Evidence map›Paper›PMID 33498369›Full record

ArticleCells2021

Beyond the Warburg Effect: Oxidative and Glycolytic Phenotypes Coexist within the Metabolic Heterogeneity of Glioblastoma.

Tomás Duraj, Noemí García-Romero, Josefa Carrión-Navarro, Rodrigo Madurga, Ana Ortiz de Mendivil, Ricardo Prat-Acin, Lina Garcia-Cañamaque, Angel Ayuso-Sacido

Open access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
6.1field-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

65 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. The Warburg Effect and Aerobic Glycolysis in Tumors.Cancer treatment and research · 2026
    Review
  10. Article
  11. Article
  12. Inhibition of TRAF3IP2 Modulates NAMPT and NAD Metabolism in Glioblastoma.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

5 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

8 authors at 4 institutions in 1 country.

Tomás DurajFaculty of Medicine, Institute for Applied Molecular Medicine (IMMA), CEU San Pablo University, 28668 Madrid, Spain.ORCID 0000-0002-7778-0194
Noemí García-RomeroFaculty of Experimental Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain.ORCID 0000-0001-7744-8848
Josefa Carrión-NavarroFaculty of Experimental Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain.
Rodrigo MadurgaFaculty of Experimental Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain.ORCID 0000-0002-1381-2599
Ana Ortiz de MendivilFundación de Investigación HM Hospitales, HM Hospitales, 28015 Madrid, Spain.
Ricardo Prat-AcinNeurosurgery Department, Hospital Universitario La Fe, 46026 Valencia, Spain.
Lina Garcia-CañamaqueDepartamento de Medicina Nuclear, HM Hospitales, 28015 Madrid, Spain.ORCID 0000-0001-6105-5281
Angel Ayuso-SacidoFaculty of Experimental Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain.
Universidad Francisco de Vitoria · ESHM Hospitales · ESHospital Universitari i Politècnic La Fe · ESUniversidad San Pablo CEU · ES

Funding

Fondo de Investigación Sanitarias PI17-01489Instituto de Salud Carlos III CP11/00147Ministerio de Economía y Competitividad-FEDERER RTC-2016-4990-1Ministerio de Educación, Cultura y Deporte FPU16/03198
6 · The paper itself

Abstract

Glioblastoma (GBM) is the most aggressive primary brain tumor, with a median survival at diagnosis of 16-20 months. Metabolism represents a new attractive therapeutic target; however, due to high intratumoral heterogeneity, the application of metabolic drugs in GBM is challenging. We characterized the basal bioenergetic metabolism and antiproliferative potential of metformin (MF), dichloroacetate (DCA), sodium oxamate (SOD) and diazo-5-oxo-L-norleucine (DON) in three distinct glioma stem cells (GSCs) (GBM18, GBM27, GBM38), as well as U87MG. GBM27, a highly oxidative cell line, was the most resistant to all treatments, except DON. GBM18 and GBM38, Warburg-like GSCs, were sensitive to MF and DCA, respectively. Resistance to DON was not correlated with basal metabolic phenotypes. In combinatory experiments, radiomimetic bleomycin exhibited therapeutically relevant synergistic effects with MF, DCA and DON in GBM27 and DON in all other cell lines. MF and DCA shifted the metabolism of treated cells towards glycolysis or oxidation, respectively. DON consistently decreased total ATP production. Our study highlights the need for a better characterization of GBM from a metabolic perspective. Metabolic therapy should focus on both glycolytic and oxidative subpopulations of GSCs.

Indexed as

Warburg Effect, OncologicBleomycinBrain NeoplasmsCell Line, TumorCell SurvivalDrug Resistance, NeoplasmEnergy MetabolismGene Expression Regulation, NeoplasticGlioblastomaHumansInhibitory Concentration 50Mesenchymal Stem CellsOxidation-ReductionPhenotypeBleomycinenergy metabolismgene expression profilingglioblastomaglycolysisoxidative phosphorylationtherapeutics

Identifiers

PMID33498369
PMCPMC7922554
OpenAlexW3124475844

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.