Evidence map›Paper›PMID 42493599›Full record

ArticleBritish journal of cancer2026

Adipose triglyceride lipase driven lipolysis as a targetable metabolic vulnerability in prostate cancer with intrinsic metabolic inflexibility.

Andreas Tiefenbacher, Madeleine Gudenus, Daniel Valcanover, Barbara Neudert, Raheleh Sheibani-Tezerji, Theresa Mendrina, Jessica Kalla, Laura Pajed, Kristina Draganić, Andrea Haitel and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

19 authors.

Andreas TiefenbacherDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Madeleine GudenusDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Daniel ValcanoverCenter for Cancer Research, Medical University of Vienna, Vienna, Austria.
Barbara NeudertDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Raheleh Sheibani-TezerjiDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Theresa MendrinaCenter for Cancer Research, Medical University of Vienna, Vienna, Austria.
Jessica KallaDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Laura PajedInstitute of Molecular Biosciences, University of Graz, Graz, Austria.
Kristina DraganićDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Andrea HaitelDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Astrid HaaseDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Markus HartenbachDepartment of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Vienna, Austria.
Sazan RasulDepartment of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Vienna, Austria.
Walter BergerComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0014-1658
Rolf BreinbauerInstitute of Organic Chemistry, Graz University of Technology, Graz, Austria.
Gernot GrabnerGottfried Schatz Research Center, Medical University of Graz, Graz, Austria.
Martina SchweigerInstitute of Molecular Biosciences, University of Graz, Graz, Austria.
Eva CompératDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Gerda EggerDepartment of Pathology, Medical University of Vienna, Vienna, Austria. gerda.egger@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-2489-155X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the widespread clinical use of prostate-specific membrane antigen (PSMA)-targeted imaging and therapy in prostate cancer, the biological functions underlying PSMA-associated tumour aggressiveness remain incompletely understood.

methodsPSMA-PET-guided sampling of paired PSMA-high and PSMA-low tumour regions was used for integrated proteomic and epigenomic analyses. PSMA-ATGL correlation was validated by immunohistochemistry in 90 treatment-naïve patients. Metabolic profiling was performed using Seahorse Mito Fuel Flex Test assays under unperturbed conditions and pharmacological or genetic perturbation of ATGL and PSMA. Therapeutic vulnerability was assessed using NG-497 and siRNA-mediated knockdown.

resultsPSMA-high tumours exhibited lipolytic reprogramming characterised by ATGL upregulation, confirmed by a robust PSMA-ATGL correlation in the validation cohort (P < 0.0001). Despite shared fatty acid dependency, LNCaP cells exhibited intrinsic metabolic inflexibility while 22RV1 cells displayed high adaptability. Both pharmacological and genetic ATGL inhibition most potently impaired LNCaP proliferation. Enzalutamide upregulated ATGL in both cell lines, revealing reciprocal regulation between AR signaling and the PSMA/ATGL axis.

conclusionsATGL-mediated lipolysis represents a promising therapeutic target in prostate cancer, with heightened sensitivity in tumours lacking metabolic flexibility to utilize alternative pathways.

Identifiers

PMID42493599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.