Mining cancer genomes for copy number alterations identifies glycosylation enzymes as oncogenic drivers

P Pranoy Sahu (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) F Francesco Russo (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) D Domenico Russo (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) I Ilenia Agliarulo (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) P Pasqualina Ambrosio (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) R Riccardo Rizzo (Institute of Nanotechnology, National Research Council of Italy) M Matteo Lo Monte (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) N Nicola Normanno S Silvia Soddu (Unit of Cellular Networks and Molecular Therapeutic Targets, Istituto di Ricovero e Cura a Carattere Scientifico Regina Elena National Cancer Institute) F Francesca Carlomagno (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) A Alberto Luini (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy) S Seetharaman Parashuraman (Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy)

Abstract

Altered cell-surface glycans are established cancer biomarkers, yet no oncogenes have been identified within glycan biosynthesis machinery. This represents a critical gap, as defining a gene as a true oncogene, rather than merely a component of an oncogenic pathway, reveals targetable dependencies that can improve clinical decisions. To date, no gain-of-function mutations have been detected in glycogenes, and the search for such mutations is largely saturated. To address this gap, we developed a bioinformatic–experimental pipeline to identify copy number alteration (CNA)-based driver genes, overcoming noise from passenger genes. The approach recovered known oncogenes and tumor suppressors, while revealing novel candidates, including glyco-oncogenes. Focusing on the glycosphingolipid (GSL) biosynthetic pathway, we validated B4GALT5 as a bona fide glyco-oncogene whose genomic amplification drives proliferation, oncogene addiction, and poor prognosis, effects that can be reversed by targeted pathway inhibition. Mechanistic studies show that B4GALT5 promotes cancer cell survival via integrin-Src signaling under anchorage-independent conditions. Collectively, these findings establish glycosylation enzymes as a druggable oncogene class and provide a resource of high-confidence CNA-based cancer regulatory genes.

Article Details

Volume / Issue Vol. 123, Issue 14
Published April 07, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (12)

P

Pranoy Sahu

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

F

Francesco Russo

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

D

Domenico Russo

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

I

Ilenia Agliarulo

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

P

Pasqualina Ambrosio

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

R

Riccardo Rizzo

Institute of Nanotechnology, National Research Council of Italy

M

Matteo Lo Monte

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

N

Nicola Normanno

S

Silvia Soddu

Unit of Cellular Networks and Molecular Therapeutic Targets, Istituto di Ricovero e Cura a Carattere Scientifico Regina Elena National Cancer Institute

F

Francesca Carlomagno

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

A

Alberto Luini

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy

S

Seetharaman Parashuraman

Institute of Endotypes in Oncology, Metabolism and Immunology “G. Salvatore,” National Research Council of Italy