Abstract
Bladder cancer (BCa), a highly prevalent and aggressive tumor of the urinary system, typically exhibits poor clinical outcomes, particularly in advanced stages where therapeutic efficacy remains inadequate. A key characteristic of tumorigenesis, metabolic reprogramming, contributes substantially to cancer cell proliferation and metastatic progression. In the current investigation, phosphoglucomutase 3 (PGM3) was markedly overexpressed in BCa tissues, with elevated PGM3 expression strongly associated with unfavorable prognosis. Downregulation of PGM3 inhibited BCa tumor growth and metastasis by suppressing energy metabolism pathways, including glycolysis and oxidative phosphorylation (OXPHOS). Mechanistically, proteasome 26S subunit non-ATPase 11 (PSMD11) interacted with PGM3, reducing its ubiquitination and proteasomal degradation. Additionally, Parkin acted as a ubiquitinase, destabilizing PGM3, whereas PSMD11 competed with Parkin for PGM3 binding, thereby attenuating Parkin-mediated ubiquitination and stabilizing PGM3. Further analysis demonstrated that PSMD11 enhanced glycolysis and OXPHOS through PGM3, promoting BCa malignancy. Higher PSMD11 expression positively correlated with increased PGM3 expression. Collectively, these findings suggest that targeting the PSMD11/PGM3 axis could provide a promising therapeutic strategy for BCa.
Data availability
The transcription profiles of BCa patients were retrieved from the TCGA database. BLCA gene microarray expression profiles (GSE13507, GSE31684, GSE32548, GSE32894, and GSE48075) were obtained from the GEO database. The publicly accessible UROMOL cohort data were downloaded from ArrayExpress. Pan-cancer analyses of PGM3 and PSMD11 were performed using the TIMER database. Prognostic information for PGM3 and PSMD11 was acquired from PanCanSurvPlot. The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74:229–63.
Catto JWF, Gordon K, Collinson M, Poad H, Twiddy M, Johnson M, et al. Radical Cystectomy Against Intravesical BCG for high-risk high-grade nonmuscle invasive bladder cancer: results from the randomized controlled BRAVO-feasibility study. J Clin Oncol. 2021;39:202–14.
Jordan B, Meeks JJ. T1 bladder cancer: current considerations for diagnosis and management. Nat Rev Urol. 2019;16:23–34.
Patel VG, Oh WK, Galsky MD. Treatment of muscle-invasive and advanced bladder cancer in 2020. CA Cancer J Clin. 2020;70:404–23.
Xiao Y, Yu TJ, Xu Y, Ding R, Wang YP, Jiang YZ, et al. Emerging therapies in cancer metabolism. Cell Metab 2023;35:1283–303.
Molina JR, Sun Y, Protopopova M, Gera S, Bandi M, Bristow C, et al. An inhibitor of oxidative phosphorylation exploits cancer vulnerability. Nat Med. 2018;24:1036–46.
Warburg O, Wind F, Negelein E. The metabolism of tumors in the body. J Gen Physiol 1927;8:519–30.
Vander Heiden MG, Cantley LC, Thompson CB. Understanding the Warburg effect: the metabolic requirements of cell proliferation. Science. 2009;324:1029–33.
She W, Liu T, Li H, Wang Z, Guo Z, Liu Y, et al. Reprogramming Energy Metabolism with Synthesized PDK Inhibitors Based on Dichloroacetate Derivatives and Targeted Delivery Systems for Enhanced Cancer Therapy. J Med Chem. 2023;66:14683–99.
Dhar S, Lippard SJ. Mitaplatin, a potent fusion of cisplatin and the orphan drug dichloroacetate. Proc Natl Acad Sci USA. 2009;106:22199–204.
Abdel-Wahab AF, Mahmoud W, Al-Harizy RM. Targeting glucose metabolism to suppress cancer progression: prospective of anti-glycolytic cancer therapy. Pharm Res. 2019;150:104511.
Wang MM, Xu FJ, Su Y, Geng Y, Qian XT, Xue XL, et al. A New Strategy to Fight Metallodrug Resistance: Mitochondria-Relevant Treatment through Mitophagy to Inhibit Metabolic Adaptations of Cancer Cells. Angew Chem Int Ed Engl. 2022;61:e202203843.
Schulze A, Harris AL. How cancer metabolism is tuned for proliferation and vulnerable to disruption. Nature. 2012;491:364–73.
Smith RL, Soeters MR, Wüst RCI, Houtkooper RH. Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease. Endocr Rev. 2018;39:489–517.
Fendt SM. 100 years of the Warburg effect: A cancer metabolism endeavor. Cell. 2024;187:3824–8.
Wang ZV, Deng Y, Gao N, Pedrozo Z, Li DL, Morales CR, et al. Spliced X-box binding protein 1 couples the unfolded protein response to hexosamine biosynthetic pathway. Cell. 2014;156:1179–92.
