Glutamine Synthetase Promotes Radiation Resistance via Facilitating Nucleotide Metabolism and Subsequent DNA Damage Repair
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Radiation resistance is a critical problem in radiotherapy for cancer. Radiation kills tumor cells mainly through causing DNA damage. Thus, efficiency of DNA damage repair is one of the most important factors that limits radiotherapy efficacy. Glutamine physiologically functions to generate protein and nucleotides. Here, we study the impact of glutamine metabolism on cancer therapeutic responses, in particular under irradiation-induced stress. We show that radiation-resistant cells possessed low glycolysis, mitochondrial respiration, and TCA cycle but high glutamine anabolism. Transcriptome analyses revealed that glutamine synthetase (GS), an enzyme catalyzing glutamate and ammonia to glutamine, was responsible for the metabolic alteration. ChIP and luciferase reporter assays revealed that GS could be transcriptionally regulated by STAT5. Knockdown of GS delayed DNA repair, weakened nucleotide metabolism, and enhanced radiosensitivity both in vitro and in vivo. Our data show that GS links glutamine metabolism to radiotherapy response through fueling nucleotide synthesis and accelerating DNA repair.
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Under DNA damage such as radiation, glutamine is conditionally essential to support nucleotide synthesis and redox homeostasis; radioresistant cancer cells reprogram flux toward glutamine anabolism and express glutamine synthetase.
“Under DNA damage such as radiation, glutamine is conditionally essential to support the synthesis of nucleotides and redox homeostasis. It has recently been demonstrated that radioresistant cancer cells reprogram metabolic flux toward glutamine anabolism. Under these conditions, cancer cells highly express glutamine synthetase, facilitating cancer cell growth under radiation stress150.”
From Glutamine reliance in cell metabolism (2020) · cites this paper as [150]
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Identification of crucial genes of pyrimidine metabolism as biomarkers for gastric cancer prognosis
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Molecular mechanisms of m6A modifications regulating tumor radioresistance
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Glutamine Metabolism and Prostate Cancer
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Rab25-Mediated EGFR Recycling Causes Tumor Acquired Radioresistance
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Self-citationGlioblastomas: Hijacking Metabolism to Build a Flexible Shield for Therapy Resistance
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Recent advances in radiosensitivity determinants in melanoma
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Metabolism and signaling crosstalk in glioblastoma progression and therapy resistance
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PPDPF Promotes the Progression and acts as an Antiapoptotic Protein in Non-Small Cell Lung Cancer
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Self-citationGlutamine as a Potential Noninvasive Biomarker for Human Embryo Selection
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Lu, Y., Zhou, C., Li, J., Liu, L., Liu, X., Shen, L., Lai, X., Gu, H., Zhang, Z., & Qian, J. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.114595 · Cited by 14 · see citing works
DNA damage-induced senescence is associated with metabolomic reprogramming in breast cancer cells
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Metabolic Adaptation and Cellular Stress Response As Targets for Cancer Therapy
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Targeting glutamine metabolism improves sarcoma response to radiation therapy in vivo
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RFWD3 Reprograms Nucleotide Metabolism Through PHGDH to Induce Chemoresistance In Osteosarcoma
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Superparamagnetic Artificial Cells PLGA-Fe3O4 Micro/Nanocapsules for Cancer Targeted Delivery
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Shi, J., Shen, Y. H., & Zhang, J. (2024) · Cancer Drug Resistance · doi:10.20517/cdr.2024.81 · Cited by 13 · see citing works
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Glutaminase inhibitor CB-839 causes metabolic adjustments in colorectal cancer cells
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Interplay between altered metabolism and DNA damage and repair in ovarian cancer
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MYCN Amplifications and Metabolic Rewiring in Neuroblastoma
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Enhancing 223Ra Treatment Efficacy by Anti-β1 Integrin Targeting
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Glutamine synthetase and hepatocellular carcinoma
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An unmet need for pharmacology: Treatments for radiation-induced gastrointestinal mucositis
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Navigating Nongenetic Plasticity in Cancer Drug Resistance
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Glutamine: A key player in human metabolism as revealed by hyperpolarized magnetic resonance
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Self-citationHDAC6 and USP9X Control Glutamine Metabolism by Stabilizing GS to Promote Glioblastoma Tumorigenesis
Kim, G. W., Cha, M., Ong, H. T. M., Yoo, J. H., Jeon, Y. H., Lee, S. W., Oh, S. Y., Kang, M., Kim, Y. S., & Kwon, S. H. (2025) · Advanced Science · doi:10.1002/advs.202501553 · Cited by 7 · see citing works
- Authors
- Fu, S., Li, Z., Xiao, L., Hu, W., Zhang, L., Xie, B., Zhou, Q., He, J., Qiu, Y., Wen, M., Peng, Y., Gao, J., Tan, R., Deng, Y., Weng, L., & Sun, L.-Q.
- Affiliations
- Central South University (CN)
- Corresponding author
- Sun, Lun-Quan
- ORCID
- Venue
- Cell Reports
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 28
- Issue
- 5
- Pages
- 1136-1143.e4
- ISSN
- 2211-1247 (ISSN-L)
- OpenAlex
- W2955166256
- Cited by
- 169
- References
- 46
- Citations by year
- 2026: 19 · 2025: 22 · 2024: 31 · 2023: 24 · 2022: 27 · 2021: 37 · 2020: 9
- FWCI
- 5.76
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Reports (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Guangxi Key Research and Development Program (2017SK2040)
- National Natural Science Foundation of China (81530084, 81702638, 81702770)
- Central South University (ZLXD2017003)
- China Postdoctoral Science Foundation (2017M622615)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
- Keywords
- glutamine synthetase, radioresistance (biology), DNA repair, nucleotide metabolism, glutamine metabolism, radiotherapy resistance, glycolysis, mitochondrial respiration, TCA cycle, cancer metabolism
- MeSH terms
- Animals, DNA Damage, DNA Repair, Glutamine, Glutamate-Ammonia Ligase, Humans, Mice, Inbred BALB C, Mice, Nude, Neoplasm Proteins, Neoplasms, Nucleotides, Radiation Tolerance, Cell Line, Tumor, Mice
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