Evidence map›Paper›PMID 30962421›Full record

ArticleNature communications2019

A GPX4-dependent cancer cell state underlies the clear-cell morphology and confers sensitivity to ferroptosis.

Yilong Zou, Michael J Palte, Amy A Deik, Haoxin Li, John K Eaton, Wenyu Wang, Yuen-Yi Tseng, Rebecca Deasy, Maria Kost-Alimova, Vlado Dančík and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 545 papers.

0numbers the graph read from it
0cells of the map it votes in
545citing papers in PubMed
59.5field-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

545 citing papers in PubMed, 846 citations in OpenAlex.

  1. Targeted extracellular degradation of LRP8 promotes ferroptosis in cancer cells.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
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  5. Ferroptosis in kidney disease.Nature reviews. Nephrology · 2026
    Review
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485 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

20 authors at 2 institutions in 1 country.

Yilong ZouThe Broad Institute, Cambridge, MA, 02142, USA.
Michael J PalteThe Broad Institute, Cambridge, MA, 02142, USA.
Amy A DeikThe Broad Institute, Cambridge, MA, 02142, USA.
Haoxin LiThe Broad Institute, Cambridge, MA, 02142, USA.
John K EatonThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0003-4633-5546
Wenyu WangThe Broad Institute, Cambridge, MA, 02142, USA.
Yuen-Yi TsengThe Broad Institute, Cambridge, MA, 02142, USA.
Rebecca DeasyThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0001-9143-6296
Maria Kost-AlimovaThe Broad Institute, Cambridge, MA, 02142, USA.
Vlado DančíkThe Broad Institute, Cambridge, MA, 02142, USA.
Elizaveta S LeshchinerThe Broad Institute, Cambridge, MA, 02142, USA.
Vasanthi S ViswanathanThe Broad Institute, Cambridge, MA, 02142, USA.
Sabina SignorettiDepartment of Oncologic Pathology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Toni K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0002-9201-3217
Jesse S BoehmThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0002-6795-6336
Bridget K WagnerThe Broad Institute, Cambridge, MA, 02142, USA.
John G DoenchThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0002-3707-9889
Clary B ClishThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0001-8259-9245
Paul A ClemonsThe Broad Institute, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0002-1800-5112
Stuart L SchreiberThe Broad Institute, Cambridge, MA, 02142, USA. stuart_schreiber@harvard.edu.ORCID http://orcid.org/0000-0003-1922-7558
Broad Institute · USBrigham and Women's Hospital · US

Funding

Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
VASCULAR, PULMONARY AND RENAL INJURYT32HL007627 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GIMBRONE, MICHAEL A, MITCHELL, RICHARD N · 1985 to 2019
$12.7M
Targeting vulnerabilities of therapy-resistant cancer cell states with small moleculesU01CA217848 · NCI · BROAD INSTITUTE, INC. · PI SCHREIBER, STUART L · 2017 to 2021
$5.8M
NCI NIH HHS P50 CA101942NCI NIH HHS U01 CA217848NHLBI NIH HHS T32 HL007627NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

Clear-cell carcinomas (CCCs) are a histological group of highly aggressive malignancies commonly originating in the kidney and ovary. CCCs are distinguished by aberrant lipid and glycogen accumulation and are refractory to a broad range of anti-cancer therapies. Here we identify an intrinsic vulnerability to ferroptosis associated with the unique metabolic state in CCCs. This vulnerability transcends lineage and genetic landscape, and can be exploited by inhibiting glutathione peroxidase 4 (GPX4) with small-molecules. Using CRISPR screening and lipidomic profiling, we identify the hypoxia-inducible factor (HIF) pathway as a driver of this vulnerability. In renal CCCs, HIF-2α selectively enriches polyunsaturated lipids, the rate-limiting substrates for lipid peroxidation, by activating the expression of hypoxia-inducible, lipid droplet-associated protein (HILPDA). Our study suggests targeting GPX4 as a therapeutic opportunity in CCCs, and highlights that therapeutic approaches can be identified on the basis of cell states manifested by morphological and metabolic features in hard-to-treat cancers.

Indexed as

AgedAnimalsApoptosisBasic Helix-Loop-Helix ProteinsCarcinoma, Renal CellCell Line, TumorCRISPR-Cas SystemsEndothelial PAS Domain-Containing Protein 1FemaleGene Expression ProfilingGene Expression Regulation, NeoplasticGene Knockout TechniquesGlutathione PeroxidaseHEK293 CellsHumansIronBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1Glutathione PeroxidaseHILPDA protein, humanIronNeoplasm ProteinsPhospholipid Hydroperoxide Glutathione Peroxidase

Identifiers

PMID30962421
PMCPMC6453886
OpenAlexW2932111434

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.