Evidence map›Paper›PMID 41042129›Full record

ReviewCancer science2025

IMPDH and GTP Metabolism in Cancer: Mechanisms, Regulation, and Translational Scope.

Aki Ogawa-Iio, Koh Takeuchi, Keita Shigemi, Michelle Jane Genoveso, Hiroaki Niitsu, Iemasa Koh, Yusei Ota, Keita Yamane, Takao Hinoi, Natsuki Osaka and 11 more

Abstract readReview
In one paragraph

Review in Cancer science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

21 authors.

Aki Ogawa-IioDivision of Hematology and Oncology, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0003-4507-5228
Koh TakeuchiGraduate School of Pharmaceutical Sciences, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6227-4627
Keita ShigemiGraduate School of Pharmaceutical Sciences, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Michelle Jane GenovesoStructural Biology Research Center, Institute of Materials Structure Science, High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki, Japan.ORCID https://orcid.org/0009-0003-4659-3585
Hiroaki NiitsuDepartment of Clinical and Molecular Genetics, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0001-6878-9712
Iemasa KohDepartment of Obstetrics and Gynecology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.ORCID https://orcid.org/0000-0003-4617-1377
Yusei OtaDivision of Hematology and Oncology, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0009-0006-1547-4665
Keita YamaneDepartment of Immunology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.ORCID https://orcid.org/0009-0000-4895-5525
Takao HinoiDepartment of Clinical and Molecular Genetics, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0003-0462-6177
Natsuki OsakaInstitute for Advanced Biosciences, Keio University, Tsuruoka, Yamagata, Japan.
Masashi OshimaDivision of Hematology and Oncology, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-7365-1491
Tomohiro IshikawaLTT Bio-Pharma Co., LTD., Tokyo, Japan.ORCID https://orcid.org/0000-0002-0539-7372
Tomoyuki MizunoDivision of Translational and Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-8471-9826
Manabu NatsumedaDepartment of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan.ORCID https://orcid.org/0000-0003-3098-8323
Kensuke TateishiDepartment of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.ORCID https://orcid.org/0000-0001-6895-9013
Rintaro HashizumeDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0002-9373-7831
Satoru OsukaDepartment of Neurosurgery, School of Medicine and O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Susumu GoyamaDepartment of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9339-1826
Tomoharu YasudaDepartment of Immunology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.ORCID https://orcid.org/0000-0001-9997-6852
Toshiya SendaStructural Biology Research Center, Institute of Materials Structure Science, High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki, Japan.ORCID https://orcid.org/0000-0002-5153-928X
Atsuo T SasakiDivision of Hematology and Oncology, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0003-2963-4501

Funding

Therapeutic resistance and aggressive malignancy in glioblastomas: the contribution of GTP metabolism through regulation by IMPDH2R01CA255331 · NCI · UNIVERSITY OF CINCINNATI · PI SASAKI, ATSUO · 2021 to 2025
$2.0M
Targeting Transcriptional Elongation in Pediatric GliomaR01NS126513 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Rintaro Hashizume · 2022 to 2026
$1.9M
Mechanistic role of phosphatidylinositol 5-phosphate 4-kinase beta in GTP-dependent lysosomal acidification for stress-resilient cell growth and metabolismR01GM144426 · NIGMS · UNIVERSITY OF CINCINNATI · PI Atsuo Sasaki · 2023 to 2026
$1.7M
Core Research for Evolutional Science and Technology JPMJCR20H6kHuman Frontier Science Program RGP0028/2022Japan Agency for Medical Research and Development 22ama221112h0001Japan Agency for Medical Research and Development 24gm1610003h0204Japan Agency for Medical Research and Development JP23ama121001Japan Agency for Medical Research and Development JP23gm1710007Japan Science and Technology AgencyJapan Society for the Promotion of Science 22K1837Japan Society for the Promotion of Science 24K01941Japan Society for the Promotion of Science 24KJ1976Naito FoundationNCI NIH HHS R01 CA255331NCI NIH HHS R01CA255331NIGMS NIH HHS R01 GM144426NIGMS NIH HHS R01GM144426NINDS NIH HHS R01 NS126513Satake FundTakeda Science FoundationTERUMO LIFE SCIENCE FOUNDATION 23-III4028Yamagata prefectural government and the city of Tsuruoka
6 · The paper itself

Abstract

Guanosine triphosphate (GTP) is increasingly recognized as a critical actor in cancer cell proliferation, yet its regulatory mechanism remains incompletely defined. A key contributor to elevated GTP levels in tumors is inosine monophosphate dehydrogenase 2 (IMPDH2), a rate-limiting enzyme in the de novo guanine nucleotide biosynthetic pathway. Although IMPDH inhibitors, mycophenolic acid (MPA) and mycophenolate mofetil (MMF), have shown potential in cancer therapies, their success has been limited due to their immunosuppressive side effects and several unresolved regulatory mechanisms, including paradoxical control of IMPDH activity by GTP. This review provides a systematic summary of the current understanding of IMPDH biology, emphasizing its complex regulation and therapeutic relevance in cancer. We will outline key unresolved questions, including isozyme-specific roles and mechanisms for escaping regulation, and propose mechanistic and translational strategies to design IMPDH-targeted cancer therapies.

Indexed as

Guanosine TriphosphateIMP DehydrogenaseNeoplasmsAnimalsCell ProliferationEnzyme InhibitorsHumansEnzyme InhibitorsGuanosine TriphosphateIMP DehydrogenaseIMPDH2 protein, humandrug repositioningenergy metabolismGTPIMPDHmetabolism

Identifiers

PMID41042129
PMCPMC12666484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.