KRAS mutation-driven O-GlcNAcylation of CLDN18.2 enhances the progression of pancreatic cancer and reduces the efficacy of CLDN18.2-targeted therapy

KRAS mutations and hyperglycaemia drive O-GlcNAcylation of CLDN18.2 at its C-terminal T204 site. O-GlcNAcylated CLDN18.2 promotes poor prognosis and reduces the effectiveness of CLDN18.2-targeted therapies. Low dose MRTX1133 restores CLDN18.2 membrane localisation by reducing its O-GlcNAcylation and augments CLDN18.2-targeted therapy efficacy, offering a novel combinatorial strategy for KRAS-mutant PDAC.

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Journal
Gut
Published
2026-01-09
DOI
https://doi.org/10.1136/gutjnl-2025-336277
Primary Topic
Glycosylation and Glycoproteins Research
Type
article
Field-Weighted Citation Impact
0.00
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article

KRAS mutation-driven O-GlcNAcylation of CLDN18.2 enhances the progression of pancreatic cancer and reduces the efficacy of CLDN18.2-targeted therapy

Jun Yu, Yukuan Feng, Xupeng Hou, H. K. Sun et al.
Gut
Glycosylation and Glycoproteins Research
article

KRAS mutation-driven O-GlcNAcylation of CLDN18.2 enhances the progression of pancreatic cancer and reduces the efficacy of CLDN18.2-targeted therapy

Jun Yu, Yukuan Feng, Xupeng Hou, H. K. Sun, M Chen, Jihui Hao, Hu Yu, Tianxing Zhou, C. Huang, Antao Chang, Lin Li, Yifei Wang, Tingting Xu, Jing Liu, Weiwei Bai, Yongjie Xie
article en

Abstract

KRAS mutations and hyperglycaemia drive O-GlcNAcylation of CLDN18.2 at its C-terminal T204 site. O-GlcNAcylated CLDN18.2 promotes poor prognosis and reduces the effectiveness of CLDN18.2-targeted therapies. Low dose MRTX1133 restores CLDN18.2 membrane localisation by reducing its O-GlcNAcylation and augments CLDN18.2-targeted therapy efficacy, offering a novel combinatorial strategy for KRAS-mutant PDAC.

Gut
Chinese Academy of Sciences (CN), Tianjin Medical University Cancer Institute and Hospital (CN), Fudan University Shanghai Cancer Center (CN), Zhejiang Cancer Hospital (CN), Beijing National Laboratory for Molecular Sciences (CN)
Good health and well-being
Openalex Percentile: Top 92%
Glycosylation and Glycoproteins Research
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KRAS mutation-driven O-GlcNAcylation of CLDN18.2 enhances the progression of pancreatic cancer and reduces the efficacy of CLDN18.2-targeted therapy — Jun Yu, Yukuan Feng, et al. · Gut (2026) | TGRS Research Map | TGRS