Evidence map›Paper›PMID 41271669›Full record

ArticleCell death & disease2025

LMNA-PRKDC axis enhances DNA repair and promotes chemoresistance in glioblastoma.

Miranda R Saathoff, Rafal Chojak, Rebecca X Chen, Hasaan A Kazi, Umme H Faisal, Jack M Shireman, Noah Drewes, Cheol H Park, Xuesong Fan, Sana A Khan and 5 more

Abstract read
In one paragraph

Article in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Miranda R Saathoff *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-9955-9848
Rafal Chojak *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Rebecca X ChenDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Hasaan A KaziDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Umme H FaisalDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Jack M ShiremanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-5088-7805
Noah DrewesDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Cheol H ParkDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Xuesong FanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Sana A KhanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Irene LazanyiDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0009-0001-4164-8423
Shivani BaisiwalaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
C David JamesDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Craig M HorbinskiDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-8340-9992
Atique U AhmedDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. atique.ahmed@northwestern.edu.ORCID http://orcid.org/0000-0003-4795-0188

Funding

STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Hui Zhang · 2018 to 2026
$21.4M
Cellular Plasticity and equilibrium in GBM ProgressionR01NS096376 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Atique U. Ahmed · 2017 to 2026
$3.9M
Role of purine metabolism in chemoresistanceR01NS112856 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI AHMED, ATIQUE U. · 2019 to 2023
$1.7M
NCI NIH HHS P50 CA221747NINDS NIH HHS R01 NS096376NINDS NIH HHS R01 NS112856U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P50CA221747U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) 1R01NS096376U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) 1R01NS112856
6 · The paper itself

Abstract

Glioblastoma (GBM) remains one of the deadliest primary brain tumors, with rapid recurrence and near-universal resistance to temozolomide (TMZ) limiting long-term survival. In this study, we identify a clinically actionable mechanism of resistance driven by the LMNA-PRKDC axis, which enhances DNA repair and tumor cell survival following TMZ treatment. Using patient-derived xenograft models of recurrent GBM, we demonstrate that resistant tumors exhibit elevated LMNA expression and increased physical interaction with PRKDC, a central regulator of non-homologous end joining (NHEJ). This interaction accelerates the repair of TMZ-induced DNA lesions, contributing to therapeutic failure. Proteomic profiling and targeted immunoprecipitation revealed a distinct LMNA-PRKDC-associated DNA repair complex. Inhibition of PRKDC with the ATP-competitive inhibitor KU57788 reversed resistance, restoring TMZ sensitivity and impairing tumor growth in vivo. Single-cell RNA sequencing of primary and recurrent GBM specimens further identified LMNA-PRKDC co-expression as a hallmark of treatment-resistant, glioma stem-like cell populations. Importantly, high LMNA-PRKDC expression was associated with inferior survival outcomes in GBM patient cohorts. These results establish the LMNA-PRKDC axis as a functional driver of TMZ resistance through enhanced DNA repair capacity in stem-like tumor subpopulations. Our findings support pharmacologic inhibition of PRKDC as a rational strategy to resensitize resistant GBM to standard chemotherapy and offer a foundation for future biomarker-driven clinical trials targeting DNA repair vulnerabilities in recurrent disease.

Indexed as

Brain NeoplasmsDNA-Activated Protein KinaseDNA RepairDrug Resistance, NeoplasmGlioblastomaLamin Type AAnimalsCell Line, TumorHumansMiceTemozolomideXenograft Model Antitumor AssaysDNA-Activated Protein KinaseLamin Type ALMNA protein, humanPRKDC protein, humanTemozolomide

Identifiers

PMID41271669
PMCPMC12811359

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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.