Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • ASCI Milestone Awards
    • Video Abstracts
    • Conversations with Giants in Medicine
  • Reviews
    • View all reviews ...
    • Clinical innovation and scientific progress in GLP-1 medicine (Nov 2025)
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • ASCI Milestone Awards
  • Video Abstracts
  • Conversations with Giants in Medicine
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Top
  • View PDF
  • Download citation information
  • Send a comment
  • Terms of use
  • Standard abbreviations
  • Need help? Email the journal
  • Top
  • Abstract
  • Supplemental material
  • Version history
  • Article usage
  • Citations to this article

Advertisement

ResearchIn-Press PreviewCell biologyOncology Open Access | 10.1172/JCI194378

Notch1 O-GlcNAcylation drives tumor stemness and mechanoadaptation to a stiff microenvironment and promotes chordoma recurrence

Chengjie Lian,1 Weiyan Peng,1 Peiqiang Su,2 Yan Ye,1 Jialing Liu,1 Dongsheng Huang,3 Xuejuan Sun,1 Yi Pu,1 Zhiheng Liao,2 Xudong Wang,2 Zhu Qiu,4 Shanshan Wu,5 and Lei Liu4

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Lian, C. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Peng, W. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Su, P. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Ye, Y. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Liu, J. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Huang, D. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Sun, X. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Pu, Y. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Liao, Z. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Wang, X. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Qiu, Z. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Wu, S. in: PubMed | Google Scholar

1Department of Breast and Thyroid Surgery, Chongqing Key Laboratory of Molec, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

2Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

3Department of Spine Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

4Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

5Department of Biology, School of Basic Medical Science, Guangdong Medical University, Guangdong, China

Find articles by Liu, L. in: PubMed | Google Scholar

Published February 3, 2026 - More info

J Clin Invest. https://doi.org/10.1172/JCI194378.
Copyright © 2026, Lian et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published February 3, 2026 - Version history
View PDF
Abstract

Chordoma are rare malignant osseous neoplasms with a striking rate of recurrence. Primary chordomas typically originate from embryonic notochord remnants, whereas recurrent chordomas usually stem from tumor cells infiltrating bone or cartilage post-surgery. Clinically, the recurrent chordomas exhibit stiffer extracellular microenvironment (ECM) than primary tumors. Intriguingly, this study identified cytoskeleton rearrangement, stress fiber reorganization, enhanced stemness, and Notch signaling activation in recurrent chordoma tissues or cell lines surviving stiff substrates, indicating the critical roles of mechanical remodeling and tumor stemness in stiffness-resistance. We propose a novel recurrence model where tumor cells experience mechanoadaptive organization to resist stiff microenvironment-induced cell death. O-GlcNAcylation of Notch1 intracellular domain (NICD1) is central to this process. Mechanistically, the stiff ECM-driven ligand-independent phosphorylation of EPHA2 sequentially activates LYN kinase, and subsequently triggers OGT activity by phosphorylating Y989 and Y418, the newly revealed critical residues for OGT glycosyltransferase activity; this induces NICD1 O-GlcNAcylation at T2063, T2090, and S2162, specifically promoting transcription of mechanical and stemness-related genes. MIR31 deletion upregulates LYN, enhancing stiffness perception and tipping the balance toward O-GlcNAc addition to NICD1, finally resulting in mechanoadaptation- and tumor stemness-driven recurrence. Consequently, MIR31 deletion is a potential biomarker for recurrence and patient stratification in Notch- or OGT-targeted therapies.

Graphical Abstract
graphical abstract
Supplemental material

View Unedited blot and gel images

View

Version history
  • Version 1 (February 3, 2026): In-Press Preview

Article tools

  • View PDF
  • Download citation information
  • Send a comment
  • Terms of use
  • Standard abbreviations
  • Need help? Email the journal

Metrics

  • Article usage
  • Citations to this article

Go to

  • Top
  • Abstract
  • Supplemental material
  • Version history
Advertisement
Advertisement

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts