# GLUT1-dependent glycolysis regulates age-susceptible lung fibrosis

> **NIH NIH K08** · WEILL MEDICAL COLL OF CORNELL UNIV · 2020 · $165,780

## Abstract

PROJECT SUMMARY
Idiopathic pulmonary fibrosis (IPF), a rapidly progressive, fatal lung disease with a median survival of less than
three years post diagnosis, is more prevalent in aging population. Glycolysis, a critical pathway in glucose
metabolism plays an important role in regulating host responsiveness to fibrotic lung injury. Recent studies
reported that IPF patients exhibit higher glycolytic activity in fibrotic areas represented by high [18F]-2-fluoro-2-
deoxyglucose (FDG) uptake in positron emission tomography (PET) scanning. We have demonstrated that
fibrosis development is enhanced with aging and that increased glucose transporter 1 (GLUT1)-dependent
glycolysis contributes to enhanced fibrogenesis in aged lung. Identifying the downstream and upstream
mechanism by which GLUT1 regulates fibrogenesis is essential next step. For downstream mechanism we have
shown that non-canonical TGFβ1 signaling may be the pathway by which GLUT1-dependent glycolysis
contributes to lung fibrosis. For upstream mechanism we have illustrated that age-dependent proteasome
dysfunction might underlie enhanced GLUT1 protein expression. In this proposal we hypothesized that
decreased proteasome function contributes to impaired GLUT1 degradation, which in turn activates signaling
pathways to reinforce or modulate downstream cellular responses and thereby contribute to increased GLUT1-
dependent glycolysis and fibrogenesis in aged lung. Aim 1 will investigate the upstream regulation of GLUT1
expression and age-dependent lung fibrosis by the ubiquitin-proteasome system (UPS) by using genetic and
pharmacologic approaches to inhibit UPS in our two murine fibrosis models (bleomycin-induced lung injury and
TGFβ1 overexpression model). Aim 2 will investigate the downstream mechanism of GLUT1-dependent
glycolysis and fibrosis development in lung. We will compare the extent of lung fibrosis observed in wild type,
GLUT1 knockout, and GLUT1 overexpressing mice during bleomycin- and TGFβ1-induced fibrosis models. Aim
3 will use human IPF cohort to define the levels of GLUT1 expression and their roles as a biomarker in patients
with two distinct IPF phenotypes. This may translate into information useful to understand the complex interaction
between GLUT1-dependent glycolysis and fibrosis, and provide a potential explanation for why older people are
more susceptible to fibrotic lung disease. Results from our current studies may support the development of
therapies for IPF based on targeting GLUT1 and/or its upstream/downstream regulators.

## Key facts

- **NIH application ID:** 9984509
- **Project number:** 5K08HL138285-04
- **Recipient organization:** WEILL MEDICAL COLL OF CORNELL UNIV
- **Principal Investigator:** Soo Jung Cho
- **Activity code:** K08 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $165,780
- **Award type:** 5
- **Project period:** 2017-08-09 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9984509

## Citation

> US National Institutes of Health, RePORTER application 9984509, GLUT1-dependent glycolysis regulates age-susceptible lung fibrosis (5K08HL138285-04). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/9984509. Licensed CC0.

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