Evidence map›Paper›PMID 42436529›Full record

ArticleJournal of translational medicine2026

The MAPK/ATF3/ASNS axis drives amino acid metabolic reprogramming to promote NSCLC survival under glucose deprivation.

Fuzhi Yang, Hao Qin, Xuelin Zhang, Yun Zhao, Shuai Jiang, Xiaoyu Chen, Zheng Li, Jing Wang, Dongfang Tang, Wen Gao and 2 more

Abstract read
In one paragraph

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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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Fuzhi Yang *Department of Thoracic Surgery, Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Hao Qin *Department of Thoracic Surgery, Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Xuelin Zhang *Department of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Yun ZhaoDepartment of Pathology, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Shuai JiangDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Xiaoyu ChenDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Zheng LiDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Jing WangDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China.
Dongfang TangDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China. tangdongfangchest@163.com.
Wen GaoDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China. gaowenchest@163.com.
Xunxia ZhuDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China. 342302761@qq.com.
Xiaoyong ShenDepartment of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, 200041, China. xiaoyongshen@fudan.edu.cn.

Funding

National Natural Science Foundation of China 82376211
6 · The paper itself

Abstract

backgroundGlucose deprivation is a prevalent stressor within the tumor microenvironment. Nonetheless, the fundamental mechanism through which non-small cell lung cancer (NSCLC) cells orchestrate survival and progression through specific metabolic hubs under such conditions remains poorly understood.

methodsThis study utilized integrated multiomics analyses, encompassing transcriptomics and metabolomics, to identify pivotal targets. Functional validation was performed via in vitro assays, including CCK-8, colony formation, Transwell, and EdU assays, as well as in vivo models, such as subcutaneous xenografts and tail-vein lung metastasis models. The function and mechanism of the MAPK/ATF3/ASNS signaling axis were comprehensively investigated using gene knockdown/overexpression techniques, Western blotting, immunohistochemistry, and metabolomic analysis.

resultsCombined transcriptomic and metabolomic analyses revealed that glucose deprivation markedly upregulates ASNS expression in NSCLC cells, correlating with unfavorable patient outcomes. Functionally, both in vitro and in vivo experiments confirmed that ASNS significantly promotes the malignant behaviors of NSCLC cells under glucose-deprived conditions. Metabolomic analysis revealed that ASNS supports tumor cell survival during energetic stress by maintaining a dynamic balance of multiple amino acids. Mechanistically, glucose deprivation activates the MAPK signaling pathway, leading to the upregulation of the transcription factor ATF3, which binds directly to the ASNS promoter and transcriptionally activates its expression, thereby promoting malignant progression in NSCLC. Finally, the combined targeting of glucose metabolism using 2-DG, along with ASNS inhibition, demonstrated additive antitumor efficacy in vivo.

conclusionThe results of this study revealed that, under glucose deprivation stress, the MAPK/ATF3/ASNS axis functions as a critical signaling-metabolic hub, promoting NSCLC progression by driving amino acid metabolic reprogramming. Targeting this axis offers a novel strategy for intervening in tumor metabolic adaptation and developing innovative combination therapies.

Indexed as

Activating Transcription Factor 3Amino AcidsCarcinoma, Non-Small-Cell LungGlucoseLung NeoplasmsMetabolic ReprogrammingMitogen-Activated Protein KinasesAnimalsCell Line, TumorCell SurvivalGene Expression Regulation, NeoplasticHumansMetabolomicsMice, NudeSignal TransductionActivating Transcription Factor 3Amino AcidsATF3 protein, humanGlucoseMitogen-Activated Protein KinasesAmino acid metabolic reprogrammingAsparagine synthetase (ASNS)Glucose deprivationMAPKNon-small cell lung cancer (NSCLC)

Identifiers

PMID42436529
PMCPMC13644201

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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.