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PAPOLA-mediated hyperactive polyadenylation promotes leukemogenesis and leukemia stem cell self-renewal through metabolic reprogramming papola介导的多聚腺苷酸化通过代谢重编程促进白血病发生和白血病干细胞自我更新。
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-15 DOI: 10.1038/s43018-026-01190-7
Siyao Guo, Yutong Zou, Canfeng Zhang, Hui Han, Yishan Li, Yucong Sun, Zhaoyu Wang, Wanrui Zhang, Jiang Zhang, Yuli Gan, Qiang Zhang, Jieyi Ma, Siyi Zheng, Hongshen Qiu, Yan Zhu, Wange Lu, Yong Bao, Meng Zhao, Shuibin Lin
{"title":"PAPOLA-mediated hyperactive polyadenylation promotes leukemogenesis and leukemia stem cell self-renewal through metabolic reprogramming","authors":"Siyao Guo, Yutong Zou, Canfeng Zhang, Hui Han, Yishan Li, Yucong Sun, Zhaoyu Wang, Wanrui Zhang, Jiang Zhang, Yuli Gan, Qiang Zhang, Jieyi Ma, Siyi Zheng, Hongshen Qiu, Yan Zhu, Wange Lu, Yong Bao, Meng Zhao, Shuibin Lin","doi":"10.1038/s43018-026-01190-7","DOIUrl":"10.1038/s43018-026-01190-7","url":null,"abstract":"Polyadenylation is essential for mRNA stability and translational efficiency. Although poly(A) tail length is dynamically regulated under physiological conditions, its dysregulation and functional importance in cancer remain poorly understood. Here, we identify widespread poly(A) tail elongation and aberrant upregulation of poly(A) polymerase alpha (PAPOLA) in acute myeloid leukemia (AML), with high PAPOLA expression associated with poor clinical outcomes. Using primary AML samples, leukemia cell lines and multiple mouse models, we demonstrate that PAPOLA-driven hyperactive polyadenylation promotes leukemogenesis and sustains leukemia stem cell maintenance. Mechanistically, PAPOLA enhances metabolic reprogramming by upregulating glutathione S-transferase mu 2 (GSTM2), which activates the 4-hydroxynonenal (HNE)–dihydrolipoamide dehydrogenase (DLD) axis to drive AML progression. Notably, pharmacological inhibition of PAPOLA with cordycepin suppresses metabolic reprogramming and impairs leukemogenesis. Overall, our findings establish hyperactive polyadenylation as a core oncogenic mechanism linking RNA processing to cancer metabolism in AML, highlighting the PAPOLA–GSTM2–HNE–DLD axis as a promising therapeutic target. Using in vivo acute myeloid leukemia models, Guo et al show that the targetable poly(A) polymerase alpha mediates hyperadenylation of the mRNA for the antioxidant protein glutathione S-transferase mu 2, thereby supporting leukemia stem cell maintenance through activation of the tricarboxylic acid cycle.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 8","pages":"1208-1226"},"PeriodicalIF":28.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mix-and-match engineering to modulate cytokine signaling 混配工程调节细胞因子信号。
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-15 DOI: 10.1038/s43018-026-01212-4
Heathcliff Dorado García
{"title":"Mix-and-match engineering to modulate cytokine signaling","authors":"Heathcliff Dorado García","doi":"10.1038/s43018-026-01212-4","DOIUrl":"10.1038/s43018-026-01212-4","url":null,"abstract":"","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 7","pages":"1018-1018"},"PeriodicalIF":28.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Local sensory innervation shapes anti-tumor immunity in lung cancer 局部感觉神经支配影响肺癌的抗肿瘤免疫。
