Journal article
HSPA6 maintains IMPDH2 phosphorylation to regulate GTP synthesis for driving radioresistance of glioblastoma stem cells
Cell reports (Cambridge), Vol.45(6), 117490
06/23/2026
DOI: 10.1016/j.celrep.2026.117490
PMID: 42234559
Abstract
Glioblastoma (GBM) is the most common and malignant primary brain tumor. Glioblastoma stem cells (GSCs) promote radioresistance and therapeutic failure, yet the underlying mechanisms remain unclear. Here, we show that heat shock protein HSPA6 promotes GSC radioresistance by enhancing GTP synthesis. HSPA6 is induced by irradiation and reduces GSC sensitivity to radiotherapy. HSPA6 interacts with and activates IMPDH2, a key rate-limiting enzyme in purine biosynthesis, thereby promoting GTP synthesis, reducing DNA damage, and enhancing radioresistance. Mechanistically, HSPA6 recruits ROCK2 to phosphorylate and activate IMPDH2 at S416. Pharmacological inhibition of HSPA6 and IMPDH2 combined with irradiation significantly improves survival in mice bearing GBM. Our study uncovers the crucial role of HSPA6/IMPDH2-mediated GTP synthesis in GSC radioresistance and suggests that targeting this axis may improve radiotherapy efficacy for GBM.
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•The upregulated expression of HSPA6 drives radioresistance of GSCs•HSPA6 in GSCs resists radiation by regulating GTP synthesis•HSPA6 recruits protein kinase and ROCK2 and maintains tetramer formation of IMPDH2•The combination of MMF and montelukast enhances the efficacy of radiotherapy against GBM
Yang et al. show that irradiation-induced HSPA6 recruits ROCK2 and maintains tetramer formation of IMPDH2, a key rate-limiting enzyme in purine biosynthesis, which in turn promotes GTP synthesis and reduces DNA damage to drive radioresistance of GSCs. Targeting HSPA6 and IMPDH2 may improve the efficacy of radiotherapy for GBM.
Details
- Title: Subtitle
- HSPA6 maintains IMPDH2 phosphorylation to regulate GTP synthesis for driving radioresistance of glioblastoma stem cells
- Creators
- Junlei Yang - Nanjing Medical UniversityQiankun Lin - Jiangsu Cancer HospitalDanling Gu - Nanjing Medical UniversityJiancheng Gao - Jiangsu Cancer HospitalYang Liu - Nanjing University of Chinese MedicineKailin Yang - Cleveland ClinicZhe Zhu - Columbia University Irving Medical CenterChenfei Lu - Nanjing Medical UniversityDaqi Li - Jiangsu Cancer HospitalShusheng Ci - First Affiliated Hospital of Bengbu Medical CollegeFan Lin - Nanjing Medical UniversityQianghu Wang - Jiangsu Cancer HospitalXu Qian - Jiangsu Cancer HospitalYongping You - Jiangsu Cancer HospitalQigang Zhou - Nanjing Medical UniversityXiuxing Wang - Nanjing Medical UniversityMing Lu - Nanjing Medical UniversityQian Zhang - Jiangsu Cancer HospitalYun Chen - Wuxi People's HospitalWeiwei Tao - Huazhong Agricultural UniversityJunxia Zhang - Jiangsu Cancer Hospital
- Resource Type
- Journal article
- Publication Details
- Cell reports (Cambridge), Vol.45(6), 117490
- DOI
- 10.1016/j.celrep.2026.117490
- PMID
- 42234559
- NLM abbreviation
- Cell Rep
- ISSN
- 2211-1247
- eISSN
- 2211-1247
- Publisher
- Elsevier Inc
- Grant note
- National Natural Science Foundation of China: 82072779, 82403427, 82403657 Jiangsu Provincial Key Research Development Program of China: BE2022770 China Postdoctoral Science Foundation: 2023M741795 Computational Genomic Epidemiology of Cancer (CoGEC) Program at Case Comprehensive Cancer Center: T32CA094186 ASCO Conquer Cancer Foundation RSNA Research Fellow Grant
We thank the animal core facility of Nanjing Medical University for its help with animal experiments. This work was supported by the National Natural Science Foundation of China (82072779 to X.W, 82403427 to D.G., and 82403657 to S.C.) , Jiangsu Provincial Key Research Development Program of China (BE2022770 to Y.C.) , and China Postdoctoral Science Foundation (2023M741795 to D.G.). K.Y. was supported by the Computational Genomic Epidemiology of Cancer (CoGEC) Program at Case Comprehensive Cancer Center (T32CA094186) and the Young Investigator Award in Glioblastoma from ASCO Conquer Cancer Foundation, and RSNA Research Fellow Grant.
- Language
- English
- Date published
- 06/23/2026
- Academic Unit
- Radiation Oncology
- Record Identifier
- 9985174495302771
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