Evidence map›Paper›PMID 33257855›Full record

ArticleNature metabolism2020

The hexosamine biosynthesis pathway is a targetable liability in KRAS/LKB1 mutant lung cancer.

Jiyeon Kim, Hyun Min Lee, Feng Cai, Bookyung Ko, Chendong Yang, Elizabeth L Lieu, Nefertiti Muhammad, Shawn Rhyne, Kailong Li, Mohamed Haloul and 14 more

Open access · greenAbstract read
In one paragraph

Article in Nature metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
6.4field-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

94 citing papers in PubMed, 137 citations in OpenAlex.

  1. Genes, fuel, and fate in lung cancer.Biochemical Society transactions · 2026
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  11. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
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34 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

24 authors at 6 institutions in 2 countries.

Jiyeon KimDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA. jiyeonk@uic.edu.ORCID http://orcid.org/0000-0002-0138-1920
Hyun Min LeeDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA.
Feng CaiChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Bookyung KoChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Chendong YangChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Elizabeth L LieuDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA.
Nefertiti MuhammadDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA.
Shawn RhyneDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA.
Kailong LiChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-3311-5782
Mohamed HaloulDepartment of Biochemistry and Molecular Genetics, University of Illinois at Chicago, Chicago, IL, USA.
Wen GuChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-3003-8945
Brandon FaubertChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-2886-886X
Akash K KaushikChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Ling CaiDepartment of Population and Data Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Sahba KasiriHamon Center for Therapeutic Oncology Research, UT Southwestern Medical Center, Dallas, TX, USA.
Ummay MarriamHamon Center for Therapeutic Oncology Research, UT Southwestern Medical Center, Dallas, TX, USA.
Kien NhamDepartment of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.
Luc GirardHamon Center for Therapeutic Oncology Research, UT Southwestern Medical Center, Dallas, TX, USA.
Hui WangOncology Research & Development, Pfizer Inc., San Diego, CA, USA.
Xiankai SunDepartment of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.
James KimHamon Center for Therapeutic Oncology Research, UT Southwestern Medical Center, Dallas, TX, USA.
John D MinnaHamon Center for Therapeutic Oncology Research, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-7776-0767
Keziban Unsal-KacmazOncology Research Unit, Pfizer Inc., Pearl River, NY, USA.
Ralph J DeBerardinisChildren's Medical Center Research Institute, UT Southwestern Medical Center, Dallas, TX, USA. Ralph.Deberardinis@UTSouthwestern.edu.ORCID http://orcid.org/0000-0002-2705-7432
Children's Medical Center · USSouthwestern Medical Center · USUniversity of Illinois Chicago · USGenomics Institute of the Novartis Research Foundation · USHoward Hughes Medical Institute · 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
Metabolic Regulators of Tumor Growth and ProgressionR35CA220449 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI RALPH J DEBERARDINIS · 2017 to 2026
$9.4M
TRAINING PROGRAM IN LUNG BIOLOGY AND DISEASET32HL098040 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI SHAUL, PHILIP W, TERADA, LANCE S · 2009 to 2024
$4.6M
(PQ1) Epigenetic effects of the premalignant fieldR01CA208620 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI TERADA, LANCE S · 2016 to 2020
$1.9M
Targeting vismodegib-resistant tumors using BH3 mimeticsR01CA196851 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KIM, JAMES · 2016 to 2020
$1.7M
Targeting altered nitrogen metabolism in an aggressive subset of human lung canceK22CA226676 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KIM, JIYEON · 2019 to 2021
$591k
American Cancer Society (American Cancer Society, Inc.) RSG-16-090-01-TBGAmerican Lung Association (Lung Association) LCD-614827Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP160089Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP160652NCI NIH HHS K22 CA226676NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA196851NCI NIH HHS R01 CA208620NCI NIH HHS R35 CA220449NHLBI NIH HHS T32 HL098040U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1K22CA226676-01A1U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01CA196851U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R35CA22044901U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) SPORE P50CA070907U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) SPORE P50CA70907U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) 5T32HL098040V Foundation for Cancer Research (V Foundation) V2019-022
6 · The paper itself

Abstract

In non-small-cell lung cancer (NSCLC), concurrent mutations in the oncogene KRAS and the tumour suppressor STK11 (also known as LKB1) encoding the kinase LKB1 result in aggressive tumours prone to metastasis but with liabilities arising from reprogrammed metabolism. We previously demonstrated perturbed nitrogen metabolism and addiction to an unconventional pathway of pyrimidine synthesis in KRAS/LKB1 co-mutant cancer cells. To gain broader insight into metabolic reprogramming in NSCLC, we analysed tumour metabolomes in a series of genetically engineered mouse models with oncogenic KRAS combined with mutations in LKB1 or p53. Metabolomics and gene expression profiling pointed towards activation of the hexosamine biosynthesis pathway (HBP), another nitrogen-related metabolic pathway, in both mouse and human KRAS/LKB1 co-mutant tumours. KRAS/LKB1 co-mutant cells contain high levels of HBP metabolites, higher flux through the HBP pathway and elevated dependence on the HBP enzyme glutamine-fructose-6-phosphate transaminase [isomerizing] 2 (GFPT2). GFPT2 inhibition selectively reduced KRAS/LKB1 co-mutant tumour cell growth in culture, xenografts and genetically modified mice. Our results define a new metabolic vulnerability in KRAS/LKB1 co-mutant tumours and provide a rationale for targeting GFPT2 in this aggressive NSCLC subtype.

Indexed as

Metabolic Networks and PathwaysAMP-Activated Protein Kinase KinasesAnimalsAntineoplastic AgentsAzaserineCarcinoma, Non-Small-Cell LungCell Line, TumorEnzyme InhibitorsGene Expression Regulation, NeoplasticGlutamine-Fructose-6-Phosphate Transaminase (Isomerizing)HexosaminesHumansLung NeoplasmsMetabolomicsMiceMutationAMP-Activated Protein Kinase KinasesAntineoplastic AgentsAzaserineEnzyme InhibitorsGFPT2 protein, humanGlutamine-Fructose-6-Phosphate Transaminase (Isomerizing)HexosaminesKRAS protein, humanProtein Serine-Threonine KinasesProto-Oncogene Proteins p21(ras)STK11 protein, human

Identifiers

PMID33257855
PMCPMC7744327
OpenAlexW3109957234

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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.