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Tumour acidosis remodels the glycocalyx to control lipid scavenging and ferroptosis
Department of Clinical Sciences, Division of Oncology, Lund University, Lund, Sweden.
Department of Clinical Sciences, Division of Oncology, Lund University, Lund, Sweden.
Department of Clinical Sciences, Division of Oncology, Lund University, Lund, Sweden.
Department of Clinical Sciences, Division of Oncology, Lund University, Lund, Sweden.
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2026 (English)In: Nature Cell Biology, ISSN 1465-7392, E-ISSN 1476-4679, Vol. 28, p. 567-580Article in journal (Refereed) Published
Abstract [en]

Aggressive tumours are defined by microenvironmental stress adaptation and metabolic reprogramming. Within this niche, lipid droplet accumulation has emerged as a key strategy to buffer toxic lipids and suppress ferroptosis. Lipid droplet formation can occur via de novo lipogenesis or extracellular lipid-scavenging. However, how tumour cells coordinate these processes remains poorly understood. Here we identify a chondroitin sulfate (CS)-enriched glycocalyx as a hallmark of the acidic microenvironment in glioblastoma and central nervous system metastases. This CS-rich glycocalyx encapsulates tumour cells, limits lipid particle uptake and protects against lipid-induced ferroptosis. Mechanistically, we demonstrate that converging hypoxia-inducible factor and transforming growth factor beta signalling induces a glycan switch on syndecan-1—replacing heparan sulfate with CS—thereby impairing its lipid-scavenging function. Dual inhibition of CS biosynthesis and diacylglycerol O-acyltransferase-1, a critical enzyme in lipid droplet formation, triggers catastrophic lipid peroxidation and ferroptotic cell death. These findings define glycan remodelling as a core determinant of metabolic plasticity, positioning the dynamic glycocalyx as a master regulator of nutrient access, ferroptotic sensitivity and therapeutic vulnerability in cancer.

Place, publisher, year, edition, pages
Springer Nature, 2026. Vol. 28, p. 567-580
National Category
Cell and Molecular Biology Basic Cancer Research
Identifiers
URN: urn:nbn:se:umu:diva-250851DOI: 10.1038/s41556-026-01879-yISI: 001686918800001PubMedID: 41673170Scopus ID: 2-s2.0-105030029587OAI: oai:DiVA.org:umu-250851DiVA, id: diva2:2045014
Funder
Swedish Cancer Society, 23 2655 PjSwedish Cancer Society, 23 2937 PjSwedish Cancer Society, 24 3666 PjSwedish Research Council, 2023-02106Swedish Research Council, 2024-02736Swedish Childhood Cancer Foundation, PR2023-0078Swedish Childhood Cancer Foundation, PR2022-0117Mrs. Berta Kamprad's Cancer FoundationSjöberg FoundationEU, Horizon 2020, 754299Knut and Alice Wallenberg FoundationAvailable from: 2026-03-11 Created: 2026-03-11 Last updated: 2026-05-21Bibliographically approved

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Chakraborty, ChaitaliNissen, ItzelRemeseiro, Silvia

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