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-14 DOI: 10.1038/s43018-026-01211-5
Julieta Alfonso
{"title":"Local sensory innervation shapes anti-tumor immunity in lung cancer","authors":"Julieta Alfonso","doi":"10.1038/s43018-026-01211-5","DOIUrl":"10.1038/s43018-026-01211-5","url":null,"abstract":"","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 7","pages":"1017-1017"},"PeriodicalIF":28.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A micropeptide encoded by the lncRNA USP30-AS1 promotes tumor growth by attenuating cGAS–STING–type I IFN signaling in macrophages 一种由lncRNA USP30-AS1编码的微肽通过减弱巨噬细胞中的cgas - sting - I型IFN信号来促进肿瘤生长。
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-09 DOI: 10.1038/s43018-026-01195-2
Xingwen Wang, Yi Zhang, Jiangwen Ma, Qingyu Lin, Zhenghang Wang, Guixue Hou, Yutong Wei, Minqiao Lu, Meiqi Wang, Tianyu Li, Shanliang Zheng, Wenxin Zhang, Yafan Gong, Tianqi Guan, Hao Liu, Xiaotian Zhang, Li Li, Ying Hu
{"title":"A micropeptide encoded by the lncRNA USP30-AS1 promotes tumor growth by attenuating cGAS–STING–type I IFN signaling in macrophages","authors":"Xingwen Wang, Yi Zhang, Jiangwen Ma, Qingyu Lin, Zhenghang Wang, Guixue Hou, Yutong Wei, Minqiao Lu, Meiqi Wang, Tianyu Li, Shanliang Zheng, Wenxin Zhang, Yafan Gong, Tianqi Guan, Hao Liu, Xiaotian Zhang, Li Li, Ying Hu","doi":"10.1038/s43018-026-01195-2","DOIUrl":"10.1038/s43018-026-01195-2","url":null,"abstract":"Immune checkpoint blockade has achieved remarkable success in cancer treatment; however, enhancing its efficacy remains a challenge. Here we identified an immunoregulatory micropeptide encoded by the long noncoding RNA USP30-AS1 gene, highly expressed in tumor-associated macrophages. The so-designated UEIS (USP30-AS1-encoded immune suppressor) drives macrophages toward a protumorigenic phenotype, thereby inhibiting antitumor T cell immunity. Mechanistically, UEIS is induced in macrophages by cGAS–STING–type I interferon signaling at a relatively late stage following tumoral DNA stimulation, and exerts a negative feedback regulation on the type I interferon signaling by forming biomolecular condensates with TBK1, thereby inhibiting its interaction with STING. Both an intrinsically disordered region and an alpha helix at the extreme N terminus of UEIS were essential for its function. A peptide designed to disrupt UEIS–TBK1 condensation successfully inhibited UEIS function in tumor-associated macrophages, leading to reduced tumor growth and increased response to immune checkpoint blockade. Thus, these findings highlight UEIS as a promising therapeutic target for cancer treatment. Hu and colleagues report that a micropeptide encoded by the lncRNA USP30-AS1 promotes tumor growth by undergoing phase separation with TBK1 and attenuating cGAS–STING–type I IFN signaling in tumor-associated macrophages.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 7","pages":"1047-1063"},"PeriodicalIF":28.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GPNMB-directed CAR-T cell therapies for solid tumors gpnmb定向CAR-T细胞治疗实体瘤
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-01 DOI: 10.1038/s43018-026-01201-7
Christopher W. Mount, Marcela V. Maus
