Evidence map›Paper›PMID 41876618›Full record

ArticleScientific reports2026

Hypoxia and aspirin additively increase intracellular glutamine accumulation in PIK3CA-mutated colorectal cancer cells.

Nodoka Umezaki, Shogen Boku, Yoshiyuki Matsuo, Tetsushi Yamamoto, Hironaga Satake, Motoki Watanabe, Kiichi Hirota, Tomoharu Sugie, Mitsugu Sekimoto

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Nodoka UmezakiDepartment of Surgery, Kansai Medical University, Hirakata City, 573-1191, Osaka, Japan.
Shogen BokuCancer Treatment Center, Kansai Medical University Hospital, 2-3-1 Shinmachi, Hirakata City, 573-1191, Osaka, Japan. boku.sho@kmu.ac.jp.ORCID http://orcid.org/0000-0002-5015-0379
Yoshiyuki MatsuoDepartment of Human Stress Response Science, Institute of Biomedical Science, Kansai Medical University, Hirakata City, 573-1191, Osaka, Japan.ORCID http://orcid.org/0000-0002-3183-4871
Tetsushi YamamotoPathological and Biomolecule Analyses Laboratory, Faculty of Pharmacy, Kindai University, Higasiosaka City, 577-8502, Osaka, Japan.
Hironaga SatakeDepartment of Medical Oncology, Kochi Medical School, Kochi University, Nankoku City, 783-8505, Kochi, Japan.ORCID http://orcid.org/0000-0001-7629-6803
Motoki WatanabeDepartment of Molecular-Targeting Prevention, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan.ORCID http://orcid.org/0000-0002-9499-1161
Kiichi HirotaDepartment of Human Stress Response Science, Institute of Biomedical Science, Kansai Medical University, Hirakata City, 573-1191, Osaka, Japan.ORCID http://orcid.org/0000-0003-1110-0827
Tomoharu SugieDepartment of Surgery, Kansai Medical University, Hirakata City, 573-1191, Osaka, Japan.
Mitsugu SekimotoDepartment of Surgery, Kansai Medical University, Hirakata City, 573-1191, Osaka, Japan.

Funding

Japan Society for the Promotion of Science JP21K09480
6 · The paper itself

Abstract

Aspirin exhibits potential as a repurposed agent for preventing and treating cancer, specifically PIK3CA-mutated (MT) colorectal cancer. However, the fundamental biological reasons for the particular antitumor activity of aspirin against PIK3CA-MT colorectal cancer are not yet fully elucidated. We have previously established that aspirin relates to glutamine metabolism in PIK3CA-MT colorectal cancer. In evaluating the antitumor effects of aspirin, it is essential to consider the tumor growth environment, such as hypoxia. The impact of the tumor microenvironment on aspirin efficacy remains unknown. Therefore, we aimed to investigate the mechanisms through which hypoxia influences aspirin- associated intracellular glutamine accumulation in PIK3CA-MT colorectal cancer cell lines. Connectivity Map analysis was used to explore the associations of aspirin with biological pathways in HT-29 (PIK3CA-MT) cells. RNA sequencing was performed on PIK3CA-wild type (WT)/mutant isogenic SW48 cell lines to assess aspirin’s effects under hypoxic conditions. Targeted metabolomics was employed to measure intracellular glutamine levels in PIK3CA-MT HCT116 cells following aspirin treatment and hypoxic stimulation. Bioinformatic analysis revealed associations of aspirin with amino acid metabolism and hypoxic pathways. Under hypoxic conditions, aspirin enhanced amino acid uptake in PIK3CA-MT cells. Targeted metabolomics showed that aspirin treatment and hypoxic stimulation additively upregulated intracellular glutamine levels in PIK3CA-MT cells. This increase was reversed by V-9302, an inhibitor of the glutamine transporter ASCT2, which demonstrated antitumor potential in combination with aspirin. Our findings suggest that the combination of aspirin and hypoxia significantly enhances intracellular glutamine accumulation in PIK3CA-MT colorectal cancer under hypoxic conditions, emphasizing glutamine metabolism as a potential therapeutic target to enhance aspirin’s efficacy.

Indexed as

AspirinClass I Phosphatidylinositol 3-KinasesColorectal NeoplasmsGlutamineMutationCell HypoxiaCell Line, TumorHCT116 CellsHT29 CellsHumansTumor MicroenvironmentAspirinClass I Phosphatidylinositol 3-KinasesGlutaminePIK3CA protein, humanaspirincolorectal cancerglutaminolysishypoxiaPIK3CA

Identifiers

PMID41876618
PMCPMC13013922

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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.