Evidence map›Paper›PMID 37957387›Full record

ArticleNature metabolism2023

Inhibition of the proline metabolism rate-limiting enzyme P5CS allows proliferation of glutamine-restricted cancer cells.

Samantha J Linder, Tiziano Bernasocchi, Bárbara Martínez-Pastor, Kelly D Sullivan, Matthew D Galbraith, Caroline A Lewis, Christina M Ferrer, Ruben Boon, Giorgia G Silveira, Hyo Min Cho and 12 more

Open access · greenAbstract read
In one paragraph

Article in Nature metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.7field-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

24 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. American journal of physiology. Gastrointestinal and liver physiology · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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

22 authors at 7 institutions in 4 countries.

Samantha J Linder *The Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Tiziano Bernasocchi *The Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA. tbernasocchi@mgh.harvard.edu.ORCID 0000-0002-7130-5317
Bárbara Martínez-PastorThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Kelly D SullivanLinda Crnic Institute for Down Syndrome, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Matthew D GalbraithDepartment of Pharmacology, University of Colorado School of Medicine, Anschutz Medical Campus, Denver, CO, USA.ORCID 0000-0003-0485-3927
Caroline A LewisThe Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID 0000-0003-1787-5084
Christina M FerrerThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Ruben BoonThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-9355-674X
Giorgia G SilveiraThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-1798-0191
Hyo Min ChoThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Charles VidoudezHarvard Center for Mass Spectrometry, Cambridge, MA, USA.ORCID 0000-0003-0953-7800
Stuti ShroffDepartment of Pathology, The Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1674-2557
Joao P Oliveira-CostaThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-3609-8834
Kenneth N RossDana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Rami MassriThe Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.ORCID 0000-0001-8112-9081
Yusuke MatobaVincent Center for Reproductive Biology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2609-1778
Eugene KimVincent Center for Reproductive Biology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4815-5680
Bo R RuedaVincent Center for Reproductive Biology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-9489-8699
Shannon L StottThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Eyal GottliebThe Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.ORCID 0000-0002-9770-0956
Joaquin M EspinosaDepartment of Pharmacology, University of Colorado School of Medicine, Anschutz Medical Campus, Denver, CO, USA.ORCID 0000-0001-9048-1941
Raul MostoslavskyThe Krantz Family Center for Cancer Research, The Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA. rmostoslavsky@mgh.harvard.edu.ORCID 0000-0002-7740-5212
Harvard University · USBroad Institute · USUniversity of Colorado Anschutz Medical Campus · USCenter for Cancer Research · USTechnion – Israel Institute of Technology · ILThe University of Texas MD Anderson Cancer Center · USWhitehead Institute for Biomedical Research · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Stress- and Promoter-Specific Mechanisms of Transcritpional Activation by p53R01CA117907 · NCI · UNIVERSITY OF COLORADO DENVER · PI ESPINOSA, JOAQUIN M. · 2006 to 2022
$4.4M
Benchmarking the Sensitivity and Specificity of the Herringbone Microfluidic Device for Rare Particle CaptureR01CA226871 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NAHED, BRIAN VALA, STOTT, SHANNON L · 2018 to 2023
$2.3M
The histone deacetylase SIRT6 modulates Transcriptional pausingR01GM128448 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI MOSTOSLAVSKY, RAUL · 2019 to 2022
$1.6M
Mechanisms of gene expression control during the cellular response to hypoxiaR01GM120109 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI ESPINOSA, JOAQUIN M. · 2016 to 2019
$1.2M
Histone tails as an energy reservoir for mitochondrial functionR33ES025638 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI MOSTOSLAVSKY, RAUL · 2018 to 2019
$821k
Investigating metabolic adaptations of Myc-dependent cancersF31CA210310 · NCI · HARVARD MEDICAL SCHOOL · PI LINDER, SAMANTHA JOAN · 2017 to 2019
$101k
NCI NIH HHS F31 CA210310NCI NIH HHS P30 CA046934NCI NIH HHS R01 CA117907NCI NIH HHS R01 CA226871NIEHS NIH HHS R33 ES025638NIGMS NIH HHS R01 GM120109NIGMS NIH HHS R01 GM128448
6 · The paper itself

Abstract

Glutamine is a critical metabolite for rapidly proliferating cells as it is used for the synthesis of key metabolites necessary for cell growth and proliferation. Glutamine metabolism has been proposed as a therapeutic target in cancer and several chemical inhibitors are in development or in clinical trials. How cells subsist when glutamine is limiting is poorly understood. Here, using an unbiased screen, we identify ALDH18A1, which encodes P5CS, the rate-limiting enzyme in the proline biosynthetic pathway, as a gene that cells can downregulate in response to glutamine starvation. Notably, P5CS downregulation promotes de novo glutamine synthesis, highlighting a previously unrecognized metabolic plasticity of cancer cells. The glutamate conserved from reducing proline synthesis allows cells to produce the key metabolites necessary for cell survival and proliferation under glutamine-restricted conditions. Our findings reveal an adaptive pathway that cancer cells acquire under nutrient stress, identifying proline biosynthesis as a previously unrecognized major consumer of glutamate, a pathway that could be exploited for developing effective metabolism-driven anticancer therapies.

Indexed as

GlutamineNeoplasmsCell ProliferationGlutamatesHumansProlineGlutamatesGlutamineProline

Identifiers

PMID37957387
PMCPMC11639397
OpenAlexW4388627516

What OpenQuestion holds

Textmetadata
LicenceTDM
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.