Evidence map›Paper›PMID 19122641›Full record

ArticleNature2009

Carcinoma-produced factors activate myeloid cells through TLR2 to stimulate metastasis.

Sunhwa Kim, Hiroyuki Takahashi, Wan-Wan Lin, Pascal Descargues, Sergei Grivennikov, Youngjun Kim, Jun-Li Luo, Michael Karin

Expression of concernOpen access · greenAbstract read
In one paragraph

Article in Nature, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 613 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
613citing papers in PubMed, 2 pooled it
27.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

613 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Macrophages Drive Ferroptosis Resistance after Radiotherapy.Cancer communications (London, England) · 2026
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Sulfated Glycosaminoglycans in Inflammation.Advances in experimental medicine and biology · 2026
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

553 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Sunhwa KimDepartment of Pharmacology and Cancer Center, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, California 92093-0723, USA.
Hiroyuki Takahashi
Wan-Wan Lin
Pascal Descargues
Sergei Grivennikov
Youngjun Kim
Jun-Li Luo
Michael Karin
University of California, San Diego · US

Funding

UCSD Cancer Center Training Program in Drug DevelopmentT32CA121938 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Michael Bouvet, Dwayne G. Stupack · 2006 to 2026
$10.3M
Role of Inflammation in tumor promotion and progressionR01CA118165 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARIN, MICHAEL · 2007 to 2016
$4.6M
Stress Signaling Pathways in Toxicity and DiseaseR01ES006376 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARIN, MICHAEL · 1993 to 2011
$4.3M
Pulmonary inflammation and lung cancer development and progressionR01CA132586 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARIN, MICHAEL · 2008 to 2012
$1.6M
NCI NIH HHS R01 CA118165NCI NIH HHS R01 CA132586NCI NIH HHS T32 CA121938NIEHS NIH HHS R01 ES006376
6 · The paper itself

Abstract

Metastatic progression depends on genetic alterations intrinsic to cancer cells as well as the inflammatory microenvironment of advanced tumours. To understand how cancer cells affect the inflammatory microenvironment, we conducted a biochemical screen for macrophage-activating factors secreted by metastatic carcinomas. Here we show that, among the cell lines screened, Lewis lung carcinoma (LLC) were the most potent macrophage activators leading to production of interleukin-6 (IL-6) and tumour-necrosis factor-alpha (TNF-alpha) through activation of the Toll-like receptor (TLR) family members TLR2 and TLR6. Both TNF-alpha and TLR2 were found to be required for LLC metastasis. Biochemical purification of LLC-conditioned medium (LCM) led to identification of the extracellular matrix proteoglycan versican, which is upregulated in many human tumours including lung cancer, as a macrophage activator that acts through TLR2 and its co-receptors TLR6 and CD14. By activating TLR2:TLR6 complexes and inducing TNF-alpha secretion by myeloid cells, versican strongly enhances LLC metastatic growth. These results explain how advanced cancer cells usurp components of the host innate immune system, including bone-marrow-derived myeloid progenitors, to generate an inflammatory microenvironment hospitable for metastatic growth.

Indexed as

Macrophage ActivationNeoplasm MetastasisAnimalsCarcinoma, Lewis LungCulture Media, ConditionedCulture Media, Serum-FreeInterleukin-6Lipopolysaccharide ReceptorsLiver NeoplasmsLung NeoplasmsMacrophagesMiceMice, Inbred C57BLNeoplasm TransplantationToll-Like Receptor 2Toll-Like Receptor 6Culture Media, ConditionedCulture Media, Serum-FreeInterleukin-6Lipopolysaccharide ReceptorsTlr2 protein, mouseTlr6 protein, mouseToll-Like Receptor 2Toll-Like Receptor 6Tumor Necrosis Factor-alphaVersicans

Identifiers

PMID19122641
PMCPMC2746432
OpenAlexW2161091841

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.