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Milan Savani

@milansavani.com
65 followers 116 following 16 posts

Medical student at UT Southwestern. PhD from the McBrayer Lab at the Children's Research Institute @ UTSW. | nitrogen metabolism in glioma | he/him

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Reposted by Milan Savani
Children's Research Institute at UT Southwestern @cri-utsw.bsky.social · 24/09/2026
🧵1/ How can a brain tumor rewire metabolism to make nearby neurons more excitable—and thereby promote its own growth? A new @cellpress.bsky.social paper from the McBrayer, Abdullah labs shows gliomas mimic a rare IEM producing guanidinoacetate (GAA) to drive neuron-tumor interactions.
cell.com
Gliomas phenocopy an inborn error of metabolism to drive neuronal activity and tumor growth
Glioma-derived guanidinoacetate depolarizes neighboring neurons through γ-aminobutyric acid (GABA) A receptors, and depleting this metabolite reduces both neuronal activity and glioma growth.
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Reposted by Milan Savani
Children's Research Institute at UT Southwestern @cri-utsw.bsky.social · 05/08/2026
ONLINE NOW in @science.org Translational Medicine from CRI's McBrayer Lab: www.science.org/doi/10.1126/.... Full 🧵 in comments ⬇️ #relentlessdiscovery 🧪
science.org
Vorasidenib improves response to subsequent chemoradiation in a genetically engineered mouse model of IDH-mutant glioma
A genetic mouse model of IDH-mutant glioma responds to mutant IDH inhibitor (mIDHi) and shows that prior mIDHi treatment improves response to chemoradiation.
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Reposted by Milan Savani
Nature Metabolism @natmetabolism.nature.com · 06/05/2026
dlvr.it
Nitrogen metabolism profiling reveals cell state-specific pyrimidine synthesis pathway choice
Nature Metabolism, Published online: 29 April 2026; doi:10.1038/s42255-026-01520-0This study develops a platform that enables simultaneous, multiplexed tracing of 30 nitrogen isotope-labelled metabolites, uncovering differences in pyrimidine synthesis pathway choice between primitive and differentiated cells.
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Reposted by Milan Savani
Nature Metabolism @natmetabolism.nature.com · 06/05/2026
dlvr.it
Brain cells refine nitrogen choice with maturity
Nature Metabolism, Published online: 29 April 2026; doi:10.1038/s42255-026-01519-7Nitrogen metabolism is more complex and less mapped than carbon pathways owing to the diversity of nitrogen sources and disjointed routing. Savani et al. develop a multiplexed nitrogen labelling platform to trace system-wide nitrogen flows, revealing how undifferentiated and mature cells select nitrogen sources for pyrimidine nucleotide synthesis.
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Milan Savani @milansavani.com · 29/04/2026
Thanks so much, Walter (and for all your helpful discussion)!
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Milan Savani @milansavani.com · 29/04/2026
Thanks also to Andrew Scott, @lyssiotislab.bsky.social, @danwahlmd.bsky.social, and @natmetabolism.nature.com for this really nice News & Views article on our work! bsky.app/profile/cri-...
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Milan Savani @milansavani.com · 29/04/2026
Thanks so much, Ralph!
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Milan Savani @milansavani.com · 29/04/2026
12/12 🙌 Finally, a huge thanks to everyone involved in the project – especially my mentor Sam, Bingbing Li, @bailey-smith.bsky.social, Kalil Abdullah, @rjdlab.bsky.social, our many other collaborators, and the patients who generously donated samples – it wouldn’t have been possible without them!
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Milan Savani @milansavani.com · 29/04/2026
11/12 🙏 This wouldn’t have been possible without our funding, including my fellowship and the lab’s funding from the NCI, as well as from CPRIT and Oligo Nation. Working with the editorial team at @natmetabolism.nature.com was a pleasure. Thanks to Melissa Logies for the cover art.
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Milan Savani @milansavani.com · 29/04/2026
10/12 🏥 Potential clinical relevance: CAD Ser1900 phosphorylation correlates with stemness indices across multiple human cancers. Phosphorylation of this site may represent a biomarker for identifying tumors that could be sensitive to inhibition of de novo pyrimidine synthesis.
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Milan Savani @milansavani.com · 29/04/2026
9/12 🔩 Functional impact: Mimicking Ser1900 phosphorylation activates de novo pyrimidine synthesis in differentiated cells – even in the presence of uridine. Conversely, phosphodeficient mutants impair the response to uridine starvation.
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Milan Savani @milansavani.com · 29/04/2026
8/12 🎚️ The “switch”: Looking at CAD, the first enzyme in de novo pyrimidine synthesis, we found that uridine deprivation in differentiated cells induced phosphorylation of Ser1900. This site is enriched in primitive tissues and is highly conserved in mammals.
A schema depicting our proposed model: differentiated cells have a "switch" for the de novo pyrimidine synthesis pathway governed by phosphorylation of S1900 on CAD in response to uridine availability. Primitive cells engage this pathway at baseline, regardless of uridine availability.
