Evidence map›Paper›PMID 41315757›Full record

ArticleNature medicine2026

Targeting of HIF2-driven cachexia in kidney cancer.

Muhannad Abu-Remaileh, Laura A Stransky, Nikita Bhalerao, Nitin H Shirole, Qinqin Jiang, Eddy Saad, Marc Machaalani, Sean M Vigeant, Hilina Woldemichael, Charles Xu and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Target identification and assessment in the era of AI.Nature reviews. Drug discovery · 2026
    Review
  3. The clinical landscape of HIF2α inhibitors in oncology.Nature reviews. Clinical oncology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Muhannad Abu-RemailehDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4962-3826
Laura A StranskyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8834-936X
Nikita BhaleraoDivision of Hematology-Oncology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Nitin H ShiroleDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Qinqin JiangDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Eddy SaadDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Marc MachaalaniDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-6708-9922
Sean M VigeantDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Hilina WoldemichaelBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Charles XuBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Jing LuNiKang Therapeutics, Wilmington, DE, USA.
Hairong WeiNiKang Therapeutics, Wilmington, DE, USA.
Zhihong LiuNiKang Therapeutics, Wilmington, DE, USA.
William SunNiKang Therapeutics, Wilmington, DE, USA.
Kei EnomotoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-6210-8699
Toni K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-9201-3217
Jason R PitarresiDivision of Hematology-Oncology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.ORCID 0000-0001-9549-4768
Steven A CarrBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID 0000-0002-7203-4299
Namrata D UdeshiBroad Institute of MIT and Harvard, Cambridge, MA, USA.
William G KaelinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. William_Kaelin@dfci.harvard.edu.ORCID 0000-0002-0574-4856

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI JENNIFER W MACK · 1985 to 2026
$330.6M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI David McDermott · 2003 to 2026
$53.4M
ProteomicsP01CA206978 · NCI · DANA-FARBER CANCER INST · PI WU, CATHERINE JU-YING · 2016 to 2025
$17.0M
The von Hippel-Lindau Tumor Suppressor Gene and Kidney Cancer: Insights into Oxygen Sensing and Treating Cancers Caused by Undruggable MutationsR35CA210068 · NCI · DANA-FARBER CANCER INST · PI WILLIAM G. KAELIN · 2016 to 2026
$10.8M
Center of Excellence for High Throughput Proteogenomic CharacterizationU24CA270823 · NCI · BROAD INSTITUTE, INC. · PI STEVEN A CARR, MICHAEL A GILLETTE · 2022 to 2026
$5.3M
Proteogenomic Predictors of Recurrence in Non-small Cell Lung CancerU01CA271402 · NCI · WASHINGTON UNIVERSITY · PI STEVEN A CARR, MICHAEL A GILLETTE · 2022 to 2026
$5.0M
Role of Peripheral Insulin Resistance and Inflammation in Alzheimer’s DiseaseR01AG085308 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI JASON K KIM · 2024 to 2026
$2.2M
Role of Interferon-Gamma / Interleukin-12 Axis in Metabolic Liver DiseaseR01DK133772 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI JASON K KIM · 2023 to 2026
$1.9M
Dana-Farber/Harvard Cancer Center (DF/HCC) 2P50CA101942-16Dana-Farber/Harvard Cancer Center (DF/HCC) 5P30CA006516-56Dana-Farber/Harvard Cancer Center (DF/HCC) P50-CA101942-12NCI NIH HHS P01 CA206978NCI NIH HHS P30 CA006516NCI NIH HHS P50 CA101942NCI NIH HHS R35 CA210068NCI NIH HHS U01 CA271402NCI NIH HHS U24 CA270823NIA NIH HHS R01 AG085308NIDDK NIH HHS R01 DK133772U.S. Department of Health & Human Services | National Institutes of Health (NIH) 5R01-AG085308U.S. Department of Health & Human Services | National Institutes of Health (NIH) 5R01-DK133772U.S. Department of Health & Human Services | National Institutes of Health (NIH) NIH grant 2R35CA210068U.S. Department of Health & Human Services | National Institutes of Health (NIH) U24CA270823U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U01CA271402
6 · The paper itself

Abstract

Kidney cancer frequently causes paraneoplastic syndromes, including hypercalcemia and cachexia, but the underlying mechanisms are incompletely understood. The most common form of kidney cancer, clear cell renal cell carcinoma (ccRCC), is frequently caused by loss of the pVHL tumor suppressor protein and the resulting upregulation of the HIF2 transcription factor. We show that PTHLH, which resides on a ccRCC amplicon on chromosome 12p, is a direct HIF2 transcriptional target in ccRCC. Further, we show that the increased PTHLH expression is both necessary and sufficient for the induction of hypercalcemia and cachexia in preclinical orthotopic cell line tumor models. Consistent with these observations, two different allosteric HIF2 inhibitors, belzutifan and NKT2152, rapidly ameliorated hypercalcemia and cachexia in patients with ccRCC, including in some who did not exhibit objective tumor shrinkage. Our findings support prospective clinical studies to determine whether HIF2 inhibitors can be leveraged not only for tumor control, but also for the treatment of cancer-associated cachexia in renal cell carcinoma.

Indexed as

Basic Helix-Loop-Helix ProteinsCachexiaCarcinoma, Renal CellKidney NeoplasmsAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansHypercalcemiaMiceVon Hippel-Lindau Tumor Suppressor ProteinBasic Helix-Loop-Helix ProteinsVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID41315757
PMCPMC12823431

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.