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
Increased sugar uptake promotes oncogenesis via EPAC/RAP1 and O-GlcNAc pathways
Yasuhito Onodera, Jin-Min Nam, Mina J. Bissell
Yasuhito Onodera, Jin-Min Nam, Mina J. Bissell
View: Text | PDF
Research Article Oncology

Increased sugar uptake promotes oncogenesis via EPAC/RAP1 and O-GlcNAc pathways

  • Text
  • PDF
Abstract

There is a considerable resurgence of interest in the role of aerobic glycolysis in cancer; however, increased glycolysis is frequently viewed as a consequence of oncogenic events that drive malignant cell growth and survival. Here we provide evidence that increased glycolytic activation itself can be an oncogenic event in a physiologically relevant 3D culture model. Overexpression of glucose transporter type 3 (GLUT3) in nonmalignant human breast cells activated known oncogenic signaling pathways, including EGFR, β1 integrin, MEK, and AKT, leading to loss of tissue polarity and increased growth. Conversely, reduction of glucose uptake in malignant cells promoted the formation of organized and growth-arrested structures with basal polarity, and suppressed oncogenic pathways. Unexpectedly and importantly, we found that unlike reported literature, in 3D the differences between “normal” and malignant phenotypes could not be explained by HIF-1α/2α, AMPK, or mTOR pathways. Loss of epithelial integrity involved activation of RAP1 via exchange protein directly activated by cAMP (EPAC), involving also O-linked N-acetylglucosamine modification downstream of the hexosamine biosynthetic pathway. The former, in turn, was mediated by pyruvate kinase M2 (PKM2) interaction with soluble adenylyl cyclase. Our findings show that increased glucose uptake activates known oncogenic pathways to induce malignant phenotype, and provide possible targets for diagnosis and therapeutics.

Authors

Yasuhito Onodera, Jin-Min Nam, Mina J. Bissell

×

Figure 8

HBP supports oncogenic signaling and malignant phenotype through O-GlcNAcylation.

Options: View larger image (or click on image) Download as PowerPoint
HBP supports oncogenic signaling and malignant phenotype through O-GlcNA...
(A) Western blot of GFPT and OGT in S1 cells, T4-2 cells, and T4-2 cells reverted with 2DG or different signaling inhibitors (see Figure 1A). The same lamin A/C blots also served as a control for Figure 1, C and E. (B–H) T4-2 cells were cultured in 3D lrECM with or without inhibitors of GFPT (20 μM AZS or DON), O-GlcNAc transferase (5 mM BADGP), or N-glycosylation (10 ng/ml TM). (B) Confocal IF images. Green, α6 integrin; red, nuclei. Scale bars: 20 μm. (C) Cell number at the colony midsection (black bars) and EdU incorporation per cell (white bars). (D) Percent colonies with basal polarity. (E) Glucose uptake (black bars) and lactate release (white bars). (F) Relative oxygen consumption rate. (G and H) Western blot of signaling intermediates (G) and GLUT3 and metabolic enzymes (H). Lamin A/C served as a control for both G and H. (I) mRNA expression of EGFR, ITGB1, and SLC2A3 in S1 cells, T4-2 cells, and T4-2 cells reverted with metabolic inhibitors. Expression level of each gene was normalized to 18S ribosomal RNA. (J) Total O-GlcNAc level in S1 cells, T4-2 cells, and T4-2 cells reverted with DON, BADGP, or low glucose (low gluc; 0.175 mM). Asterisks denote O-GlcNAc bands specifically increased in T4-2 cells. In C–F and I, data are mean ± SD of triplicate experiments.

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

Sign up for email alerts