Command Palette

Search for a command to run...

Preprint WatchModerateOctober 23rd, 2026

Survivin Promotes the Formation of a Microtubule-Based Glycolytic Hub

Neumann, J.; Chang, W.-H.; Ackermann, S. E.; Zanotelli, M. R.; Markovich, T.; Yang, R.; Lefkowitz, J. R.; Enomoto, S.; Le, H. H.; Lee, M.-T.; Bryant, K.; Cerione, R. A.; Antonyak, M. A.

Oncogenic KRAS drives glycolytic reprogramming through survivin-dependent assembly of a microtubule-based glycolytic hub.

Moderate contradiction

2 prior failures

Two documented clinical failures match this mechanism, or a single Phase 3 failure is on record.

This preprint places a survivin-dependent, microtubule-based glycolytic hub downstream of oncogenic KRAS as the route to the metabolic reprogramming that KRAS-transformed cells depend on. Claidex holds two KRAS programme failures, bgb-53038-kras-solid-tumors-phase1-strategic-reprioritization and sotorasib-durvalumab-kras-g12c-ctdna-stage3-nsclc-phase2-enrollment-collapse. Both were stopped for strategic and operational reasons rather than for absence of pathway effect, so they say little about whether a downstream metabolic node is drugable. The flag is MODERATE on failure count, and the proposed node remains unvalidated in humans.

Abstract excerpt

KRAS is one of the most frequently mutated oncoproteins in cancer. Its ability to induce malignant transformation relies on metabolic reprogramming that causes cells to become dependent on aerobic glycolysis as a primary source of energy and for generating biological building blocks. Thus far, the signaling mechanism used by oncogenic KRAS to promote these changes in cancer cell metabolism has not been fully elucidated. However, through studies in pancreatic ductal adenocarcinoma (PDAC) cell lines and patient-derived organoids, we now demonstrate how oncogenic KRAS triggers an increase in glycolytic activity and identify Survivin as a newly discovered and critical KRAS-signaling partner essential for promoting these metabolic changes. We show that oncogenic KRAS potently upregulates the expression of Survivin in PDAC cells and patient-derived organoids undergoing increased glycolysis, whereas depleting Survivin expression inhibits their glycolytic activity and growth. Through a combination of cellular, biochemical, and imaging approaches, we further show that Survivin promotes the formation of unique microtubule-based structures that resemble invadosome rosettes, allowing for the recruitment of the glycolytic enzymes triose phosphate isomerase (TPI) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) to these super-structures which drives the increases in glycolysis. These findings demonstrate that by directing the assembly of a microtubule-based complex of metabolic enzymes, Survivin serves as a vital link in a KRAS signaling pathway responsible for promoting the metabolic changes necessary for the accelerated growth of PDAC cells, and thus potentially highlight new therapeutic strategies for treating KRAS-dependent cancers.

Matching Claidex post-mortems

2 of 2 indexed

This is an automated contradiction flag, not an editorial judgment on the preprint's quality. Flags identify where the preclinical literature and the clinical failure record diverge.