The ATF4-glutamine axis: a central node in cancer metabolism, stress adaptation, and therapeutic targeting

Xing Yan1, Changhong Liu2

  • 1The Second Affiliated Hospital of Dalian Medical University Thoracic surgery, DaLian, Liaoning, PR China.

Cell Death Discovery
|August 19, 2025
PubMed

Insights

Activating transcription factor 4 (ATF4) drives cancer cell survival by regulating Glutamine (Gln) metabolism. Targeting the ATF4-Gln axis offers a promising therapeutic strategy for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Metabolic Pathways

Background:

  • Activating transcription factor 4 (ATF4) is a central regulator of tumor metabolic adaptation.
  • ATF4 controls Glutamine (Gln) uptake, utilization, and redox balance during nutrient deprivation and oxidative stress.

Purpose of the Study:

  • To review the role of ATF4 in integrating stress signals to regulate Gln metabolism in cancer.
  • To highlight the ATF4-Gln axis as a potential therapeutic vulnerability.

Main Methods:

  • Literature review of preclinical studies on ATF4 and Gln metabolism in cancer.
  • Analysis of ATF4's role in tumor survival, metabolic reprogramming, and immune evasion.

Main Results:

  • The ATF4-Gln axis is crucial for tumor survival and metabolic adaptation.
  • Preclinical inhibitors targeting this pathway show therapeutic promise.
  • Understanding this axis provides insights into novel cancer therapies.

Conclusions:

  • The ATF4-Gln axis represents a significant vulnerability in cancer metabolism.
  • Targeting ATF4 offers potential for novel therapeutic strategies.
  • Future research should address tumor heterogeneity and plasticity for effective ATF4-centered therapies.

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