2019
DOI: 10.1126/scitranslmed.aau4972
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Targeting pyrimidine synthesis accentuates molecular therapy response in glioblastoma stem cells

Abstract: Glioblastoma stem cells (GSCs) reprogram glucose metabolism by hijacking high-affinity glucose uptake to survive in a nutritionally dynamic microenvironment. Here, we trace metabolic aberrations in GSCs to link core genetic mutations in glioblastoma to dependency on de novo pyrimidine synthesis. Targeting the pyrimidine synthetic rate-limiting step enzyme carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, dihydroorotase (CAD) or the critical downstream enzyme dihydroorotate dehydrogenase (DHODH) inh… Show more

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Cited by 131 publications
(112 citation statements)
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“…In this regard, a recent study demonstrated the benefit of blocking pyrimidine synthesis using teriflunomide in conjunction with PI3K inhibitor BKM120 to increase the inhibition of glioblastoma tumorigenesis in a xenograft model. (49) For our study, we observed a synergistic effect of combining MPA with PI-103 or HLM006474 in attenuating the proliferation of Huh7 cells and a PDX organoid culture (PDX #11). PDX #11 exhibited highest inherent purine synthetic activity among all PDX lines and therefore had the most severely impacted viability by MPA treatment.…”
Section: Discussionmentioning
confidence: 59%
“…In this regard, a recent study demonstrated the benefit of blocking pyrimidine synthesis using teriflunomide in conjunction with PI3K inhibitor BKM120 to increase the inhibition of glioblastoma tumorigenesis in a xenograft model. (49) For our study, we observed a synergistic effect of combining MPA with PI-103 or HLM006474 in attenuating the proliferation of Huh7 cells and a PDX organoid culture (PDX #11). PDX #11 exhibited highest inherent purine synthetic activity among all PDX lines and therefore had the most severely impacted viability by MPA treatment.…”
Section: Discussionmentioning
confidence: 59%
“…The de novo pyrimidine synthesis pathway is a promising target for biomedical and biotechnological intervention [51][52][53][54][55] . Our analysis has uncovered the unique regulatory and catalytic mechanisms of plant ATCs, suggesting new strategies to modulate this central enzymatic activity and thus, inhibit or enhance plant growth in a similar manner as we have shown by down-or upregulating ATC expression ( Fig.…”
Section: Discussionmentioning
confidence: 99%
“…The maintenance of high-rate pyrimidine synthesis may be limiting for gliomas, and targeting this pathway resulted in decreased viability of GBM stem cells [30]. Additionally, decreased nutrient availability leads to activation of the catabolic process to provide substrates for biosynthesis.…”
Section: Glutamine Addiction In Gliomasmentioning
confidence: 99%