Evidence map›Paper›PMID 41514289›Full record

ArticleJournal of translational medicine2026

MTHFD2 is required for DNA repair and implicated in LUAD radiotherapy resistance.

Qian Huang, Weiwei Ouyang, Shengfa Su, Zhu Ma, Yinxiang Hu, Yichao Geng, Xiaxia Chen, Qingsong Li, Wengang Yang, Bing Lu

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Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Qian HuangDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Weiwei OuyangDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Shengfa SuDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Zhu MaDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Yinxiang HuDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Yichao GengDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Xiaxia ChenDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Qingsong LiDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Wengang YangDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China.
Bing LuDepartment of Thoracic Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, China. lbgymaaaa@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDNA damage-based radiotherapy (RT) is a conventional and effective local treatment for lung adenocarcinoma (LUAD). However, residual or recurrent tumors often occur due to radio-resistance. The underlying mechanisms by which radio-resistance occurs are still not fully understood. Novel predictive markers and potential therapeutic targets for LUAD radio-resistance need to be investigated.

methodsBioinformatic tools were used to evaluate the biological functions of MTHFD2 in LUAD patients. The association of MTHFD2 with radiotherapy efficacy in LUAD patients was confirmed by immunohistochemistry. The baseline radioresponsiveness of different LUAD cells was identified and cells with acquired radio-resistance were generated. MTHFD2 in malignant phenotype and DNA damage after irradiation (IR) in LUAD cells were investigated by Western blotting, colony formation and neutral comet assays, etc. LC-MS and co-immunoprecipitation analyses were used to determine the interaction between MTHFD2 and XRCC6. Mouse models were used to verify these effects in vivo.

resultsIn this study, we showed that methylenetetrahydrofolate dehydrogenase 2 (MTHFD2) plays an important role in intrinsic and acquired radio-resistance in LUAD. High MTHFD2 expression correlates with poor RT response and reduced radiation-induced DNA damage. Mechanistically, MTHFD2 directly interacts with XRCC6 to facilitate XRCC6/XRCC5 complex formation, promoting non-homologous end joining (NHEJ)-mediated repair of DNA double-strand breaks, as evidenced by LC-MS and co-immunoprecipitation (Co-IP).

conclusionsThis study establishes MTHFD2 as a master regulator of NHEJ-mediated radio-resistance through direct interaction with XRCC6. Our findings propose MTHFD2 expression as both a predictive biomarker for radiotherapy stratification and a therapeutic target for radiosensitization in LUAD.

Indexed as

Adenocarcinoma of LungAminohydrolasesDNA RepairLung NeoplasmsMethylenetetrahydrofolate Dehydrogenase (NADP)Multifunctional EnzymesRadiation ToleranceAnimalsCell Line, TumorDNA DamageHumansKu AutoantigenMiceProtein BindingAminohydrolasesKu AutoantigenMethylenetetrahydrofolate Dehydrogenase (NADP)MTHFD2 protein, humanMultifunctional EnzymesXrcc6 protein, humanDNA damage repairLUADMTHFD2Radiation resistanceXRCC6

Identifiers

PMID41514289
PMCPMC12882504

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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.