Evidence map›Paper›PMID 36932191›Full record

ArticleBritish journal of cancer2023

Transcription factor NKX2-1 drives serine and glycine synthesis addiction in cancer.

Elien Heylen, Paulien Verstraete, Linde Van Aerschot, Shauni L Geeraerts, Tom Venken, Kalina Timcheva, David Nittner, Jelle Verbeeck, Jonathan Royaert, Marion Gijbels and 6 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

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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

16 authors at 4 institutions in 3 countries.

Elien HeylenLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-8102-3209
Paulien VerstraeteLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
Linde Van AerschotLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
Shauni L GeeraertsLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
Tom VenkenLaboratory for Translational Genetics, Department of Human Genetics, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-0773-1810
Kalina TimchevaLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
David NittnerHistopathology Expertise Center, VIB-KU Leuven Center for Cancer Biology, VIB, Leuven, Belgium.
Jelle VerbeeckLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
Jonathan RoyaertLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium.
Marion GijbelsDepartment of Pathology, GROW School for Oncology and Reproduction, Maastricht, The Netherlands.
Anne UyttebroeckLeuven Cancer Institute (LKI), Leuven, Belgium.
Heidi SegersLeuven Cancer Institute (LKI), Leuven, Belgium.ORCID http://orcid.org/0000-0002-3604-7850
Diether LambrechtsLaboratory for Translational Genetics, Department of Human Genetics, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-3429-302X
Jan CoolsLeuven Cancer Institute (LKI), Leuven, Belgium.
Kim De KeersmaeckerLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium. kim.dekeersmaecker@kuleuven.be.ORCID http://orcid.org/0000-0002-7420-9531
Kim R KampenLaboratory for Disease Mechanisms in Cancer, Department of Oncology, KU Leuven, Leuven, Belgium. k.kampen@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0001-5065-1272
KU Leuven · BEVIB-KU Leuven Center for Cancer Biology · BEAmsterdam Neuroscience · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne-third of cancers activate endogenous synthesis of serine/glycine, and can become addicted to this pathway to sustain proliferation and survival. Mechanisms driving this metabolic rewiring remain largely unknown.

methodsNKX2-1 overexpressing and NKX2-1 knockdown/knockout T-cell leukaemia and lung cancer cell line models were established to study metabolic rewiring using ChIP-qPCR, immunoblotting, mass spectrometry, and proliferation and invasion assays. Findings and therapeutic relevance were validated in mouse models and confirmed in patient datasets.

resultsExploring T-cell leukaemia, lung cancer and neuroendocrine prostate cancer patient datasets highlighted the transcription factor NKX2-1 as putative driver of serine/glycine metabolism. We demonstrate that transcription factor NKX2-1 binds and transcriptionally upregulates serine/glycine synthesis enzyme genes, enabling NKX2-1 expressing cells to proliferate and invade in serine/glycine-depleted conditions. NKX2-1 driven serine/glycine synthesis generates nucleotides and redox molecules, and is associated with an altered cellular lipidome and methylome. Accordingly, NKX2-1 tumour-bearing mice display enhanced tumour aggressiveness associated with systemic metabolic rewiring. Therapeutically, NKX2-1-expressing cancer cells are more sensitive to serine/glycine conversion inhibition by repurposed anti-depressant sertraline, and to etoposide chemotherapy.

conclusionCollectively, we identify NKX2-1 as a novel transcriptional regulator of serine/glycine synthesis addiction across cancers, revealing a therapeutic vulnerability of NKX2-1-driven cancers. Transcription factor NKX2-1 fuels cancer cell proliferation and survival by hyperactivating serine/glycine synthesis, highlighting this pathway as a novel therapeutic target in NKX2-1-positive cancers.

Indexed as

Lung NeoplasmsSerineAnimalsCell LineCell Line, TumorGlycineHumansMiceThyroid Nuclear Factor 1Transcription FactorsGlycineNKX2-1 protein, humanNkx2-1 protein, mouseSerineThyroid Nuclear Factor 1Transcription Factors

Identifiers

PMID36932191
PMCPMC10147615
OpenAlexW4327811382

What OpenQuestion holds

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LicenceCC BY
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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.