Evidence map›Paper›PMID 41843684›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Microglial fructose metabolism is essential for glioblastoma growth.

Leah K Billingham, Susan L DeLay, Yasmina Eshac, Tzu-Yi Chia, Shashwat Tripathi, Ian E Olson, Kaylee Zilinger, Jay Subbiah, Zhaoquan Wang, Nishanth S Sadagopan and 22 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Metabolism of myeloid cells in brain tumors.Frontiers in immunology · 2026
    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

32 authors.

Leah K Billingham *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0003-4058-5595
Susan L DeLay *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Yasmina Eshac *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0009-0008-2060-9813
Tzu-Yi ChiaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Shashwat TripathiDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Ian E OlsonDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Kaylee ZilingerDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0003-2231-0969
Jay SubbiahDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0009-0006-6085-697X
Zhaoquan WangImmunology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY 10065.ORCID 0000-0001-8227-0941
Nishanth S SadagopanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Hinda NajemDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Guillaume CognetBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637.ORCID 0000-0001-5427-8110
Joshua L KatzDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Ruochen DuDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0002-0580-5196
Khizar R NandoliyaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Lauren K BolandDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0003-1324-5827
Gustavo Ignacio Vázquez-CervantesDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Si WangDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0003-0143-8058
Hanxiao WanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Allie B LipshutzImmunology and Microbial Pathogenesis Program, Graduate School of Medical Sciences, Weill Cornell Medicine, New York, NY 10065.
Alina R MurphyDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0003-1862-050X
Joseph DuffyDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Irina V BalyasnikovaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0002-4664-9441
Peng ZhangDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Dieter Henrik HeilandDepartment of Neurosurgery, Medical Center-University of Freiburg, Freiburg 79106, Germany.
Atique U AhmedDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
Catalina Lee-ChangDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0002-7675-2124
Amy B HeimbergerDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0002-9970-8695
Justin S A PerryImmunology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY 10065.
Alexander MuirBen May Department for Cancer Research, University of Chicago, Chicago, IL 60637.
Navdeep S ChandelDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60657.ORCID 0000-0001-7208-3886
Jason MiskaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.ORCID 0000-0001-9608-2810

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Devalingam Mahalingam · 1993 to 2026
$153.9M
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
TRAINING PROGRAM IN SIGNAL TRANSDUCTION AND CANCERT32CA070085 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEONIDAS C. PLATANIAS · 1997 to 2026
$5.7M
Rethinking the "quiet" nature of apoptotic cell clearance.DP2GM146337 · NIGMS · SLOAN-KETTERING INST CAN RESEARCH · PI PERRY, JUSTIN S · 2021 to 2024
$2.6M
Development of B-cell-based vaccine for GlioblastomaR37CA258426 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Catalina Lee Chang · 2021 to 2026
$2.2M
Understanding the Behavior of Novel IL13Ralpha2-directed T cell Engager for GBMR01NS122395 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BALYASNIKOVA, IRINA V · 2021 to 2025
$1.9M
Nano-therapeutics Reprogramming of Immunosuppressive Myeloid Cells Potentiate Radiotherapy for GlioblastomaR37CA266487 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Peng Zhang · 2022 to 2026
$1.8M
The hypoxic niche in glioblastoma is maintained by myeloid produced creatineR01CA279686 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Jason Miska · 2023 to 2026
$1.5M
Stinging the Glioma Immune LandscapeR01NS120547 · NINDS · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HEIMBERGER, AMY BETH, RAO, ARVIND · 2020 to 2023
$1.1M
Immunology and Microbial Pathogenesis Research Training ProgramT32AI134632 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI EHRT, SABINE, LI, MING · 2019 to 2023
$747k
Cancer Research Institute (CRI) CR13733Cancer Research Institute (CRI) CR68036HHS | NIH | National Cancer Institute (NCI) 5R01CA279686-03HHS | NIH | National Cancer Institute (NCI) P30CA060553HHS | NIH | National Cancer Institute (NCI) P50CA221747HHS | NIH | National Cancer Institute (NCI) R37CA258426HHS | NIH | National Cancer Institute (NCI) T32CA070085HHS | NIH | National Institute of General Medical Sciences (NIGMS) 1DP2GM146337HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS120547HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS122395HHS | NIH | NIAID | Division of Intramural Research (DIR) 5T32AI134632NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA060553NCI NIH HHS P50 CA221747NCI NIH HHS R01 CA279686NCI NIH HHS R37 CA258426NCI NIH HHS R37 CA266487NCI NIH HHS T32 CA070085NIAID NIH HHS T32 AI134632NIGMS NIH HHS DP2 GM146337NINDS NIH HHS R01 NS120547NINDS NIH HHS R01 NS122395
6 · The paper itself

Abstract

Glioblastoma (GBM) remains one of the most aggressive and treatment-resistant brain tumors in adults. Its immune microenvironment is dominated by tumor-associated macrophages, including both infiltrating monocytes and brain-resident microglia. While metabolic rewiring of infiltrating myeloid cells has been shown to support tumor progression, the role of microglial metabolism in GBM remains incompletely understood. Here, we demonstrate that microglia uniquely express the fructose transporter GLUT5 and are the only immune cells in the GBM microenvironment capable of metabolizing fructose. Using murine orthotopic glioma and Replication-Competent Avian sarcoma leuko virus Splice acceptor (RCAS)-derived tumor models, we show that global deletion of GLUT5 confers profound resistance to tumor growth. This effect is driven by loss of fructose metabolism in microglia and occurs independently of contributions from peripheral immune compartments. In GLUT5-deficient mice, tumors exhibit increased infiltration and activation of both innate and adaptive immunity, including enhanced antigen presentation, clonal expansion of CD8+ T cells, and increased cytokine production. Depletion of B-cells or CD8+ T cells abrogated survival phenotypes in knockout mice, demonstrating that GLUT5 suppresses adaptive immunity. These findings identify microglial fructose metabolism as a critical regulator of immune suppression in GBM and suggest that targeting this pathway may improve immunotherapeutic responses.

Indexed as

Brain NeoplasmsFructoseGlioblastomaGlucose Transporter Type 5MicrogliaAnimalsCD8-Positive T-LymphocytesCell Line, TumorHumansMiceMice, Inbred C57BLMice, KnockoutTumor MicroenvironmentFructoseGlucose Transporter Type 5Slc2a5 protein, mousefructose metabolismglioblastomamicrogliaredox homeostasis

Identifiers

PMID41843684
PMCPMC13012084

What OpenQuestion holds

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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.