Evidence map›Paper›PMID 37737247›Full record

ArticleNature communications2023

Hypoxanthine phosphoribosyl transferase 1 metabolizes temozolomide to activate AMPK for driving chemoresistance of glioblastomas.

Jianxing Yin, Xiefeng Wang, Xin Ge, Fangshu Ding, Zhumei Shi, Zehe Ge, Guang Huang, Ningwei Zhao, Dongyin Chen, Junxia Zhang and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
8.6field-weighted citation impact, top 2% of its field
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

26 citing papers in PubMed, 40 citations in OpenAlex.

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  6. Discovery of vasodilatory effects of NaActa pharmacologica Sinica · 2026
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  14. Review
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  16. Exosomes in the Chemoresistance of Glioma: Key Point in Chemoresistance.Journal of cellular and molecular medicine · 2025
    Review
  17. Article
  18. Review
  19. Review
  20. 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

20 authors at 7 institutions in 3 countries.

Jianxing Yin *Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.
Xiefeng Wang *Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.
Xin Ge *Institute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.
Fangshu DingInstitute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.
Zhumei ShiDepartment of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.
Zehe GeInstitute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.
Guang HuangDepartment of Health Inspection and Quarantine, School of Public Health, Nanjing Medical University, 211166, Nanjing, China.
Ningwei ZhaoChina Exposomics Institute, 200120, Shanghai, China.ORCID http://orcid.org/0000-0002-7637-2893
Dongyin ChenDepartment of Medicinal Chemistry, School of Pharmacy, Nanjing Medical University, 211166, Nanjing, China.
Junxia ZhangDepartment of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.
Sameer AgnihotriDepartment of Neurological Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, 15224, USA.ORCID http://orcid.org/0000-0001-6584-3795
Yuandong CaoDepartment of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.
Jing JiDepartment of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China.ORCID http://orcid.org/0000-0002-7372-024X
Fan LinInstitute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.
Qianghu WangInstitute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.ORCID http://orcid.org/0000-0002-3488-1059
Qigang ZhouDepartment of Clinical Pharmacology, School of Pharmacy, Nanjing Medical University, 211166, Nanjing, China.ORCID http://orcid.org/0000-0003-3870-3070
Xiuxing WangInstitute for Brain Tumors, Collaborative Innovation Center for Cancer Personalized Medicine, and Center for Global Health, Nanjing Medical University, 211166, Nanjing, China.ORCID http://orcid.org/0000-0002-5993-9368
Yongping YouDepartment of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China. YYPL9@njmu.edu.cn.
Zhimin LuZhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, 310029, Hangzhou, China. zhiminlu@zju.edu.cn.
Xu QianDepartment of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 210029, Nanjing, China. xqianmedres@njmu.edu.cn.ORCID http://orcid.org/0000-0003-1533-8568
Nanjing Medical University · CNJiangsu Province Hospital · CNNanjing Brain Hospital · CNNational Health and Family Planning Commission · CNChildren's Hospital of Pittsburgh · USFirst Affiliated Hospital Zhejiang University · CNNanjing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Temozolomide (TMZ) is a standard treatment for glioblastoma (GBM) patients. However, TMZ has moderate therapeutic effects due to chemoresistance of GBM cells through less clarified mechanisms. Here, we demonstrate that TMZ-derived 5-aminoimidazole-4-carboxamide (AICA) is converted to AICA ribosyl-5-phosphate (AICAR) in GBM cells. This conversion is catalyzed by hypoxanthine phosphoribosyl transferase 1 (HPRT1), which is highly expressed in human GBMs. As the bona fide activator of AMP-activated protein kinase (AMPK), TMZ-derived AICAR activates AMPK to phosphorylate threonine 52 (T52) of RRM1, the catalytic subunit of ribonucleotide reductase (RNR), leading to RNR activation and increased production of dNTPs to fuel the repairment of TMZ-induced-DNA damage. RRM1 T52A expression, genetic interruption of HPRT1-mediated AICAR production, or administration of 6-mercaptopurine (6-MP), a clinically approved inhibitor of HPRT1, blocks TMZ-induced AMPK activation and sensitizes brain tumor cells to TMZ treatment in mice. In addition, HPRT1 expression levels are positively correlated with poor prognosis in GBM patients who received TMZ treatment. These results uncover a critical bifunctional role of TMZ in GBM treatment that leads to chemoresistance. Our findings underscore the potential of combined administration of clinically available 6-MP to overcome TMZ chemoresistance and improve GBM treatment.

Indexed as

GlioblastomaHypoxanthine PhosphoribosyltransferaseRibonucleotide ReductasesAMP-Activated Protein KinasesAnimalsDrug Resistance, NeoplasmHumansHypoxanthinesMercaptopurineMiceTemozolomideAMP-Activated Protein KinasesHypoxanthine PhosphoribosyltransferaseHypoxanthinesMercaptopurineRibonucleotide ReductasesTemozolomide

Identifiers

PMID37737247
PMCPMC10516874
OpenAlexW4386944561

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.