Najjar VA, Pullman ME. The occurrence of a group transfer involving enzyme (phosphoglucomutase) and substrate. Science. 1954;119:631–4.
Ricciardiello F, Votta G, Palorini R, Raccagni I, Brunelli L, Paiotta A, et al. Inhibition of the Hexosamine Biosynthetic Pathway by targeting PGM3 causes breast cancer growth arrest and apoptosis. Cell Death Dis. 2018;9:377.
Ricciardiello F, Gang Y, Palorini R, Li Q, Giampà M, Zhao F, et al. Hexosamine pathway inhibition overcomes pancreatic cancer resistance to gemcitabine through unfolded protein response and EGFR-Akt pathway modulation. Oncogene. 2020;39:4103–17.
Lee H, Cai F, Kelekar N, Velupally NK, Kim J. Targeting PGM3 as a Novel Therapeutic Strategy in KRAS/LKB1 Co-Mutant Lung Cancer. Cells. 2022;11:176.
Su H, Zhong Y, He L, Geng F, Yin X, Kou Y, et al. Targeting PGM3 abolishes SREBP-1 activation-hexosamine synthesis feedback regulation to effectively suppress brain tumor growth. Sci Adv. 2025;11:eadq0334.
Chao H, Deng L, Xu F, Fu B, Zhu Z, Dong Z, et al. RAB14 activates MAPK signaling to promote bladder tumorigenesis. Carcinogenesis. 2019;40:1341–51.
Deng H, Deng L, Chao H, Yu Z, Huang J, Song Z, et al. RAB14 promotes epithelial-mesenchymal transition in bladder cancer through autophagy-dependent AKT signaling pathway. Cell Death Discov. 2023;9:292.
Song Z, Gui S, Rao X, Zhang G, Cheng Y, Zeng T. TAZ/NRF2 positive feedback loop contributes to proliferation in bladder cancer through antagonistic ferroptosis. Cell Death Discov. 2025;11:208.
Stray-Pedersen A, Backe PH, Sorte HS, Mørkrid L, Chokshi NY, Erichsen HC, et al. PGM3 mutations cause a congenital disorder of glycosylation with severe immunodeficiency and skeletal dysplasia. Am J Hum Genet. 2014;95:96–107.
Sassi A, Lazaroski S, Wu G, Haslam SM, Fliegauf M, Mellouli F, et al. Hypomorphic homozygous mutations in phosphoglucomutase 3 (PGM3) impair immunity and increase serum IgE levels. J Allergy Clin Immunol. 2014;133:1410–9.
Zhang Y, Yu X, Ichikawa M, Lyons JJ, Datta S, Lamborn IT, et al. Autosomal recessive phosphoglucomutase 3 (PGM3) mutations link glycosylation defects to atopy, immune deficiency, autoimmunity, and neurocognitive impairment. J Allergy Clin Immunol. 2014;133:1400–9.
Zhang N, Liu S, Xu J, Ning T, Xie S, Min L, et al. PGM3 regulates beta-catenin activity to promote colorectal cancer cell progression. Exp Biol Med. 2022;247:1518–28.
Jin GZ, Zhang Y, Cong WM, Wu X, Wang X, Wu S, et al. Phosphoglucomutase 1 inhibits hepatocellular carcinoma progression by regulating glucose trafficking. PLoS Biol. 2018;16:e2006483.
Curtis M, Kenny HA, Ashcroft B, Mukherjee A, Johnson A, Zhang Y, et al. Fibroblasts Mobilize Tumor Cell Glycogen to Promote Proliferation and Metastasis. Cell Metab. 2019;29:141–55.
Li Y, Liang R, Sun M, Li Z, Sheng H, Wang J, et al. AMPK-dependent phosphorylation of HDAC8 triggers PGM1 expression to promote lung cancer cell survival under glucose starvation. Cancer Lett. 2020;478:82–92.
Cao B, Deng H, Cui H, Zhao R, Li H, Wei B, et al. Knockdown of PGM1 enhances anticancer effects of orlistat in gastric cancer under glucose deprivation. Cancer Cell Int. 2021;21:481.
Liu S, Deng Y, Yu Y, Xia X. Knock-down of PGM1 inhibits cell viability, glycolysis, and oxidative phosphorylation in glioma under low glucose condition via the Myc signaling pathway. Biochem Biophys Res Commun. 2023;656:38–45.
Conte F, Ashikov A, Mijdam R, van de Ven EGP, van Scherpenzeel M, Veizaj R, et al. In Vitro Skeletal Muscle Model of PGM1 Deficiency Reveals Altered Energy Homeostasis. Int J Mol Sci. 2023;24:8247.
Matsui S, Ri C, Bolanos LC, Choi K, Shibamiya A, Ishii A, et al. Metabolic reprogramming regulated by TRAF6 contributes to the leukemia progression. Leukemia. 2024;38:1032–45.
