Evidence map›Paper›PMID 41191529›Full record

ArticleBlood2026

Guanine nucleotides drive ribosome biogenesis and glycolytic reprogramming in acute myeloid leukemia stem cells.

Gentaro Kawano, Riichiro Ikeda, Daisuke Ishihara, Takahiro Shima, Teppei Sakoda, Shunsuke Yamamoto, Yu Kochi, Yuichiro Semba, Sanae Ashitani, Yasuo Mori and 6 more

Abstract read
In one paragraph

Article in Blood, 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

5 · Who and what money

Authors and funding

16 authors.

Gentaro KawanoDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0009-0002-1732-9868
Riichiro IkedaDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0009-0008-4917-0648
Daisuke IshiharaDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0000-0001-9070-0016
Takahiro ShimaDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Teppei SakodaDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Shunsuke YamamotoDepartment of Pediatrics, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0000-0002-5313-7161
Yu KochiDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0000-0002-9411-7239
Yuichiro SembaDivision of Precision Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.ORCID 0000-0001-8576-3530
Sanae AshitaniInstitute for Advanced Biosciences, Keio University, Tsuruoka, Japan.
Yasuo MoriDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Koji KatoDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Takahiro MaedaDivision of Precision Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.ORCID 0000-0003-4530-6460
Toshihiro MiyamotoDepartment of Hematology, Faculty of Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
Tomoyoshi SogaInstitute for Advanced Biosciences, Keio University, Tsuruoka, Japan.ORCID 0000-0001-9502-2509
Koichi AkashiDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Yoshikane KikushigeDepartment of Medicine and Biosystemic Sciences, Kyushu University Graduate School of Medicine, Fukuoka, Japan.ORCID 0000-0002-7721-1696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractTherapy resistance in acute myeloid leukemia (AML) remains a major clinical obstacle, particularly because of the persistence of leukemia stem cells (LSC) capable of metabolic adaptation. Although venetoclax (Ven) inhibits oxidative phosphorylation (OXPHOS), we found that Ven-resistant LSC undergo glycolytic reprogramming to bypass OXPHOS inhibition. This metabolic shift is supported by enhanced ribosome biogenesis, which is sustained by upregulated de novo guanine nucleotide biosynthesis. Abundant guanine nucleotides suppress the impaired ribosome biogenesis checkpoint (IRBC), leading to TP53 destabilization and persistent MYC expression. The inhibition of inosine monophosphate dehydrogenases (IMPDH1/2) depletes guanine nucleotides, activates IRBC, stabilizes TP53, represses MYC, and impairs the metabolic shift to glycolysis. This metabolic rewiring disrupts LSC stemness and suppresses the reconstitution of human AML cells in xenotransplantation experiments. Notably, the suppression of LSC stemness was observed regardless of Ven resistance or the TP53 mutational status of AML cells. These findings reveal that mutation-independent TP53 inactivation is involved in resistant AML and suggest that targeting guanine nucleotide biosynthesis may offer a clinically actionable strategy to eradicate therapy-resistant LSC.

Indexed as

GlycolysisGuanine NucleotidesLeukemia, Myeloid, AcuteNeoplastic Stem CellsRibosomesAnimalsBridged Bicyclo Compounds, HeterocyclicCell Line, TumorDrug Resistance, NeoplasmHumansIMP DehydrogenaseMiceOxidative PhosphorylationSulfonamidesTumor Suppressor Protein p53Bridged Bicyclo Compounds, HeterocyclicGuanine NucleotidesIMP DehydrogenaseSulfonamidesTP53 protein, humanTumor Suppressor Protein p53venetoclax

Identifiers

PMID41191529
PMCPMC12917303

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.