ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026
Tumor-Intrinsic HEXB Drives Endothelial-To-Mesenchymal Transition and Confers Resistance to Anti-Angiogenic Therapy in Glioblastoma.
Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
14 authors.
Funding
Abstract
Although anti-angiogenic (anti-VEGF) therapy is widely used for glioblastoma (GBM), its efficacy is severely limited by acquired resistance. Here, we identify endothelial-mesenchymal transition (Endo-MT) in brain endothelial cells as the primary driver of this resistance, fundamentally modulated by hexosaminidase B (HEXB). Mechanistically, HEXB directly binds and stabilizes heat shock protein 60 (HSP60) by inhibiting its ubiquitination and degradation. This stabilization upregulates insulin-like growth factor binding protein 1 (IGFBP1), thereby promoting the Endo-MT process. Addressing its clinical relevance, the combination of a HEXB inhibitor and anti-VEGF therapy exerts potent synergistic therapeutic effects in GBM murine models. Overall, our study establishes HEXB as a key driver of Endo-MT and provides a promising dual-targeting strategy to overcome anti-VEGF resistance in GBM.
Indexed as
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