{"title":"GPNMB-directed CAR-T cell therapies for solid tumors","authors":"Christopher W. Mount, Marcela V. Maus","doi":"10.1038/s43018-026-01201-7","DOIUrl":"10.1038/s43018-026-01201-7","url":null,"abstract":"Target discovery remains a considerable challenge in the development and translation of chimeric antigen receptor (CAR)-T cell therapies for solid tumors. Two reports in Nature and Nature Cancer now detail promising preclinical and translational efforts to target GPNMB in alveolar soft part sarcoma and glioblastoma.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 8","pages":"1171-1173"},"PeriodicalIF":28.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IDH1-mutant vaccine in newly diagnosed astrocytoma: final analysis of the multicenter, single-arm, open-label, first-in-human phase 1 NOA16 trial idh1突变疫苗在新诊断星形细胞瘤中的应用:多中心、单臂、开放标签、首次在人体进行的NOA16期临床试验的最终分析
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-01 DOI: 10.1038/s43018-026-01199-y
Lukas Bunse, Katharina Lindner, Antje Wick, Angelika Freitag, Lisa-Marie Lanz, Dominic Edelmann, Abigail Suwala, Michael O. Breckwoldt, Inga Harting, Felix Sahm, Richard F. Schlenk, Anita Schmitt, Oliver Schnell, Jörg Hense, Martin Misch, Dietmar Krex, Monika Denk, Juliane Walz, Joachim P. Steinbach, Andreas von Deimling, Michael Schmitt, Theresa Bunse, Ghazaleh Tabatabai, Martin Bendszus, Isabel Poschke, Wolfgang Wick, Michael Platten
{"title":"IDH1-mutant vaccine in newly diagnosed astrocytoma: final analysis of the multicenter, single-arm, open-label, first-in-human phase 1 NOA16 trial","authors":"Lukas Bunse, Katharina Lindner, Antje Wick, Angelika Freitag, Lisa-Marie Lanz, Dominic Edelmann, Abigail Suwala, Michael O. Breckwoldt, Inga Harting, Felix Sahm, Richard F. Schlenk, Anita Schmitt, Oliver Schnell, Jörg Hense, Martin Misch, Dietmar Krex, Monika Denk, Juliane Walz, Joachim P. Steinbach, Andreas von Deimling, Michael Schmitt, Theresa Bunse, Ghazaleh Tabatabai, Martin Bendszus, Isabel Poschke, Wolfgang Wick, Michael Platten","doi":"10.1038/s43018-026-01199-y","DOIUrl":"10.1038/s43018-026-01199-y","url":null,"abstract":"The clonal glioma driver mutation IDH1R132H gives rise to a major histocompatibility class II-restricted neoepitope. A multicenter, first-in-human phase 1 trial met its prespecified primary endpoints by demonstrating safety and immunogenicity of an IDH1-R132H peptide vaccine (IDH1-vac) integrated into standard of care in 33 participants with newly diagnosed grade III and IV (World Health Organization classification 2007) IDH1-R132H+ astrocytomas (NOA16). Here we report on the clinical and immunological long-term follow-up of this trial as secondary and translational endpoints. The 8-year progression-free and overall survival (OS) rates were 0.42 (confidence interval (CI): 0.24–0.59) and 0.66 (CI: 0.46–0.79), respectively. For participants with grade IV astrocytoma, median OS was 106.1 months (CI: 39.6–not estimable (NE)), comparing favorably to the published median OS in this population ranging from 31.6–56.4 months. Within the responder group, sustained antibody responses to IDH1-R132H were associated with a favorable long-term clinical course. IDH1-vac-induced T cell responses were detected in the inflamed brain lesion of an IDH1-vac-associated pseudoprogression, whereas no IDH1-vac-induced T cells were found in participants with early progressive disease. The favorable