Evidence map›Paper›PMID 40741714›Full record

ArticleCell proliferation2026

PIK-III-Mediated Elevation of Thiamine Re-Sensitises Renal Cell Carcinoma to Cuproptosis via Activating PDHA1.

Dongdong Xie, Yu Wang, Wenjie Cheng, Minbo Yan, Kunyu Li, Xiang Wu, Jiaqing Wu, Zhuangzhuang Zhang, Yingbo Dai

Abstract read
In one paragraph

Article in Cell proliferation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
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  6. Review
  7. 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

9 authors.

Dongdong XieDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.ORCID https://orcid.org/0009-0005-1491-1950
Yu WangDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Wenjie ChengDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Minbo YanDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Kunyu LiGuangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Xiang WuDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Jiaqing WuDepartment of Kidney Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhuangzhuang ZhangGuangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Yingbo DaiDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.ORCID https://orcid.org/0000-0003-1089-416X

Funding

National Natural Science Foundation of China 82472913Natural Science Foundation of Guangdong Province 2019A1515012116Natural Science Foundation of Guangdong Province 2022A1515012559
6 · The paper itself

Abstract

Cuproptosis, a copper-dependent cell death mechanism driven by tricarboxylic acid (TCA) cycle collapse, shows limited efficacy in hypoxic or glycolytic renal cell carcinoma (RCC). Here, through systematic screening of 688 glycolysis inhibitors combined with elesclomol (ES), we identified PIK-III as a potent cuproptosis sensitiser. Multi-omics analysis revealed that PIK-III restores sensitivity by rewiring thiamine metabolism. Mechanistically, PIK-III induces macropinocytosis, enabling thiamine uptake to replenish thiamine pyrophosphate (TPP), which activates pyruvate dehydrogenase E1-alpha 1 (PDHA1) and redirects pyruvate into the TCA cycle. Concurrently, ES-induced DLAT oligomerisation disrupts TCA flux, creating a metabolic crisis. In vivo, PIK-III synergises with ES to suppress tumour growth in xenograft and patient-derived models without systemic toxicity. Our work uncovers a metabolic vulnerability in cuproptosis-resistant RCC and positions PIK-III as a therapeutic candidate to overcome resistance via dual targeting of thiamine transport and mitochondrial dysfunction.

Indexed as

Carcinoma, Renal CellCuproptosisHydrazinesThiamineAnimalsAntineoplastic AgentsCell Line, TumorCitric Acid CycleGlycolysisHumansMice, Inbred BALB CMultiomicsOxidative StressPinocytosisPyruvate Dehydrogenase (Lipoamide)Xenograft Model Antitumor AssaysAntineoplastic AgentselesclomolHydrazinespyruvate dehydrogenase E1alpha subunitPyruvate Dehydrogenase (Lipoamide)ThiamineccRCCcuproptosisPIK‐IIIthiamine metabolismWarburg effect

Identifiers

PMID40741714
PMCPMC12961540

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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.