Evidence map›Paper›PMID 39912669›Full record

ArticleBlood2025

PSTK inhibition activates cGAS-STING, precipitating ferroptotic cell death in leukemic stem cells.

Lingli He, Ting Zhao, Wei Zhong Leong, Azeem Sharda, Christina Mayerhofer, Shenglin Mei, Gracia M Bonilla, Juan Bautista Menendez-Gonzalez, Karin Gustafsson, Tsuyoshi Fukushima and 11 more

Abstract read
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Lingli HeDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Ting ZhaoDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Wei Zhong LeongDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Azeem ShardaDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Christina MayerhoferDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Shenglin MeiCenter for Regenerative Medicine, Massachusetts General Hospital, Boston, MA.ORCID 0000-0001-8258-5898
Gracia M BonillaDepartment of Molecular Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Juan Bautista Menendez-GonzalezDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.ORCID 0000-0002-0161-4042
Karin GustafssonDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Tsuyoshi FukushimaDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Trine A KristiansenDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Ji-Won LeeHarvard Stem Cell Institute, Cambridge, MA.ORCID 0000-0002-6207-4529
Yanxin XuHarvard Stem Cell Institute, Cambridge, MA.
Lei ChenDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Jun XiaDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.
Luis Angel OrozcoCenter for Regenerative Medicine, Massachusetts General Hospital, Boston, MA.
Bogdan BudnikMass Spectrometry and Proteomics Research Laboratory, Faculty of Art and Science, Harvard University, Cambridge, MA.
Ruslan SadreyevDepartment of Molecular Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Zhixun DouHarvard Stem Cell Institute, Cambridge, MA.
David B SykesHarvard Stem Cell Institute, Cambridge, MA.ORCID 0000-0002-9788-0221
David T ScaddenDepartment of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA.ORCID 0000-0001-9821-7133

Funding

Transcriptional and epigenetic heterogeneity of stem/progenitor cellsP01HL131477 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Jason Daniel Buenrostro · 2017 to 2026
$24.6M
NHLBI NIH HHS P01 HL131477
6 · The paper itself

Abstract

abstractDifferentiation arrest and dependence on oxidative metabolism are features shared among genetically diverse acute myeloid leukemias (AMLs). A phenotypic CRISPR-CRISPR-associated protein 9 screen in AML identified dependence on phosphoseryl-transfer RNA kinase (PSTK), an atypical kinase required for the biosynthesis of all selenoproteins. In vivo, PSTK inhibition (PSTKi) impaired AML cell growth and leukemic stem cell self-renewal. Notably, timed pharmacologic PSTKi effectively targeted chemotherapy-resistant AML in murine and patient-derived xenograft models, showing selectivity for malignant cells over normal hematopoietic cells. Mechanistically, PSTKi-induced reactive oxygen species (ROS) triggering mitochondrial DNA release into the cytosol and activated cyclic GMP-AMP Synthase-Stimulator of interferon genes (cGAS-STING). This activation, in turn, disrupted iron metabolism, augmenting ROS generation, and amplifying ferroptosis. Together, these findings reveal a self-reinforcing PSTK-cGAS-STING-ROS loop, culminating in an oxidative crisis and ferroptotic cell death of leukemic stem cells. These data highlight the potential for augmenting standard cancer chemotherapies using timed metabolic intervention to eliminate chemotherapy-persisting cells and thereby impede disease relapse.

Indexed as

FerroptosisLeukemia, Myeloid, AcuteMembrane ProteinsNeoplastic Stem CellsNucleotidyltransferasesProtein Serine-Threonine KinasesAnimalsCell Line, TumorCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseHumansMiceReactive Oxygen SpeciesSTING ProteincGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseMembrane ProteinsNucleotidyltransferasesProtein Serine-Threonine KinasesReactive Oxygen SpeciesSTING1 protein, humanSTING Protein

Identifiers

PMID39912669
PMCPMC13169314

What OpenQuestion holds

Textmetadata
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.