 institutions in 2 countries.

Jiyeon KimChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Zeping HuChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Ling CaiChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Kailong LiChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Eunhee ChoiDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Brandon FaubertChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Divya BezwadaChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Jaime Rodriguez-CanalesDepartment of Translational Molecular Pathology, University of Texas MD Anderson Cancer Center, 2130 West Holcombe Boulevard, Houston, Texas 77030, USA.
Pamela VillalobosDepartment of Translational Molecular Pathology, University of Texas MD Anderson Cancer Center, 2130 West Holcombe Boulevard, Houston, Texas 77030, USA.
Yu-Fen LinDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Min NiChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Kenneth E HuffmanHamon Center for Therapeutic Oncology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Luc GirardHamon Center for Therapeutic Oncology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Lauren A ByersDepartment of Thoracic/Head and Neck Medical Oncology, University of Texas MD Anderson Cancer Center, 2130 West Holcombe Boulevard, Houston, Texas 77030, USA.
Keziban Unsal-KacmazOncology Research Unit, Pfizer, 401 North Middletown Road, Pearl River, New York 10965, USA.
Christopher G PeñaDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
John V HeymachDepartment of Thoracic/Head and Neck Medical Oncology, University of Texas MD Anderson Cancer Center, 2130 West Holcombe Boulevard, Houston, Texas 77030, USA.
Els WautersRespiratory Division, University of Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
Johan VansteenkisteRespiratory Division, University of Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
Diego H CastrillonDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Benjamin P C ChenDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Ignacio WistubaDepartment of Translational Molecular Pathology, University of Texas MD Anderson Cancer Center, 2130 West Holcombe Boulevard, Houston, Texas 77030, USA.
Diether LambrechtsLaboratory for Translational Genetics, Department of Human Genetics, KU Leuven, O&N 4 Herestraat 49 - box 912, 3000 Leuven, Belgium.
Jian XuChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
John D MinnaHamon Center for Therapeutic Oncology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Ralph J DeBerardinisChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
The University of Texas Southwestern Medical Center · USThe University of Texas MD Anderson Cancer Center · USChildren's Medical Center · USKU Leuven · BESouthwestern Medical CenterSouthwestern Medical Center · USPfizer (United States) · US

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V. · 1996 to 2024
$57.4M
Molecular Analysis of Transcriptional Enhancers in HematopoiesisR01DK111430 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jian Xu · 2016 to 2026
$4.8M
Lung cancer oncogenotype-selective drug target discoveryU01CA176284 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MACMILLAN, JOHN B, MINNA, JOHN D. · 2013 to 2016
$2.8M
METABOLIC REGULATORS OF TUMOR CELL GROWTHR01CA157996 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI DEBERARDINIS, RALPH J · 2011 to 2017
$2.2M
Novel tumorigenic mechanisms of the LKB1 tumor suppressorR01CA196912 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CASTRILLON, DIEGO H · 2016 to 2020
$1.8M
Mechanistic roles of BCL11A in globin switching and fetal hemoglobin silencingK01DK093543 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI XU, JIAN · 2011 to 2015
$732k
NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA157996NCI NIH HHS R01 CA196912NCI NIH HHS U01 CA176284NIDDK NIH HHS K01 DK093543NIDDK NIH HHS R01 DK111430
6 · The paper itself

Abstract

Metabolic reprogramming by oncogenic signals promotes cancer initiation and progression. The oncogene KRAS and tumour suppressor STK11, which encodes the kinase LKB1, regulate metabolism and are frequently mutated in non-small-cell lung cancer (NSCLC). Concurrent occurrence of oncogenic KRAS and loss of LKB1 (KL) in cells specifies aggressive oncological behaviour. Here we show that human KL cells and tumours share metabolomic signatures of perturbed nitrogen handling. KL cells express the urea cycle enzyme carbamoyl phosphate synthetase-1 (CPS1), which produces carbamoyl phosphate in the mitochondria from ammonia and bicarbonate, initiating nitrogen disposal. Transcription of CPS1 is suppressed by LKB1 through AMPK, and CPS1 expression correlates inversely with LKB1 in human NSCLC. Silencing CPS1 in KL cells induces cell death and reduces tumour growth. Notably, cell death results from pyrimidine depletion rather than ammonia toxicity, as CPS1 enables an unconventional pathway of nitrogen flow from ammonia into pyrimidines. CPS1 loss reduces the pyrimidine to purine ratio, compromises S-phase progression and induces DNA-polymerase stalling and DNA damage. Exogenous pyrimidines reverse DNA damage and rescue growth. The data indicate that the KL oncological genotype imposes a metabolic vulnerability related to a dependence on a cross-compartmental pathway of pyrimidine metabolism in an aggressive subset of NSCLC.

Indexed as

AmmoniaAMP-Activated Protein Kinase KinasesAMP-Activated Protein KinasesAnimalsBicarbonatesCarbamoyl-Phosphate Synthase (Ammonia)Carbamyl PhosphateCarcinoma, Non-Small-Cell LungCell DeathCell ProliferationDNADNA DamageDNA-Directed DNA PolymeraseDNA ReplicationFemaleGene SilencingAmmoniaAMP-Activated Protein Kinase KinasesAMP-Activated Protein KinasesBicarbonatesCarbamoyl-Phosphate Synthase (Ammonia)Carbamyl PhosphateDNADNA-Directed DNA PolymeraseKRAS protein, humanNitrogenProtein Serine-Threonine KinasesProto-Oncogene Proteins p21(ras)purinePurinespyrimidinePyrimidinesSTK11 protein, human

Identifiers

PMID28538732
PMCPMC5472349
OpenAlexW2619620886

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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.