Evidence map›Paper›PMID 29051480›Full record

ArticleNature communications2017

NOX4 functions as a mitochondrial energetic sensor coupling cancer metabolic reprogramming to drug resistance.

Karthigayan Shanmugasundaram, Bijaya K Nayak, William E Friedrichs, Dharam Kaushik, Ronald Rodriguez, Karen Block

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 209 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. The moonlighting functions of glycolytic enzymes in tumorigenesis.Cellular oncology (Dordrecht, Netherlands) · 2026
    Review
  5. Review
  6. Magnetically-Induced Suppression of Oxidative Stress Prevents Venous Thrombosis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  7. Article
  8. Article
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  10. Article
  11. Enhancing Selectivity and Potency of SJournal of medicinal chemistry · 2025
    Article
  12. Review
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  14. Article
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  19. Article
  20. Article

59 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

6 authors at 1 institution in 1 country.

Karthigayan ShanmugasundaramDepartment of Medicine, UT Health, San Antonio, TX, 78229, USA.
Bijaya K NayakDepartment of Medicine, UT Health, San Antonio, TX, 78229, USA.
William E FriedrichsDepartment of Medicine, UT Health, San Antonio, TX, 78229, USA.
Dharam KaushikDepartment of Urology, UT Health, San Antonio, TX, 78229, USA.ORCID http://orcid.org/0000-0002-1942-2743
Ronald RodriguezDepartment of Urology, UT Health, San Antonio, TX, 78229, USA.
Karen BlockDepartment of Medicine, UT Health, San Antonio, TX, 78229, USA. karen.block@va.gov.
The University of Texas Health Science Center at San Antonio · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
INFLAMMATORY MEDIATORS AND GLOMERULAR CELLS IN CULTURER37DK033665 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ABBOUD, HANNA E · 1998 to 2007
$2.1M
Tubular epithelial cell injuryR01DK033665 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GORIN, YVES CLAUDE · 1986 to 2015
$1.3M
NCI NIH HHS P30 CA054174NIDDK NIH HHS R01 DK033665NIDDK NIH HHS R37 DK033665
6 · The paper itself

Abstract

The molecular mechanisms that couple glycolysis to cancer drug resistance remain unclear. Here we identify an ATP-binding motif within the NADPH oxidase isoform, NOX4, and show that ATP directly binds and negatively regulates NOX4 activity. We find that NOX4 localizes to the inner mitochondria membrane and that subcellular redistribution of ATP levels from the mitochondria act as an allosteric switch to activate NOX4. We provide evidence that NOX4-derived reactive oxygen species (ROS) inhibits P300/CBP-associated factor (PCAF)-dependent acetylation and lysosomal degradation of the pyruvate kinase-M2 isoform (PKM2). Finally, we show that NOX4 silencing, through PKM2, sensitizes cultured and ex vivo freshly isolated human-renal carcinoma cells to drug-induced cell death in xenograft models and ex vivo cultures. These findings highlight yet unidentified insights into the molecular events driving cancer evasive resistance and suggest modulation of ATP levels together with cytotoxic drugs could overcome drug-resistance in glycolytic cancers.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic Agents, PhytogenicApoptosisCarcinoma, Renal CellCarrier ProteinsCells, CulturedEnergy MetabolismEtoposideHumansKidneyKidney NeoplasmsMaleMembrane ProteinsMiceMice, Inbred BALB CAntineoplastic Agents, PhytogenicCarrier ProteinsEtoposideMembrane ProteinsNADPH Oxidase 4NOX4 protein, humanp300-CBP-Associated Factorp300-CBP Transcription FactorsReactive Oxygen SpeciesThyroid Hormone-Binding ProteinsThyroid Hormones

Identifiers

PMID29051480
PMCPMC5648812
OpenAlexW2762275934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.