Evidence map›Paper›PMID 31391321›Full record

ArticleScience translational medicine2019

Targeting pyrimidine synthesis accentuates molecular therapy response in glioblastoma stem cells.

Xiuxing Wang, Kailin Yang, Qiulian Wu, Leo J Y Kim, Andrew R Morton, Ryan C Gimple, Briana C Prager, Yu Shi, Wenchao Zhou, Shruti Bhargava and 12 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 2 pooled it
7.6field-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

129 citing papers in PubMed, 2 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Cancer stem cells synthesize proline to attenuate oxidative stress.The Journal of clinical investigation · 2026
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  18. Simian iPS-derived hepatocytes supportFrontiers in cellular and infection microbiology · 2026
    Article
  19. Article
  20. Article

69 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

22 authors at 7 institutions in 2 countries.

Xiuxing WangDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-5993-9368
Kailin YangDepartment of Radiation Oncology, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0001-5968-6738
Qiulian WuDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-7774-9576
Leo J Y KimDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-1790-9136
Andrew R MortonDepartment of Genetics and Genome Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-1234-1676
Ryan C GimpleDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-7189-3243
Briana C PragerDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0001-7173-6021
Yu ShiInstitute of Pathology and Southwest Cancer Center, Southwest Hospital, The Third Military Medical University, and The Key Laboratory of Tumor Immunopathology, The Ministry of Education of China, Chongqing 400038, China.ORCID 0000-0001-8436-604X
Wenchao ZhouDepartment of Stem Cell Biology and Regenerative Medicine, Cleveland Clinic Lerner Research Institute, Cleveland, OH 44195, USA.ORCID 0000-0002-6650-1831
Shruti BhargavaDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-3888-6826
Zhe ZhuDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-5385-948X
Li JiangDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-7337-7808
Weiwei TaoDepartment of Stem Cell Biology and Regenerative Medicine, Cleveland Clinic Lerner Research Institute, Cleveland, OH 44195, USA.ORCID 0000-0003-2933-9262
Zhixin QiuDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0001-7103-8004
Linjie ZhaoDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-3372-2873
Guoxing ZhangDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0002-1996-4315
Xiqing LiDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA.ORCID 0000-0001-9176-736X
Sameer AgnihotriDepartment of Neurological Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.ORCID 0000-0001-6584-3795
Paul S MischelLudwig Institute for Cancer Research, University of California, San Diego, La Jolla, CA 92093, USA.ORCID 0000-0002-4560-2211
Stephen C MackDepartment of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.ORCID 0000-0001-9620-4742
Shideng BaoDepartment of Stem Cell Biology and Regenerative Medicine, Cleveland Clinic Lerner Research Institute, Cleveland, OH 44195, USA.ORCID 0000-0002-4236-2662
Jeremy N RichDivision of Regenerative Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92037, USA. drjeremyrich@gmail.com.ORCID 0000-0001-7845-5302
University of California San Diego · USCleveland Clinic Lerner College of Medicine · USArmy Medical University · CNBaylor College of Medicine · USCase Western Reserve University · USCleveland Clinic · USUniversity of Pittsburgh · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Dynamic Complexity of Brain Tumor Stem Cells (R35CA197718)R35CA197718 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RICH, JEREMY N · 2015 to 2021
$6.4M
The role of mTORC2 in reprogramming cancer cell metabolismR01NS073831 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MISCHEL, PAUL S · 2011 to 2020
$3.4M
NRSA Training CoreTL1TR002549 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI HARDING, CLIFFORD V · 2018 to 2022
$2.9M
Targeting the Circadian Rhythm in Glioblastoma Stem Cells (R01CA238662)R01CA238662 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAY, STEVE A, RICH, JEREMY N · 2020 to 2024
$2.8M
Targeting Ferritin in GlioblastomaR01CA169117 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI BAO, SHIDENG, CONNOR, JAMES ROBERT · 2013 to 2017
$2.7M
Metabolism Informs Intertumoral & Intratumoral HeterogeneityR01NS087913 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NAKANO, ICHIRO, RICH, JEREMY N · 2014 to 2018
$2.0M
Targeting Brain Tumor Stem Cells Through Novel Therapeutic CombinationsR01CA154130 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI RICH, JEREMY N · 2010 to 2014
$1.9M
Functional Inhibition of Deubiquitylase HAUSP to Disrupt Glioblastoma Stem CellsR01CA184090 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI BAO, SHIDENG · 2015 to 2019
$1.8M
Glioblastoma stem cell-derived pericytes and cancer invasionR01NS091080 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI BAO, SHIDENG · 2016 to 2020
$1.7M
Ubiquitination and Deubiquitination of c-Myc in GlioblastomaR01NS099175 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI BAO, SHIDENG · 2016 to 2020
$1.7M
Dual Targeting of Brain Tumor Initiating Cells through Inhibition of BMI1 and EZH2 (R01NS103434)R01NS103434 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RICH, JEREMY N · 2017 to 2021
$1.7M
NCATS NIH HHS TL1 TR002549NCI NIH HHS R01 CA116659NCI NIH HHS R01 CA129958NCI NIH HHS R01 CA154130NCI NIH HHS R01 CA169117NCI NIH HHS R01 CA171652NCI NIH HHS R01 CA184090NCI NIH HHS R01 CA238662NCI NIH HHS R35 CA197718NIGMS NIH HHS T32 GM007250NINDS NIH HHS R01 NS073831NINDS NIH HHS R01 NS087913NINDS NIH HHS R01 NS089272NINDS NIH HHS R01 NS091080NINDS NIH HHS R01 NS099175NINDS NIH HHS R01 NS103434
6 · The paper itself

Abstract

Glioblastoma stem cells (GSCs) reprogram glucose metabolism by hijacking high-affinity glucose uptake to survive in a nutritionally dynamic microenvironment. Here, we trace metabolic aberrations in GSCs to link core genetic mutations in glioblastoma to dependency on de novo pyrimidine synthesis. Targeting the pyrimidine synthetic rate-limiting step enzyme carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, dihydroorotase (CAD) or the critical downstream enzyme dihydroorotate dehydrogenase (DHODH) inhibited GSC survival, self-renewal, and in vivo tumor initiation through the depletion of the pyrimidine nucleotide supply in rodent models. Mutations in EGFR or PTEN generated distinct CAD phosphorylation patterns to activate carbon influx through pyrimidine synthesis. Simultaneous abrogation of tumor-specific driver mutations and DHODH activity with clinically approved inhibitors demonstrated sustained inhibition of metabolic activity of pyrimidine synthesis and GSC tumorigenic capacity in vitro. Higher expression of pyrimidine synthesis genes portends poor prognosis of patients with glioblastoma. Collectively, our results demonstrate a therapeutic approach of precision medicine through targeting the nexus between driver mutations and metabolic reprogramming in cancer stem cells.

Indexed as

Molecular Targeted TherapyAnimalsBiosynthetic PathwaysCarcinogenesisCell Line, TumorCell ProliferationCell Self RenewalCrotonatesDihydroorotate DehydrogenaseErbB ReceptorsGene DeletionGlioblastomaHumansHydroxybutyratesMAP Kinase Signaling SystemMiceCrotonatesDihydroorotate DehydrogenaseErbB ReceptorsHydroxybutyratesNitrilesOxidoreductases Acting on CH-CH Group DonorsPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsPTEN PhosphohydrolasepyrimidinePyrimidinesteriflunomideToluidines

Identifiers

PMID31391321
PMCPMC7568232
OpenAlexW2965966058

What OpenQuestion holds

Textmetadata
LicenceTDM
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.