Evidence map›Paper›PMID 35985342›Full record

ArticleCancer cell2022

A druggable addiction to de novo pyrimidine biosynthesis in diffuse midline glioma.

Sharmistha Pal, Jakub P Kaplan, Huy Nguyen, Sylwia A Stopka, Milan R Savani, Michael S Regan, Quang-De Nguyen, Kristen L Jones, Lisa A Moreau, Jingyu Peng and 12 more

Open access · greenAbstract read
In one paragraph

Article in Cancer cell, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
20.0field-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

59 citing papers in PubMed, 134 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 1 country.

Sharmistha PalDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Jakub P KaplanDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Huy NguyenDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Sylwia A StopkaDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Milan R SavaniChildren's Medical Center Research Institute, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Michael S ReganDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Quang-De NguyenLurie Family Imaging Center, Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, Boston, MA 02210, USA.
Kristen L JonesLurie Family Imaging Center, Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, Boston, MA 02210, USA.
Lisa A MoreauDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Center for DNA Damage and Repair, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Jingyu PengDivision of Molecular and Cellular Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Marina G DipiazzaDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Andrew J PerciaccanteDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Xiaoting ZhuCenter for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH 43210, USA.
Bradley R HunselDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Kevin X LiuDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Radiation Oncology, Brigham and Women's Hospital, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Sanda AlexandrescuDepartment of Pathology, Harvard Medical School Boston, Boston Children's Hospital, 300 Longwood Avenue, Bader 104, Boston, MA 02115, USA.
Rachid DrissiCenter for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH 43210, USA.
Mariella G FilbinDepartment of Pediatric Oncology, Dana-Farber Boston Children's Cancer and Blood Disorders Center, Boston, MA 02115, USA.
Samuel K McBrayerChildren's Medical Center Research Institute, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Nathalie Y R AgarDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Dipanjan ChowdhuryDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115, USA; Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA.
Daphne A Haas-KoganDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Radiation Oncology, Brigham and Women's Hospital, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA. Electronic address: dhaas-kogan@bwh.harvard.edu.
Dana-Farber Cancer Institute · USBrigham and Women's Hospital · USChildren's Medical Center · USNationwide Children's Hospital · USBoston Children's Hospital · USBroad Institute · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · US

Funding

Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Tracy T Batchelor · 2013 to 2026
$33.5M
TRD 3 - Enabling Technologies for Intraprocedural GuidanceP41EB028741 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARE M TEMPANY · 2021 to 2026
$10.7M
Trans Network ProjectU54CA210180 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI LAUFFENBURGER, DOUGLAS A · 2016 to 2020
$10.2M
Precision Medicine For Pediatric Low-Grade GliomasR01NS091620 · NINDS · DANA-FARBER CANCER INST · PI HAAS-KOGAN, DAPHNE A., RESNICK, ADAM CAIN · 2015 to 2019
$2.6M
Exploiting Pyrimidine Nucleotide Synthesis Dependence for IDH Mutant Glioma TherapyR01CA258586 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI ABDULLAH, KALIL G, MCBRAYER, SAMUEL KENT · 2021 to 2025
$1.8M
Training in Image Guidance, Precision Diagnosis and TherapyT32EB025823 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI Fiona Fennessy, Lauren Jean O'Donnell · 2019 to 2026
$1.5M
Dissecting Mechanisms of Pyrimidine Synthesis Dependence in IDH Mutant GliomaF30CA271634 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI SAVANI, MILAN RASHMIN · 2022 to 2025
$171k
NCI NIH HHS F30 CA271634NCI NIH HHS P50 CA165962NCI NIH HHS R01 CA258586NCI NIH HHS U54 CA210180NIBIB NIH HHS P41 EB028741NIBIB NIH HHS T32 EB025823NINDS NIH HHS R01 NS091620
6 · The paper itself

Abstract

Diffuse midline glioma (DMG) is a uniformly fatal pediatric cancer driven by oncohistones that do not readily lend themselves to drug development. To identify druggable targets for DMG, we conducted a genome-wide CRISPR screen that reveals a DMG selective dependency on the de novo pathway for pyrimidine biosynthesis. This metabolic vulnerability reflects an elevated rate of uridine/uracil degradation that depletes DMG cells of substrates for the alternate salvage pyrimidine biosynthesis pathway. A clinical stage inhibitor of DHODH (rate-limiting enzyme in the de novo pathway) diminishes uridine-5'-phosphate (UMP) pools, generates DNA damage, and induces apoptosis through suppression of replication forks-an "on-target" effect, as shown by uridine rescue. Matrix-assisted laser desorption/ionization (MALDI) mass spectroscopy imaging demonstrates that this DHODH inhibitor (BAY2402234) accumulates in the brain at therapeutically relevant concentrations, suppresses de novo pyrimidine biosynthesis in vivo, and prolongs survival of mice bearing intracranial DMG xenografts, highlighting BAY2402234 as a promising therapy against DMGs.

Indexed as

GliomaPyrimidinesAnimalsHumansMiceUridinePyrimidinesUridineATRBAY2402234de novo pyrimidine synthesisDHODHdiffuse intrinsic pontine gliomadiffuse midline gliomaDPYDelimusertibpyrimidine degradationreplication stress

Identifiers

PMID35985342
PMCPMC9575661
OpenAlexW4292240378

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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.