Evidence map›Paper›PMID 22974708›Full record

ArticleGastroenterology2012

Notch signaling is activated in human hepatocellular carcinoma and induces tumor formation in mice.

Augusto Villanueva, Clara Alsinet, Kilangsungla Yanger, Yujin Hoshida, Yiwei Zong, Sara Toffanin, Leonardo Rodriguez-Carunchio, Manel Solé, Swan Thung, Ben Z Stanger and 1 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed
9.2field-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

169 citing papers in PubMed, 316 citations in OpenAlex.

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  11. Current research of the Notch pathway in hepatocellular carcinoma.European journal of medical research · 2025
    Review
  12. Influencing factors and mechanism of hepatocyte regeneration.Journal of translational medicine · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Hepatocellular carcinoma: signaling pathways and therapeutic advances.Signal transduction and targeted therapy · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Augusto VillanuevaHCC Translational Research Laboratory, Barcelona-Clínic Liver Cancer Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Catalonia, Spain.
Clara Alsinet
Kilangsungla Yanger
Yujin Hoshida
Yiwei Zong
Sara Toffanin
Leonardo Rodriguez-Carunchio
Manel Solé
Swan Thung
Ben Z Stanger
Josep M Llovet
Cancer Research Institute · USCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESHospital Clínic de Barcelona · ESIcahn School of Medicine at Mount Sinai · USBroad Institute · USInstitució Catalana de Recerca i Estudis Avançats · ES

Funding

Mechanisms of bile duct reprogrammingR01DK083355 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI GROMPE, MARKUS, STANGER, BEN Z · 2009 to 2020
$4.3M
AN IN VIVO APPROACH TO CELL-BASED THERAPY FOR TYPE I DIABETESDP2DK083111 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI STANGER, BEN Z · 2008 to 2010
$2.4M
Integrative genomic analysis in hepatocellular carcinomaR01DK076986 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LLOVET, JOSEP M · 2007 to 2011
$1.3M
NIDDK NIH HHS 1R01DK076986NIDDK NIH HHS DP2 DK083111NIDDK NIH HHS DP2-DK083111NIDDK NIH HHS R01 DK076986NIDDK NIH HHS R01 DK083355NIDDK NIH HHS R01-DK083355
6 · The paper itself

Abstract

BACKGROUND &

aimsThe Notch signaling pathway is activated in leukemia and solid tumors (such as lung cancer), but little is known about its role in liver cancer.

methodsThe intracellular domain of Notch was conditionally expressed in hepatoblasts and their progeny (hepatocytes and cholangiocytes) in mice. This was achieved through Cre expression under the control of an albumin and α-fetoprotein (AFP) enhancer and promoter (AFP-Notch intracellular domain [NICD]). We used comparative functional genomics to integrate transcriptome data from AFP-NICD mice and human hepatocellular carcinoma (HCC) samples (n = 683). A Notch gene signature was generated using the nearest template prediction method.

resultsAFP-NICD mice developed HCC with 100% penetrance when they were 12 months old. Activation of Notch signaling correlated with activation of 3 promoters of insulin-like growth factor 2; these processes appeared to contribute to hepatocarcinogenesis. Comparative functional genomic analysis identified a signature of Notch activation in 30% of HCC samples from patients. These samples had altered expression in Notch pathway genes and activation of insulin-like growth factor signaling, despite a low frequency of mutations in regions of NOTCH1 associated with cancer. Blocking Notch signaling in liver cancer cells with the Notch activation signature using γ-secretase inhibitors or by expressing a dominant negative form of mastermind-like 1 reduced their proliferation in vitro.

conclusionsNotch signaling is activated in human HCC samples and promotes formation of liver tumors in mice. The Notch signature is a biomarker of response to Notch inhibition in vitro.

Indexed as

AnimalsCarcinoma, HepatocellularCell ProliferationCells, CulturedCell SurvivalDisease Models, AnimalGene Expression ProfilingGene Expression Regulation, NeoplasticHumansInsulin-Like Growth Factor IIIn Vitro TechniquesLiver NeoplasmsMiceMice, Inbred StrainsMutationReceptors, NotchInsulin-Like Growth Factor IIReceptors, Notch

Identifiers

PMID22974708
PMCPMC3505826
OpenAlexW1966731849

What OpenQuestion holds

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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.