long-term outcome of the NOA16 cohort supports investigating IDH1-vac in persons with newly diagnosed grade 3 and 4 (World Health Organization classification 2021) IDH-mutant astrocytomas in a randomized phase 2 trial (ClinicalTrials.gov identifier: NCT02454634 ). In the multicenter, single-arm, open-label, first-in-human phase 1 NOA16 trial, Platten and colleagues report the long-term clinical and immunological follow-up outcomes of a vaccine targeting mutant IDH1 in persons with astrocytoma.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 8","pages":"1300-1311"},"PeriodicalIF":28.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s43018-026-01199-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GPNMB-directed CAR T cell therapy against MiT/TFE-family fusion-driven solid tumors gpnmb定向CAR - T细胞治疗MiT/ tfe家族融合驱动的实体瘤
IF 28 1区 医学
Nature cancer Pub Date : 2026-07-01 DOI: 10.1038/s43018-026-01194-3
Franz J. Zemp, Zackariah Breckenridge, Hyojin Song, Gurveer S. Gill, Taye L. Louie, Kiran Narta, Hongrui Liu, Yeon Suh, Louisa Guignard, Edna Ayerim Mandujano-Tinoco, Nicolás Collao, Joanna Pyczek, Kristofor K. Ellestad, Jada Curry, Jethro Langley, Cini John, Laura K. Mah, Jahanara Rajwani, Danyel Evseev, Madison Turk, Sacha Benaoudia, Jonathan Alex, Victor Naumenko, Varsha Thoppey Manoharan, Mobina Kazemi Mehrabadi, Harmony A. Smith, Geneece N. Y. Gilbert, Aaron Gillmor, Ted B. Verhey, Hayley M. Todesco, Katalin Osz, Bo-Young Ahn, Ana Bogossian, Colleen Anderson, Saif Sikdar, Shahrbano Rukunuddin, Tarek A. Bismar, Daniel Y. C. Heng, Keith Lawson, W. Marston Linehan, Haley Pedersen, Paul M. K. Gordon, John B. McIntyre, John MacGregor, Livia Garzia, Kathy Brodeur-Robb, Lisa DiFrancesco, Travis Ogilvie, Patrick Schöffski, Agnieszka Wozniak, Robert A. Holt, John Bell, Donna L. Senger, Victor Lewis, Michael Monument, Omar Khan, Lou Baudrier, Pierre Billon, Vincent Gabriel, Jeff Biernaskie, Kyle Potts, Kiril Trpkov, Kevin Hay, Jennifer Quizi, Jennifer Chan, Ramy Saleh, Jan Willem Henning, Nicole L. Prokopishyn, Mona Shafey, A. Sorana Morrissy, Douglas J. Mahoney
{"title":"GPNMB-directed CAR T cell therapy against MiT/TFE-family fusion-driven solid tumors","authors":"Franz J. Zemp, Zackariah Breckenridge, Hyojin Song, Gurveer S. Gill, Taye L. Louie, Kiran Narta, Hongrui Liu, Yeon Suh, Louisa Guignard, Edna Ayerim Mandujano-Tinoco, Nicolás Collao, Joanna Pyczek, Kristofor K. Ellestad, Jada Curry, Jethro Langley, Cini John, Laura K. Mah, Jahanara Rajwani, Danyel Evseev, Madison Turk, Sacha Benaoudia, Jonathan Alex, Victor Naumenko, Varsha Thoppey Manoharan, Mobina Kazemi Mehrabadi, Harmony A. Smith, Geneece N. Y. Gilbert, Aaron Gillmor, Ted B. Verhey, Hayley M. Todesco, Katalin Osz, Bo-Young Ahn, Ana Bogossian, Colleen Anderson, Saif Sikdar, Shahrbano Rukunuddin, Tarek A. Bismar, Daniel Y. C. Heng, Keith Lawson, W. Marston Linehan, Haley Pedersen, Paul M. K. Gordon, John B. McIntyre, John MacGregor, Livia Garzia, Kathy Brodeur-Robb, Lisa DiFrancesco, Travis Ogilvie, Patrick Schöffski, Agnieszka Wozniak, Robert A. Holt, John Bell, Donna L. Senger, Victor Lewis, Michael Monument, Omar Khan, Lou Baudrier, Pierre Billon, Vincent Gabriel, Jeff Biernaskie, Kyle Potts, Kiril Trpkov, Kevin Hay, Jennifer Quizi, Jennifer Chan, Ramy Saleh, Jan Willem Henning, Nicole