Niclosamide suppresses gastric cancer progression through YTHDF2 inhibition-affected lactate metabolic reprogramming

Mosheng Tang1, Yiyin Hu2, Xiaohui Zhu2

  • 1Radiotherapy Center, Lishui People's Hospital, 15 Dazhong Road, Liandu District, Lishui 323000, Zhejiang, China.

Iscience
|December 1, 2025
PubMed

Insights

This study reveals that gastric cancer (GC) involves metabolic reprogramming and upregulated lactate metabolism. The drug niclosamide targets YTHDF2 to suppress GC by regulating metabolic genes.

Area of Science:

  • Oncology
  • Metabolomics
  • Molecular Biology

Background:

  • Gastric cancer (GC) is an aggressive malignancy characterized by significant mortality.
  • Metabolic reprogramming, affecting glucose, lipid, and amino acid pathways, is a hallmark of GC.
  • Lactate metabolism and the lactate shuttle play a crucial role in GC progression.

Purpose of the Study:

  • To comprehensively analyze metabolic alterations in GC using multi-omics approaches.
  • To investigate the role of the lactate shuttle in GC tumorigenesis.
  • To evaluate the therapeutic potential of niclosamide and its mechanism involving YTHDF2 in GC.

Main Methods:

  • Non-targeted metabolomics and transcriptomics on GC patient samples.
  • Single-cell RNA sequencing to analyze intercellular metabolic dynamics.
  • In vitro and in vivo experiments to assess niclosamide and YTHDF2 effects on GC cells.

Main Results:

  • Identified significant metabolic reprogramming and upregulated lactate metabolism in GC.
  • Dissected lactate shuttle dynamics between tumor epithelial and endothelial cells.
  • Demonstrated that niclosamide suppresses GC by targeting YTHDF2, a key regulator of metabolic genes.

Conclusions:

  • Upregulated lactate metabolism via the lactate shuttle is a key driver of gastric cancer.
  • Niclosamide exerts anti-tumor effects by disrupting metabolic reprogramming through YTHDF2-mediated regulation of metabolic genes.
  • YTHDF2 is a critical modulator of GC metabolism, presenting niclosamide as a potential therapeutic agent for gastric cancer.

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