The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Macropinocytosis in Cancer-Associated Fibroblasts Is Dependent on CaMKK2/ARHGEF2 Signaling and Functions to Support Tumor and Stromal Cell Fitness
Open accessPublished version of a preprint
Abstract
Although pancreatic ductal adenocarcinoma (PDAC) cells are exposed to a nutrient-depleted tumor microenvironment, they can acquire nutrients via macropinocytosis, an endocytic form of protein scavenging that functions to support cancer metabolism. Here, we provide evidence that macropinocytosis is also operational in the pancreatic tumor stroma. We find that glutamine deficiency triggers macropinocytic uptake in pancreatic cancer–associated fibroblasts (CAF). Mechanistically, we decipher that stromal macropinocytosis is potentiated via the enhancement of cytosolic Ca2+ and dependent on ARHGEF2 and CaMKK2-AMPK signaling. We elucidate that macropinocytosis has a dual function in CAFs—it serves as a source of intracellular amino acids that sustain CAF cell fitness and function, and it provides secreted amino acids that promote tumor cell survival. Importantly, we demonstrate that stromal macropinocytosis supports PDAC tumor growth. These results highlight the functional role of macropinocytosis in the tumor stroma and provide a mechanistic understanding of how nutrient deficiency can control stromal protein scavenging. Significance: Glutamine deprivation drives stromal macropinocytosis to support CAF cell fitness and provide amino acids that sustain PDAC cell survival. Selective disruption of macropinocytosis in CAFs suppresses PDAC tumor growth. This article is highlighted in the In This Issue feature, p. 1601
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Examination of metabolic exchange between pancreatic CAFs and cancer cells revealed that alanine is selectively released by fibroblasts and consumed by PDAC cells248.”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [248]
In the citing paper
“The exchange of alanine and other non-essential amino acids from fibroblasts to promote PDAC metabolism is linked to both autophagy and macropinocytosis in the fibroblasts248,249”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [248]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The small GTP-binding protein rac regulates growth factor-induced membrane ruffling
Ridley, A. J., Paterson, H. F., Johnston, C. L., Diekmann, D., & Hall, A. (1992) · Cell · doi:10.1016/0092-8674(92)90164-8 · Cited by 3,616
Özdemir, B. C., Pentcheva-Hoang, T., Carstens, J. L., Zheng, X., Wu, C.-C., Simpson, T. R., Laklai, H., Sugimoto, H., Kahlert, C., Novitskiy, S. V., et al. (2014) · Cancer Cell · doi:10.1016/j.ccr.2014.04.005 · Cited by 2,681
Distinct populations of inflammatory fibroblasts and myofibroblasts in pancreatic cancer
Öhlund, D., Handly-Santana, A., Biffi, G., Elyada, E., Almeida, A. S., Ponz-Sarvise, M., Corbo, V., Oni, T. E., Hearn, S. A., Lee, E. J., et al. (2017) · Journal of Experimental Medicine · doi:10.1084/jem.20162024 · Cited by 2,590
Elyada, E., Bolisetty, M., Laise, P., Flynn, W. F., Courtois, E. T., Burkhart, R. A., Teinor, J. A., Belleau, P., Biffi, G., Lucito, M. S., et al. (2019) · Cancer Discovery · doi:10.1158/2159-8290.cd-19-0094 · Cited by 2,241
Stromal Elements Act to Restrain, Rather Than Support, Pancreatic Ductal Adenocarcinoma
Rhim, A. D., Oberstein, P. E., Thomas, D. H., Mirek, E. T., Palermo, C. F., Sastra, S. A., Dekleva, E. N., Saunders, T., Becerra, C. P., Tattersall, I. W., et al. (2014) · Cancer Cell · doi:10.1016/j.ccr.2014.04.021 · Cited by 2,085
AMPK: Mechanisms of Cellular Energy Sensing and Restoration of Metabolic Balance
Garcia, D., & Shaw, R. J. (2017) · Molecular Cell · doi:10.1016/j.molcel.2017.05.032 · Cited by 2,061
Glucose feeds the TCA cycle via circulating lactate
Hui, S., Ghergurovich, J. M., Morscher, R. J., Jang, C., Teng, X., Lu, W., Esparza, L. A., Reya, T., Zhan, L., Yanxiang Guo, J., et al. (2017) · Nature · doi:10.1038/nature24057 · Cited by 1,721
Macropinocytosis of protein is an amino acid supply route in Ras-transformed cells
Commisso, C., Davidson, S. M., Soydaner-Azeloglu, R. G., Parker, S. J., Kamphorst, J. J., Hackett, S., Grabocka, E., Nofal, M., Drebin, J. A., Thompson, C. B., et al. (2013) · Nature · doi:10.1038/nature12138 · Cited by 1,683
Self-citationPancreatic cancers require autophagy for tumor growth
Yang, S., Wang, X., Contino, G., Liesa, M., Sahin, E., Ying, H., Bause, A., Li, Y., Stommel, J. M., Dell'Antonio, G., et al. (2011) · Genes & Development · doi:10.1101/gad.2016111 · Cited by 1,498
