Evidence map›Paper›PMID 36637036›Full record

ArticleThe EMBO journal2023

IDH2 stabilizes HIF-1α-induced metabolic reprogramming and promotes chemoresistance in urothelial cancer.

Keisuke Shigeta, Masanori Hasegawa, Takako Hishiki, Yoshiko Naito, Yuto Baba, Shuji Mikami, Kazuhiro Matsumoto, Ryuichi Mizuno, Akira Miyajima, Eiji Kikuchi and 3 more

Open access · hybridAbstract read
In one paragraph

Article in The EMBO journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
18.2field-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

52 citing papers in PubMed, 74 citations in OpenAlex.

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  9. Citric Acid Cycle Genes and Nutrigenetics.International journal of molecular sciences · 2026
    Review
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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

13 authors at 3 institutions in 1 country.

Keisuke ShigetaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-9405-9446
Masanori HasegawaDepartment of Urology, Tokai University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4354-6105
Takako HishikiDepartment of Clinical and Translational Research center, Keio University School of Medicine, Tokyo, Japan.
Yoshiko NaitoDepartment of Clinical and Translational Research center, Keio University School of Medicine, Tokyo, Japan.
Yuto BabaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Shuji MikamiDivision of Pathology, Keio University School of Medicine, Tokyo, Japan.
Kazuhiro MatsumotoDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Ryuichi MizunoDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Akira MiyajimaDepartment of Urology, Tokai University School of Medicine, Tokyo, Japan.
Eiji KikuchiDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Hideyuki SayaDepartment of Clinical and Translational Research center, Keio University School of Medicine, Tokyo, Japan.
Takeo KosakaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-1624-6676
Mototsugu OyaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-2048-4263
Keio University · JPTokai University · JPSt. Marianna University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug resistance contributes to poor therapeutic response in urothelial carcinoma (UC). Metabolomic analysis suggested metabolic reprogramming in gemcitabine-resistant urothelial carcinoma cells, whereby increased aerobic glycolysis and metabolic stimulation of the pentose phosphate pathway (PPP) promoted pyrimidine biosynthesis to increase the production of the gemcitabine competitor deoxycytidine triphosphate (dCTP) that diminishes its therapeutic effect. Furthermore, we observed that gain-of-function of isocitrate dehydrogenase 2 (IDH2) induced reductive glutamine metabolism to stabilize Hif-1α expression and consequently stimulate aerobic glycolysis and PPP bypass in gemcitabine-resistant UC cells. Interestingly, IDH2-mediated metabolic reprogramming also caused cross resistance to CDDP, by elevating the antioxidant defense via increased NADPH and glutathione production. Downregulation or pharmacological suppression of IDH2 restored chemosensitivity. Since the expression of key metabolic enzymes, such as TIGAR, TKT, and CTPS1, were affected by IDH2-mediated metabolic reprogramming and related to poor prognosis in patients, IDH2 might become a new therapeutic target for restoring chemosensitivity in chemo-resistant urothelial carcinoma.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsCell Line, TumorDrug Resistance, NeoplasmGemcitabineGlycolysisHumansHypoxia-Inducible Factor 1, alpha SubunitIsocitrate DehydrogenasePentose Phosphate PathwayGemcitabineHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitIDH2 protein, humanIsocitrate Dehydrogenasechemoresistancehypoxia-inducible factor-1αisocitrate dehydrogenase 2metabolomic reprogrammingurothelial carcinoma

Identifiers

PMID36637036
PMCPMC9929641
OpenAlexW4315880990

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.