L. Prokopishyn, Mona Shafey, A. Sorana Morrissy, Douglas J. Mahoney","doi":"10.1038/s43018-026-01194-3","DOIUrl":"10.1038/s43018-026-01194-3","url":null,"abstract":"Chimeric antigen receptor (CAR) T cell therapy for solid tumors is constrained by the scarcity of safe, uniformly expressed cell-surface targets. Here we identify glycoprotein NMB (GPNMB)—an MiT/TFE-family fusion-driven protein—as being highly, homogeneously and stably expressed in primary and relapsed alveolar soft-part sarcoma (ASPS) and translocation renal cell carcinoma. We develop a GPNMB-directed CAR T cell product, GCAR1, which demonstrates potent activity against patient-matched cells, organoids and xenograft models. Post hoc interim analysis of a first-in-human open-label, individual-participant trial ( NCT07104682 ) for a participant with relapsed/refractory, metastatic ASPS showed that GCAR1 induces stable disease for up to 3 months, accompanied by resolution of many nontarget lesions (primary endpoint), and is well tolerated. GCAR1 T cells expand in peripheral blood as a polyclonal population and remain detectable for 1 month. Spatial transcriptomics identified immunosuppressive niches in a treatment-resistant lesion and immune checkpoint blockade synergized with GCAR1 in a xenograft model. Altogether, our data provide a proof of concept for treating GPNMB-expressing solid tumors with GCAR1 and more broadly targeting surface antigens driven by oncogenic gene fusions with CAR T cell therapies. Zemp et al. found glycoprotein NMB (GPNMB) as a targetable antigen for MiT/TFE-family fusion-driven soft-part sarcoma and translocation renal cell carcinoma and developed and tested a GPNMB-directed chimeric antigen receptor T cell product in preclinical models and in first-in-human setting.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 8","pages":"1189-1207"},"PeriodicalIF":28.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term outcomes of adjuvant metronomic capecitabine in locoregionally advanced nasopharyngeal carcinoma: a randomized, controlled, multicenter, phase 3 study 辅助节拍卡培他滨治疗局部晚期鼻咽癌的长期疗效:一项随机、对照、多中心、3期研究
IF 28 1区 医学
Nature cancer Pub Date : 2026-06-30 DOI: 10.1038/s43018-026-01193-4
Ya-Lan Tao  (, ), Dong-Hong Wu  (, ), Qin Zhou  (, ), Kun-Yu Yang  (, ), Feng Jin  (, ), Xiao-Dong Zhu  (, ), Mei Shi  (, ), Guo-Qing Hu  (, ), Yan Sun  (, ), Hong-Fen Wu  (, ), Hui Wu  (, ), Qin Lin  (, ), Hui Wang  (, ), Ye Tian  (, ), Ning Zhang  (, ), Xi-Cheng Wang  (, ), Liang-Fang Shen  (, ), Zheng-Zheng Liu  (, ), Jing Huang  (, ), Xiu-Ling Luo  (, ), Ling Li  (, ), Jian Zang  (, ), Qi Mei  (, ), Bao-Min Zheng  (, ), Dan Yue  (, ), Jing Xu  (, ), San-Gang Wu  (, ), Lei Chen  (, ), Wen-Fei Li  (, ), Guan-Qun Zhou  (, ), Rui Sun  (, ), Rui Guo  (, ), Yuan Zhang  (, ), Cheng Xu  (, ), Jia-Wei Lv  (, ), Ying Guo  (, ), Hui-Xia Feng  (, ), Ling-Long Tang  (, ), Fang-Yun Xie  (, ), Xu Liu  (, ), Ying Sun  (, ), Jun Ma  (, ), Yan-Ping Mao  (, ), Yu-Pei Chen  (, )