Wang H, Sun J, Sun H, Wang Y, Lin B, Wu L, et al. The OGT-c-Myc-PDK2 axis rewires the TCA cycle and promotes colorectal tumor growth. Cell Death Differ. 2024;31:1157–69.
Wang H, Vant JW, Zhang A, Sanchez RG, Wu Y, Micou ML, et al. Organization of a functional glycolytic metabolon on mitochondria for metabolic efficiency. Nat Metab. 2024;6:1712–35.
Lin L, Yuan Q, Gu J, Bai G, Cong X, Hu Q, et al. CARM1-mediated OGT arginine methylation promotes non-small cell lung cancer glycolysis by stabilizing OGT. Cell Death Dis. 2024;15:927.
Dong F, Jiang Q, Li L, Liu T, Zuo S, Gao L, et al. Synergetic lethal energy depletion initiated by cancer cell membrane camouflaged nano-inhibitor for cancer therapy. Nano Res. 2022;15:3422–33.
Jiang S, Li W, Zhang Y, Lin J, Huang P. Oxygen-regulated enzymatic nanoplatform for synchronous intervention in glycolysis and oxidative phosphorylation to augment antitumor therapy. J Control Release. 2025;381:113594.
Zhang Z, Tang S, Qi M, Zhao H, Wu M, Huang SW. Mitochondria-targeting natural product rhein conjugated with dichloroacetate as the dual inhibitor of glycolysis and oxidative phosphorylation to off energize cancer cells and induce ROS storm. Theranostics. 2025;15:4909–29.
He L, Yu C, Qin S, Zheng E, Liu X, Liu Y, et al. The proteasome component PSMD14 drives myelomagenesis through a histone deubiquitinase activity. Mol Cell. 2023;83:4000–16.
Yang P, Yang X, Wang D, Yang H, Li Z, Zhang C, et al. PSMD14 stabilizes estrogen signaling and facilitates breast cancer progression via deubiquitinating ER. Oncogene. 2024;43:248–64.
Lu J, Wu H, Zhan P, Lu Y, Fang Q, Luo C, et al. PSMD14-mediated deubiquitination of CARM1 facilitates the proliferation and metastasis of hepatocellular carcinoma by inducing the transcriptional activation of FERMT1. Cell Death Dis. 2025;16:141.
Yu Y, Hu J, Wang W, Lei H, Xi Z, Zhang P, et al. Targeting PSMD14 combined with arachidonic acid induces synthetic lethality via FADS1 m6A modification in triple-negative breast cancer. Sci Adv. 2025;11:eadr3173.
Liu F, Chen J, Li K, Li H, Zhu Y, Zhai Y, et al. Ubiquitination and deubiquitination in cancer: from mechanisms to novel therapeutic approaches. Mol Cancer. 2024;23:148.
Narendra DP, Youle RJ. The role of PINK1-Parkin in mitochondrial quality control. Nat Cell Biol. 2024;26:1639–51.
Sun X, Ye G, Mai Y, Shu Y, Wang L, Zhang J. Parkin exerts the tumor-suppressive effect through targeting mitochondria. Med Res Rev. 2023;43:855–71.
Wang X, Li Y, Li Y, Wang X, Song H, Wang Y, et al. AMPK-dependent Parkin activation suppresses macrophage antigen presentation to promote tumor progression. Sci Adv. 2025;11:eadn8402.
Ye G, Sun X, Li J, Pu M, Zhang J. Parkin modulates the hepatocellular carcinoma microenvironment by regulating PD-1/PD-L1 signalling. J Adv Res. 2025;76:731–44.
Chen J, Xiao S, Yan X, Wei Y, Song W. Mechanism of SMYD2 promoting stemness maintenance of bladder cancer stem cells by regulating PYCR1 expression and PINK1/Parkin mitophagy pathway. Int J Oncol. 2025;66:41.
Zhang R, Jiang W, Wang G, Zhang Y, Liu W, Li M, et al. Parkin inhibits proliferation and migration of bladder cancer via ubiquitinating Catalase. Commun Biol. 2024;7:245.
Funding
This research was supported by the National Natural Science Foundation of China (No. 82260598) and Jiangxi Provincial academic and technical leaders training program (20225BCJ22009) to Tao Zeng.
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YC, TC, GH Z, and TZ conceived the project and designed the study. YC, TC, GH Z, ZS, and GZ performed the experiments. GZ and YC collected the clinical tumor samples. YC, TC, SX, and XP R performed the data analysis. YC, TC, and GH Z wrote the paper. TZ provided the funding support.
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This study was approved by the Medical Ethics Committee of the Second Affiliated Hospital of Nanchang University and was conducted in compliance with the principles of the Declaration of Helsinki.
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Cheng, Y., Chen, T., Zheng, G. et al. PSMD11 stabilizes PGM3 by antagonizing Parkin to promote bladder cancer progression through energy metabolism reprogramming. Cell Death Dis (2026). https://doi.org/10.1038/s41419-026-08691-4
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DOI: https://doi.org/10.1038/s41419-026-08691-4