Evidence map›Paper›PMID 37587486›Full record

ArticleJournal of translational medicine2023

Warburg effect enhanced by AKR1B10 promotes acquired resistance to pemetrexed in lung cancer-derived brain metastasis.

Wenzhe Duan, Wenwen Liu, Shengkai Xia, Yang Zhou, Mengyi Tang, Mingxin Xu, Manqing Lin, Xinyu Li, Qi Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing 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

76 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
  2. Genes, fuel, and fate in lung cancer.Biochemical Society transactions · 2026
    Review
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  18. AKR1B10 reprograms neutrophils by histone lactylation to foster immune evasion in KRASJournal of experimental & clinical cancer research : CR · 2026
    Article
  19. Review
  20. [Research Progress on Glycolytic Reprogramming and Lactylation Crosstalk in Tumors].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Review

16 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

9 authors at 1 institution in 1 country.

Wenzhe Duan *Department of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Wenwen Liu *Cancer Translational Medicine Research Center, The Second Hospital, Dalian Medical University, Dalian, China. liuwenwenphd@163.com.
Shengkai Xia *Department of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Yang Zhou *Cancer Translational Medicine Research Center, The Second Hospital, Dalian Medical University, Dalian, China.
Mengyi TangDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Mingxin XuDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Manqing LinDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Xinyu LiDepartment of Neurosurgery, The Second Hospital, Dalian Medical University, Dalian, China. 185452835@qq.com.
Qi WangDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China. wqdlmu@163.com.ORCID http://orcid.org/0000-0003-2427-7234
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResistance to pemetrexed (PEM), a rare chemotherapeutic agent that can efficiently cross the blood-brain barrier, limits the therapeutic efficacy for patients with lung cancer brain metastasis (BM). Aldo-keto reductase family 1 B10 (AKR1B10) was recently found to be elevated in lung cancer BM. The link between AKR1B10 and BM-acquired PEM is unknown.

methodsPEM drug-sensitivity was assessed in the preclinical BM model of PC9 lung adenocarcinoma cells and the BM cells with or without AKR1B10 interference in vitro and in vivo. Metabolic reprogramming of BM attributed to AKR1B10 was identified by chromatography-mass spectrometry (GC-MS) metabolomics, and the mechanism of how AKR1B10 mediates PEM chemoresistance via a way of modified metabolism was revealed by RNA sequencing as well as further molecular biology experimental approaches.

resultsThe lung cancer brain metastatic subpopulation cells (PC9-BrM3) exhibited significant resistance to PEM and silencing AKR1B10 in PC9-BrM3 increased the PEM sensitivity in vitro and in vivo. Metabolic profiling revealed that AKR1B10 prominently facilitated the Warburg metabolism characterized by the overproduction of lactate. Glycolysis regulated by AKR1B10 is vital for the resistance to PEM. In mechanism, AKR1B10 promoted glycolysis by regulating the expression of lactate dehydrogenase (LDHA) and the increased lactate, acts as a precursor that stimulates histone lactylation (H4K12la), activated the transcription of CCNB1 and accelerated the DNA replication and cell cycle.

conclusionsOur finding demonstrates that AKR1B10/glycolysis/H4K12la/CCNB1 promotes acquired PEM chemoresistance in lung cancer BM, providing novel strategies to sensitize PEM response in the treatment of lung cancer patients suffering from BM.

Indexed as

Adenocarcinoma of LungBrain NeoplasmsDrug Resistance, NeoplasmLung NeoplasmsPemetrexedAldo-Keto ReductasesHumansAKR1B10 protein, humanAldo-Keto ReductasesPemetrexedAKR1B10Brain metastasisChemotherapeutic resistanceHistone lactylationLung cancerPemetrexedWarburg metabolism

Identifiers

PMID37587486
PMCPMC10428599
OpenAlexW4385874791

What OpenQuestion holds

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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.