Evidence map›Paper›PMID 23208491›Full record

ArticleOncogene2014

Interaction with colon cancer cells hyperactivates TGF-β signaling in cancer-associated fibroblasts.

L J A C Hawinkels, M Paauwe, H W Verspaget, E Wiercinska, J M van der Zon, K van der Ploeg, P J Koelink, J H N Lindeman, W Mesker, P ten Dijke and 1 more

Abstract read
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In one paragraph

Article in Oncogene, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 159 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

159 citing papers in PubMed, 1 synthesis or guideline pooled it, 250 citations in OpenAlex.

  1. Pooled it
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  9. Prognostic significance of DNA ploidy, stroma fraction, and nucleotyping in stage IIIb colon cancer and their implications for adjuvant chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  18. Quantitative Assessment of Collagen Architecture to Determine Role of Tumor Stroma During Vestibular Schwannoma Progression.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
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  19. Article
  20. Article

99 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

11 authors at 2 institutions in 1 country.

L J A C Hawinkels1] Department of Gastroenterology-Hepatology, Leiden University Medical Centre, Leiden, The Netherlands [2] Department of Molecular Cell Biology and Centre for Biomedical Genetics, Leiden University Medical Centre, Leiden, The Netherlands.
M PaauweDepartment of Molecular Cell Biology and Centre for Biomedical Genetics, Leiden University Medical Centre, Leiden, The Netherlands.
H W VerspagetDepartment of Gastroenterology-Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
E WiercinskaDepartment of Molecular Cell Biology and Centre for Biomedical Genetics, Leiden University Medical Centre, Leiden, The Netherlands.
J M van der ZonDepartment of Gastroenterology-Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
K van der PloegDepartment of Molecular Cell Biology and Centre for Biomedical Genetics, Leiden University Medical Centre, Leiden, The Netherlands.
P J KoelinkDepartment of Gastroenterology-Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
J H N LindemanDepartment of Vascular Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
W MeskerDepartment of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
P ten Dijke1] Department of Molecular Cell Biology and Centre for Biomedical Genetics, Leiden University Medical Centre, Leiden, The Netherlands [2] Ludwig Institute for Cancer Research, Uppsala University, Uppsala, Sweden.
C F M Sier1] Department of Gastroenterology-Hepatology, Leiden University Medical Centre, Leiden, The Netherlands [2] Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Leiden University · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The interaction between epithelial cancer cells and cancer-associated fibroblasts (CAFs) has a major role in cancer progression and eventually in metastasis. In colorectal cancer (CRC), CAFs are present in high abundance, but their origin and functional interaction with epithelial tumor cells has not been elucidated. In this study we observed strong activation of the transforming growth factor-β (TGF-β)/Smad signaling pathway in CRC CAFs, accompanied by decreased signaling in epithelial tumor cells. We evaluated the TGF-β1 response and the expression of target genes including matrix metalloproteinases (MMPs) and plasminogen activator inhibitor (PAI)-1 of various epithelial CRC cell lines and primary CAFs in vitro. TGF-β1 stimulation caused high upregulation of MMPs, PAI-1 and TGF-β1 itself. Next we showed that incubation of CAFs with conditioned medium (CM) from epithelial cancer cells led to hyperactivation of the TGF-β signaling pathway, enhanced expression of target genes like PAI-1, and the expression of α-smooth muscle actin (α-SMA). We propose that the interaction of tumor cells with resident fibroblasts results in hyperactivated TGF-β1 signaling and subsequent transdifferentiation of the fibroblasts into α-SMA-positive CAFs. In turn this leads to cumulative production of TGF-β and proteinases within the tumor microenvironment, creating a cancer-promoting feedback loop.

Indexed as

Cell Line, TumorColonColonic NeoplasmsCulture Media, ConditionedEnzyme InductionFibroblastsGene Expression Regulation, NeoplasticHumansIntestinal MucosaMatrix Metalloproteinases, SecretedPrimary Cell CultureSignal TransductionSpheroids, CellularTransforming Growth Factor beta1Up-RegulationCulture Media, ConditionedMatrix Metalloproteinases, SecretedTGFB1 protein, humanTransforming Growth Factor beta1

Identifiers

PMID23208491
OpenAlexW2072703892

What OpenQuestion holds

Textmetadata
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.