Evidence map›Paper›PMID 32499221›Full record

ArticleCancer discovery2020

Changes in Aged Fibroblast Lipid Metabolism Induce Age-Dependent Melanoma Cell Resistance to Targeted Therapy via the Fatty Acid Transporter FATP2.

Gretchen M Alicea, Vito W Rebecca, Aaron R Goldman, Mitchell E Fane, Stephen M Douglass, Reeti Behera, Marie R Webster, Curtis H Kugel, Brett L Ecker, M Cecilia Caino and 12 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2020. 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 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
5.8field-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

99 citing papers in PubMed, 147 citations in OpenAlex.

  1. Review
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  10. Insights Into circRNA-Mediated Lipid Metabolism in Cancer Progression.Journal of cellular and molecular medicine · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Senescent fibroblasts drive CD8Journal of translational medicine · 2026
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
  20. RUNX2 cooperates with SREBP1 to rewire cancer metabolism and promote aggressiveness.Journal of experimental & clinical cancer research : CR · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 4 institutions in 1 country.

Gretchen M AliceaThe Wistar Institute, Philadelphia, Pennsylvania.
Vito W RebeccaThe Wistar Institute, Philadelphia, Pennsylvania.
Aaron R GoldmanThe Wistar Institute, Philadelphia, Pennsylvania.
Mitchell E FaneThe Wistar Institute, Philadelphia, Pennsylvania.
Stephen M DouglassThe Wistar Institute, Philadelphia, Pennsylvania.
Reeti BeheraThe Wistar Institute, Philadelphia, Pennsylvania.
Marie R WebsterThe Wistar Institute, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0001-7633-7150
Curtis H KugelThe Wistar Institute, Philadelphia, Pennsylvania.
Brett L EckerThe Wistar Institute, Philadelphia, Pennsylvania.
M Cecilia CainoUniversity of Colorado, Denver, Colorado.ORCID https://orcid.org/0000-0001-8294-8070
Andrew V KossenkovThe Wistar Institute, Philadelphia, Pennsylvania.
Hsin-Yao TangThe Wistar Institute, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-1838-018X
Dennie T FrederickMassachussetts General Hospital, Boston, Massachusetts.
Keith T FlahertyMassachussetts General Hospital, Boston, Massachusetts.
Xiaowei XuPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-4098-7690
Qin LiuThe Wistar Institute, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0001-9964-580X
Dmitry I GabrilovichThe Wistar Institute, Philadelphia, Pennsylvania.
Meenhard HerlynThe Wistar Institute, Philadelphia, Pennsylvania.
Ian A BlairPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-0366-8658
Zachary T SchugThe Wistar Institute, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-4197-8227
David W SpeicherThe Wistar Institute, Philadelphia, Pennsylvania.
Ashani T WeeraratnaThe Wistar Institute, Philadelphia, Pennsylvania. aweerar1@jhu.edu.
The Wistar Institute · USMassachusetts General Hospital · USUniversity of Pennsylvania · USUniversity of Colorado Denver · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Targeting the MAP and PI3 Kinase Pathways in MelanomaP01CA114046 · NCI · WISTAR INSTITUTE · PI HERLYN, MEENHARD F, WEERARATNA, ASHANI T · 2008 to 2023
$37.1M
Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca A Simmons · 2006 to 2026
$35.3M
TRAINING IN AREAS FUNDAMENTAL TO CANCER RESEARCHT32CA009110 · NCI · JOHNS HOPKINS UNIVERSITY · PI MATUNIS, MICHAEL J., WEERARATNA, ASHANI T · 1985 to 2025
$13.1M
Targeted Combination Therapy for MelanomaP50CA174523 · NCI · WISTAR INSTITUTE · PI HERLYN, MEENHARD F · 2014 to 2018
$11.1M
A plasticity and reprogramming paradigm for therapy resistance at the single cell levelU01CA227550 · NCI · UNIVERSITY OF PENNSYLVANIA · PI RADHAKRISHNAN, RAVI, RAJ, ARJUN · 2018 to 2022
$3.3M
An integrated approach to melanoma metastasis and therapy resistance: effects of age-related changes in the ECM and the biomechanics of the skinR01CA232256 · NCI · WISTAR INSTITUTE · PI CUKIERMAN, EDNA, RAJ, ARJUN · 2019 to 2023
$3.0M
The multifaceted role of acetate in cancerDP2CA249950 · NCI · WISTAR INSTITUTE · PI SCHUG, ZACHARY T · 2019 to 2019
$2.7M
Advancing Cancer Research through Comprehensive Proteomics and Metabolomics AnalysesR50CA221838 · NCI · WISTAR INSTITUTE · PI Hsin-Yao Tang · 2017 to 2026
$2.1M
Promotion of tumor invasion and pseudosenescence by the aging microenvironmentR01CA174746 · NCI · WISTAR INSTITUTE · PI WEERARATNA, ASHANI T · 2014 to 2018
$2.1M
Effect of the aged microenvironment on tumor dormancyR01CA207935 · NCI · WISTAR INSTITUTE · PI WEERARATNA, ASHANI T · 2017 to 2021
$2.0M
NCI NIH HHS DP2 CA249950NCI NIH HHS K99 CA208012NCI NIH HHS P01 CA114046NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA010815NCI NIH HHS P50 CA174523NCI NIH HHS R00 CA208012NCI NIH HHS R01 CA174746NCI NIH HHS R01 CA207935NCI NIH HHS R01 CA232256NCI NIH HHS R50 CA211199NCI NIH HHS R50 CA221838NCI NIH HHS U01 CA227550NIEHS NIH HHS P30 ES013508NIH HHS S10 OD023586
6 · The paper itself

Abstract

Older patients with melanoma (>50 years old) have poorer prognoses and response rates to targeted therapy compared with young patients (<50 years old), which can be driven, in part, by the aged microenvironment. Here, we show that aged dermal fibroblasts increase the secretion of neutral lipids, especially ceramides. When melanoma cells are exposed to the aged fibroblast lipid secretome, or cocultured with aged fibroblasts, they increase the uptake of lipids via the fatty acid transporter FATP2, which is upregulated in melanoma cells in the aged microenvironment and known to play roles in lipid synthesis and accumulation. We show that blocking FATP2 in melanoma cells in an aged microenvironment inhibits their accumulation of lipids and disrupts their mitochondrial metabolism. Inhibiting FATP2 overcomes age-related resistance to BRAF/MEK inhibition in animal models, ablates tumor relapse, and significantly extends survival time in older animals. SIGNIFICANCE: These data show that melanoma cells take up lipids from aged fibroblasts, via FATP2, and use them to resist targeted therapy. The response to targeted therapy is altered in aged individuals because of the influences of the aged microenvironment, and these data suggest FATP2 as a target to overcome resistance.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCellular SenescenceCoculture TechniquesCoenzyme A LigasesDermisDrug Resistance, NeoplasmFibroblastsHumansKeratinocytesLipid MetabolismLong-Chain-Fatty-Acid-CoA LigaseMelanomaMolecular Targeted TherapyProtein Kinase InhibitorsSkin NeoplasmsCoenzyme A LigasesLong-Chain-Fatty-Acid-CoA LigaseProtein Kinase Inhibitors

Identifiers

PMID32499221
PMCPMC7483379
OpenAlexW3034074266

What OpenQuestion holds

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Read underepoch 390

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.