{"title":"Long-term outcomes of adjuvant metronomic capecitabine in locoregionally advanced nasopharyngeal carcinoma: a randomized, controlled, multicenter, phase 3 study","authors":"Ya-Lan Tao \u0000 (, ), Dong-Hong Wu \u0000 (, ), Qin Zhou \u0000 (, ), Kun-Yu Yang \u0000 (, ), Feng Jin \u0000 (, ), Xiao-Dong Zhu \u0000 (, ), Mei Shi \u0000 (, ), Guo-Qing Hu \u0000 (, ), Yan Sun \u0000 (, ), Hong-Fen Wu \u0000 (, ), Hui Wu \u0000 (, ), Qin Lin \u0000 (, ), Hui Wang \u0000 (, ), Ye Tian \u0000 (, ), Ning Zhang \u0000 (, ), Xi-Cheng Wang \u0000 (, ), Liang-Fang Shen \u0000 (, ), Zheng-Zheng Liu \u0000 (, ), Jing Huang \u0000 (, ), Xiu-Ling Luo \u0000 (, ), Ling Li \u0000 (, ), Jian Zang \u0000 (, ), Qi Mei \u0000 (, ), Bao-Min Zheng \u0000 (, ), Dan Yue \u0000 (, ), Jing Xu \u0000 (, ), San-Gang Wu \u0000 (, ), Lei Chen \u0000 (, ), Wen-Fei Li \u0000 (, ), Guan-Qun Zhou \u0000 (, ), Rui Sun \u0000 (, ), Rui Guo \u0000 (, ), Yuan Zhang \u0000 (, ), Cheng Xu \u0000 (, ), Jia-Wei Lv \u0000 (, ), Ying Guo \u0000 (, ), Hui-Xia Feng \u0000 (, ), Ling-Long Tang \u0000 (, ), Fang-Yun Xie \u0000 (, ), Xu Liu \u0000 (, ), Ying Sun \u0000 (, ), Jun Ma \u0000 (, ), Yan-Ping Mao \u0000 (, ), Yu-Pei Chen \u0000 (, )","doi":"10.1038/s43018-026-01193-4","DOIUrl":"10.1038/s43018-026-01193-4","url":null,"abstract":"Here we report long-term outcomes of adjuvant metronomic capecitabine in patients with locoregionally advanced nasopharyngeal carcinoma. In this multicenter, open-label, parallel-group, randomized, controlled, phase 3 trial, 406 patients who had completed definitive chemoradiotherapy were randomly assigned (1:1) to receive either adjuvant metronomic capecitabine (650 mg m−2 twice daily for 1 year) or observation. The primary endpoint was failure-free survival; secondary endpoints included overall survival (OS), distant failure-free survival, locoregional failure-free survival, and safety, as reported in this analysis. The trial met its primary endpoint. With a median follow-up of 71.3 months, metronomic capecitabine significantly improved OS (hazard ratio = 0.53, 95% confidence interval, 0.31–0.91, P = 0.019). Grade 3 adverse events occurred in 35 (17%) of 201 patients in the metronomic capecitabine group and 11 (6%) of 200 in the observation group; one (<1%) grade 4 neutropenia was reported. In a post hoc analysis, completion of the 1 year course was associated with improved OS, whereas dose reductions and relative dose intensity showed no association with OS. Patients with a higher post-radiotherapy neutrophil-to-lymphocyte ratio derived greater benefit from metronomic capecitabine. These findings support the long-term therapeutic benefit of adjuvant metronomic capecitabine in locoregionally advanced nasopharyngeal carcinoma. ClinicalTrials.gov identifier: NCT02958111 . In this randomized, controlled, multicenter phase 3 clinical trial, Ma and colleagues reported the long-term outcomes and the impact of drug exposure metrics of adjuvant capecitabine in patients with locoregionally advanced nasopharyngeal carcinoma.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 7","pages":"1149-1157"},"PeriodicalIF":28.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inhibition of ADSS2-mediated de novo AMP biosynthesis re-sensitizes acute myeloid leukemia to BH3 mimetics 抑制adss2介导的新生AMP生物合成可使急性髓性白血病对BH3模拟物再致敏
IF 28 1区 医学
Nature cancer Pub Date : 2026-06-26 DOI: 10.1038/s43018-026-01184-5