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Milan Savani @milansavani.com · 29/04/2026
7/12 ⚙️ Mechanism: We found that differentiated cells are still capable of de novo pyrimidine synthesis – they just repress it in response to availability of the salvage substrate uridine. Withdrawing (or, letting your cultures use up) uridine rapidly triggers pathway activity.
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Milan Savani @milansavani.com · 29/04/2026
6/12 🐁 In vivo validation: Tracing in xenografted mice and freshly-explanted human glioma and brain tissue revealed that only tumor tissue – not nonmalignant brain – robustly made pyrimidines de novo.
MALDI mass spectrometry imaging data demonstrating tumor-selective enrichment of glutamine labeling, while uridine labels both tumor and nonmalignant brain.
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Milan Savani @milansavani.com · 29/04/2026
5/12 🧫 We checked a panel of differentiated and primitive cells and used induced pluripotent stem cells to validate this finding. The relationship held across models: primitive cells are “builders” (de novo) and differentiated cells are “recyclers” (salvage).
Stable isotope tracing experiments comparing de novo pathway to salvage pathway use in isogenic fibroblasts, neural progenitor cells, and neurons. These data show that fibroblasts and neurons demonstrate a preference for the salvage pathway while neural progenitors engage the de novo pathway.
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Milan Savani @milansavani.com · 29/04/2026
4/12 🧠 Application: Comparing primitive glioma stem-like cells (GSCs) to differentiated astrocytes revealed a fundamental divergence in pyrimidine nucleotide synthesis. While astrocytes predominantly salvage uridine, GSCs also build them from scratch by the de novo pathway.
Sankey diagrams representing increased utilization of de novo pyrimidine synthesis in glioma stem-like cells (GSCs) compared to astrocytes.
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Milan Savani @milansavani.com · 29/04/2026
3/11 🛠️ The platform: We used Human Plasma-like Medium (HPLM, shoutout @jasonrcantor.bsky.social) to generate a library covering amino acids, the urea cycle, nucleic acids, ions, and end products to generate system-level portrait of cellular nitrogen substrate preferences.
Schema describing nitrogen metabolism profiling platform. A media library with individually 15N-labeled metabolites is used for parallel stable istotope tracing assays. After high-resolution LC-MS data acquision, a custom deconvolution algorithm allows for quantification and visualization of rich tracing datasets.
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Milan Savani @milansavani.com · 29/04/2026
2/11 🎉 I’m super excited to share this project, which was the bulk of my thesis work in Sam McBrayer’s lab @cri-utsw.bsky.social as part of the UT Southwestern MSTP.
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Milan Savani @milansavani.com · 29/04/2026
1/12 🛣️ Mapping nitrogen metabolism has lagged carbon due to substrate diversity. In @natmetabolism.nature.com, we introduce a platform to do this mapping at scale and identify mechanisms by which differentiation state dictates pyrimidine synthesis. 🧵👇 🔗 www.nature.com/articles/s42...
This celestial scene represents tracking the constellation of metabolites that contribute to cellular nitrogen metabolism. Artwork by Melissa Logies.
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Reposted by Milan Savani
Children's Research Institute at UT Southwestern @cri-utsw.bsky.social · 29/04/2026
ONLINE NOW in @natmetabolism.nature.com: McBrayer Lab & first-author @milansavani.com have discovered cell maturity determines pyrimidine synthesis pathway preference using their new nitrogen metabolism profiling platform, organoid model. More ⬇️ cri.utsw.edu/cell-maturit... #relentlessdiscovery 🧪
cri.utsw.edu
Cell maturity determines pyrimidine synthesis pathway preference - Children's Medical Center Research Institute (CRI) | Dallas Texas
McBrayer Lab uses their new nitrogen metabolism profiling platform, organoid model to discover modification of enzyme CAD activates de novo pathway A cell’s development stage intrinsically determines ...
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Reposted by Milan Savani
bioRxiv Cancer Bio @biorxiv-cancer.bsky.social · 18/09/2025
Gliomas phenocopy an inborn error of metabolism to drive neuronal activity and tumor growth www.biorxiv.org/content/10.1101/202…
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Reposted by Milan Savani
bioRxivpreprint @biorxivpreprint.bsky.social · 24/07/2025
Nitrogen metabolism profiling reveals cell state-specific pyrimidine synthesis pathway choice www.biorxiv.org/content/10.1101/202…
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Milan Savani @milansavani.com · 27/04/2025
Thanks, @jasonrcantor.bsky.social!
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Reposted by Milan Savani
Children's Research Institute at UT Southwestern @cri-utsw.bsky.social · 24/03/2025
Today's #MondayMotivation is courtesy CRI's McBrayer Lab: Congrats @milansavani.com for successfully defending your dissertation! Dr. Savani's family and lab mates joined to celebrate 🎉 Next steps: publishing his #research & finishing his M.D. #relentlessdiscovery 🧪
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