Evidence map›Paper›PMID 21555367›Full record

ArticleCancer research2011

Targeting hyaluronidase for cancer therapy: antitumor activity of sulfated hyaluronic acid in prostate cancer cells.

Anaid Benitez, Travis J Yates, Luis E Lopez, Wolfgang H Cerwinka, Ashraf Bakkar, Vinata B Lokeshwar

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

72 citing papers in PubMed, 152 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Hyaluronan: An Architect and Integrator for Cancer and Neural Diseases.International journal of molecular sciences · 2025
    Review
  6. Review
  7. Characterization of a NaWorld journal of microbiology & biotechnology · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Multidirectional Effects of Terpenoids fromPharmaceuticals (Basel, Switzerland) · 2023
    Article
  15. Review
  16. Review
  17. Review
  18. Hyaluronic Acid as a Modern Approach in Anticancer Therapy-Review.International journal of molecular sciences · 2022
    Review
  19. Article
  20. Multiple Cell Cultures for MRI Analysis.International journal of molecular sciences · 2022
    Review

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Anaid BenitezDepartment of Urology, University of Miami Miller School of Medicine, Miami, Florida 33101, USA.
Travis J Yates
Luis E Lopez
Wolfgang H Cerwinka
Ashraf Bakkar
Vinata B Lokeshwar
Sylvester Comprehensive Cancer Center · USUniversity of Miami · USEmory University · USUniversity of Calgary · CA

Funding

Mechanisms of Bladder Cancer ProgressionR01CA072821 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LOKESHWAR, VINATA B · 2003 to 2014
$2.4M
Glycosaminoglycan-based inhibitors for treatment of prostate cancerR01CA123063 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LOKESHWAR, VINATA B · 2007 to 2010
$1.0M
NCI NIH HHS R01 CA072821NCI NIH HHS R01 CA123063NCI NIH HHS R01 CA 123063-04NCI NIH HHS R01CA72821-10
6 · The paper itself

Abstract

The tumor cell-derived hyaluronidase (HAase) HYAL-1 degrades hyaluronic acid (HA) into proangiogenic fragments that support tumor progression. Although HYAL-1 is a critical determinant of tumor progression and a marker for cancer diagnosis and metastasis prediction, it has not been evaluated as a target for cancer therapy. Similarly, sulfated hyaluronic acid (sHA) has not been evaluated for biological activity, although it is an HAase inhibitor. In this study, we show that sHA is a potent inhibitor of prostate cancer. sHA blocked the proliferation, motility, and invasion of LNCaP, LNCaP-AI, DU145, and LAPC-4 prostate cancer cells, and induced caspase-8-dependent apoptosis associated with downregulation of Bcl-2 and phospho-Bad. sHA inhibited Akt signaling including androgen receptor (AR) phosphorylation, AR activity, nuclear factor κB (NFκB) activation, and VEGF expression. These effects were traced to a blockade in complex formation between phosphoinositide 3-kinase (PI3K) and HA receptors and to a transcriptional downregulation of HA receptors, CD44, and RHAMM, along with PI3K inhibition. Angiogenic HA fragments or overexpression of myristoylated Akt or HA receptors blunted these effects of sHA, implicating a feedback loop between HA receptors and PI3K/Akt signaling in the mechanism of action. In an animal model, sHA strongly inhibited LNCaP-AI prostate tumor growth without causing weight loss or apparent serum-organ toxicity. Inhibition of tumor growth was accompanied by a significant decrease in tumor angiogenesis and an increase in apoptosis index. Taken together, our findings offer mechanistic insights into the tumor-associated HA-HAase system and a preclinical proof-of-concept of the safety and efficacy of sHA to control prostate cancer growth and progression.

Indexed as

AnimalsAntineoplastic AgentsApoptosisCell Line, TumorCell ProliferationHumansHyaluronan ReceptorsHyaluronic AcidHyaluronoglucosaminidaseMaleMiceNeoplasm InvasivenessNeovascularization, PathologicPhosphoinositide-3 Kinase InhibitorsProstatic NeoplasmsProto-Oncogene Proteins c-aktAntineoplastic AgentsCD44 protein, humanHyaluronan ReceptorsHyaluronic AcidHyaluronoglucosaminidasePhosphoinositide-3 Kinase InhibitorsProto-Oncogene Proteins c-aktVascular Endothelial Growth Factor A

Identifiers

PMID21555367
PMCPMC3117105
OpenAlexW2132212967

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.