Xin He, Lei Zhang, Yang Li, Song-Bai Liu, Zheng Li, Haojie Dong, Genevieve E. Baker, Le Xuan Truong Nguyen, Wei Chen, Jinhui Wang, Zhilian Jia, Xiyuan Lu, Yi-Chun Lin, Zunsong Hu, Umesh Prasad Yadav, Meng Liu, Lianjun Zhang, Zhenhua Chen, Xiwei Wu, Jianjun Chen, Chun-Wei Chen, Stefano Tiziani, Weidong Hu, Ya-Huei Kuo, Sheng-Li Xue, Yong Zhang, Min Li, Yaoqiu Zhu, Guido Marcucci, Zhaohui Gu, J. Jefferson P. Perry, Yun Lyna Luo, Ling Li
{"title":"Inhibition of ADSS2-mediated de novo AMP biosynthesis re-sensitizes acute myeloid leukemia to BH3 mimetics","authors":"Xin He, Lei Zhang, Yang Li, Song-Bai Liu, Zheng Li, Haojie Dong, Genevieve E. Baker, Le Xuan Truong Nguyen, Wei Chen, Jinhui Wang, Zhilian Jia, Xiyuan Lu, Yi-Chun Lin, Zunsong Hu, Umesh Prasad Yadav, Meng Liu, Lianjun Zhang, Zhenhua Chen, Xiwei Wu, Jianjun Chen, Chun-Wei Chen, Stefano Tiziani, Weidong Hu, Ya-Huei Kuo, Sheng-Li Xue, Yong Zhang, Min Li, Yaoqiu Zhu, Guido Marcucci, Zhaohui Gu, J. Jefferson P. Perry, Yun Lyna Luo, Ling Li","doi":"10.1038/s43018-026-01184-5","DOIUrl":"10.1038/s43018-026-01184-5","url":null,"abstract":"De novo purine synthesis is required to maintain tumor growth; however, its impact on therapy resistance remains unclear. Here, through a dynamic BH3-priming-based CRISPR screen, we found that deletion of ADSS2, which encodes the adenylosuccinate synthase 2 enzyme essential for adenosine monophosphate (AMP) synthesis, re-sensitizes drug-resistant acute myeloid leukemia cells to venetoclax and a myeloid cell leukemia-1 (MCL1) inhibitor. Single-cell sequencing analysis of patient-derived xenograft samples revealed a positive association of high ADSS2 activity in TP53-mutant cells with poor responsiveness to venetoclax. We developed an ADSS2 antagonist, which synergized with BH3 mimetics to promote apoptosis in preclinical models. Mechanistically, sensitization mediated by ADSS2 targeting correlated with downregulated AMP-activated protein kinase activity, which in resistant cells promotes mitophagy to eliminate damaged mitochondria after BH3 mimetic treatment. These data show that AMP synthesis promotes BH3 mimetic resistance and that combining ADSS2 targeting with BH3 mimetics represents a promising anti-cancer approach. He et al. demonstrate that ADSS2 deletion re-sensitizes AML to venetoclax by impairing mitophagy in response to the drug and develop an ADSS2 inhibitor that synergizes with BH3 mimetics in resistant AML.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 6","pages":"944-963"},"PeriodicalIF":28.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GABA shapes GBM immune responses in a sex-dependent manner GABA以性别依赖的方式塑造GBM免疫反应。
IF 28 1区 医学
Nature cancer Pub Date : 2026-06-23 DOI: 10.1038/s43018-026-01183-6
Malcolm F. McDonald, Benjamin Deneen
{"title":"GABA shapes GBM immune responses in a sex-dependent manner","authors":"Malcolm F. McDonald, Benjamin Deneen","doi":"10.1038/s43018-026-01183-6","DOIUrl":"10.1038/s43018-026-01183-6","url":null,"abstract":"Glioblastoma is a deadly primary brain tumor with a complex immunosuppressive microenvironment that poses a therapeutic challenge. A study now demonstrates that GABAB signaling enhances immunosuppressive programs of myeloid-derived suppressor cells in female models of preclinical glioblastoma.","PeriodicalId":18885,"journal":{"name":"Nature cancer","volume":"7 7","pages":"1025-1026"},"PeriodicalIF":28.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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