Self-citationPancreatic stellate cells support tumour metabolism through autophagic alanine secretion
Sousa, C. M., Biancur, D. E., Wang, X., Halbrook, C. J., Sherman, M. H., Zhang, L., Kremer, D., Hwang, R. F., Witkiewicz, A. K., Ying, H., et al. (2016) · Nature · doi:10.1038/nature19084 · Cited by 1,122
Cited by
Sorted by citations
Items 101–116 of 116
Wilkinson, L., & Canton, J. (2021) · Journal of Visualized Experiments · doi:10.3791/62733 · Cited by 1
SGC-CAMKK2-1: A chemical probe for CAMKK2Preprint
Wells, C. I., Liang, Y., Pulliam, T. L., Lin, C., Awad, D., Eduful, B. J., O’Byrne, S. N., Hossain, M. A., Catta‐Preta, C. M. C., Ramos, P. Z., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.10.18.512752 · Cited by 1
Rogers, L. C., Kremer, J. C., Brashears, C. B., Lin, Z., Hu, Z. S., Bastos, A. C. S., Baker, A., Fettig, N. M., Zhou, D., Shoghi, K. I., et al. (2023) · doi:10.1158/1078-0432.c.6736752
Data from Targeting CaMKK2 Inhibits Actin Cytoskeletal Assembly to Suppress Cancer Metastasis
Mukherjee, D., Previs, R. A., Haines, C. N., Abo, M. A., Juras, P. K., Strickland, K. C., Chakraborty, B., Artham, S., Whitaker, R. S., Hebert, K. L., et al. (2023) · doi:10.1158/0008-5472.c.6816225
Rosas, I. O., McDowell-Sanchez, A. K., Sanchez, S., Cala-García, J., Cohen, A. R. W., Echartea, M. E. R., Ochsner, S. A., Kraushaar, D. C., Celada, L. J., Sun, D., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.07.09.663937
Wei, Q., Xiong, S., Luo, W., Zhang, Q., Zheng, S., Luo, M., Tang, H., Zhang, W., & Luo, B. (2025) · Cellular Signalling · doi:10.1016/j.cellsig.2025.112031
Liu, Y., Wong, S.-N., Lü, A., & Ko, J. K.-S. (2025) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2025.189522
Qin, Z., Ma, J., Jü, R., & Guo, L. (2026) · Organ medicine. · doi:10.1002/orm2.70044
CaMKK2: A tumor stress-integration node
Means, A. R. (2026) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2026.06.006
Macropinocytosis: A central orchestrator in tumor development and therapeutic resistance
Wang, C., Wang, X., Jiang, Z., Zhao, J., Wang, X., Liu, Y., Yuan, J., & Jiao, Y. (2026) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2026.189655
Yu, Z., Lu, X. L., Pi, R., Zhang, X., Jian, H., Lin, X., Wang, W., & Bai, X. (2026) · Frontiers in Bioscience-Landmark · doi:10.31083/fbl49071
Xu, Z., Luo, X., Li, Y., Qian, J., & GuangMing, X. U. (2026) · Medical Hypotheses · doi:10.1016/j.mehy.2026.112155
Self-citationWang, X., Wang, Q., Wang, J., Ding, G., Huang, Y., Feng, Y., & Zou, B. (2026) · Materials Today Advances · doi:10.1016/j.mtadv.2026.100976
Hao, Y., Wang, Y., Du, Q., & Li, G. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1971880
Yu, J., Yang, H., & Zhu, X. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1990436
Glutamine metabolic interaction network reshapes tumor immunotherapy resistance
Tang, S.-C., Liu, J.-X., Wang, Y., Wang, H., & Lu, L. (2026) · Trends in Immunology · doi:10.1016/j.it.2026.10.001
Metadata
- Authors
- Zhang, Y., Recouvreux, M. V., Jung, M., Galenkamp, K. M. O., Li, Y., Zagnitko, O., Scott, D. A., Lowy, A. M., & Commisso, C.
- Affiliations
- Sanford Burnham Prebys Medical Discovery Institute (US)
- University of California San Diego (US)
- Corresponding author
- Commisso, Cosimo
- Venue
- Cancer Discovery
- Published
- 2021-03-02
- Volume
- 11
- Issue
- 7
- Pages
- 1808-1825
- ISSN
- 2159-8274 (ISSN-L)
- 2159-8290
- PMC
- PMC8292164
- OpenAlex
- W3134011831
- Cited by
- 116
- References
- 51
- Citations by year
- 2026: 19 · 2025: 29 · 2024: 16 · 2023: 23 · 2022: 22 · 2021: 7
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Discovery (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (R01CA207189)
- NIH NCI (CA211036)
- NCI Cancer Center Support (P30CA030199)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular transport and secretion
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- macropinocytosis, cancer-associated fibroblasts, pancreatic ductal adenocarcinoma, ARHGEF2, CAMKK2, AMPK signaling, glutamine deprivation, tumor microenvironment, nutrient scavenging, amino acid secretion, intracellular calcium, tumor stroma, tumor growth
- MeSH terms
- Cancer-Associated Fibroblasts, Animals, Humans, Mice, Inbred C57BL, Pancreatic Neoplasms, Pinocytosis, Signal Transduction, Stromal Cells, Carcinoma, Pancreatic Ductal, Mice, Calcium-Calmodulin-Dependent Protein Kinase Kinase, Tumor Microenvironment, Rho Guanine Nucleotide Exchange Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review