Evidence map›Paper›PMID 24397969›Full record

ArticleGastroenterology2014

Antibody against CD44s inhibits pancreatic tumor initiation and postradiation recurrence in mice.

Ling Li, Xinbao Hao, Jun Qin, Wenhua Tang, Fengtian He, Amber Smith, Min Zhang, Diane M Simeone, Xiaotan T Qiao, Zhi-Nan Chen and 2 more

Abstract read
In one paragraph

Article in Gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 1 pooled it
8.5field-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

92 citing papers in PubMed, 1 synthesis or guideline pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. CD44 Marks Dormant Tumor Cells After HER2 Inhibition in Breast Cancer Cells.International journal of molecular sciences · 2025
    Article
  5. Review
  6. Targeted Cancer Stem Cell Therapeutics: An Update.Current topics in medicinal chemistry · 2025
    Review
  7. CD44 variant exons induce chemoresistance by modulating cell death pathways.Frontiers in cell and developmental biology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Pancreatic cancer stemness: dynamic status in malignant progression.Journal of experimental & clinical cancer research : CR · 2023
    Review
  19. Article
  20. Over Expression of Cancer Stem Cell Marker CD44 and Its Clinical Significance in Patients with Oral Squamous Cell Carcinoma.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Ling LiDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan; Cell Engineering Research Centre and Department of Cell Biology, State Key Laboratory of Cancer Biology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China.
Xinbao HaoDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan; Department of Hematology/Oncology, Hainan Medical College Hospital, Haikou, Hainan, P.R. China.
Jun QinDepartment of Urology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China.
Wenhua TangDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan; Departments of Molecular Biosciences and Radiation Oncology, University of Kansas, Lawrence, Kansas.
Fengtian HeDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan.
Amber SmithDepartments of Molecular Biosciences and Radiation Oncology, University of Kansas, Lawrence, Kansas.
Min ZhangDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan.
Diane M SimeoneDepartment of Surgery, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan.
Xiaotan T QiaoDepartment of Cell and Developmental Biology, University of Michigan, Ann Arbor, Michigan.
Zhi-Nan ChenCell Engineering Research Centre and Department of Cell Biology, State Key Laboratory of Cancer Biology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China. Electronic address: znchen@fmmu.edu.cn.
Theodore S LawrenceDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan.
Liang XuDepartment of Radiation Oncology, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan; Departments of Molecular Biosciences and Radiation Oncology, University of Kansas, Lawrence, Kansas. Electronic address: xul@ku.edu.
University of Michigan–Ann Arbor · USAir Force Medical University · CNUniversity of Kansas · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Mentoring CoreP20GM103418 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SUSAN J. BROWN · 2012 to 2026
$63.0M
Tumor-targeted silencing of Bcl-2/Bcl-xL by the self-assembled siRNA-nanovectorsR01CA121830 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XU, LIANG · 2006 to 2010
$1.9M
Molecular cancer radiosensitization by targeting Mcl-1R01CA134655 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XU, LIANG · 2009 to 2010
$630k
NCI NIH HHS 5 P30 CA46592NCI NIH HHS CA134655NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA121830NCI NIH HHS R01 CA121830 S1NCI NIH HHS R01 CA134655NIGMS NIH HHS P20 GM103418
6 · The paper itself

Abstract

BACKGROUND &

aimsCD44s is a surface marker of tumor-initiating cells (TICs); high tumor levels correlate with metastasis and recurrence, as well as poor outcomes for patients. Monoclonal antibodies against CD44s might eliminate TICs with minimal toxicity. This strategy is unclear for treatment of pancreatic cancer, and little is known about how anti-CD44s affect pancreatic cancer initiation or recurrence after radiotherapy.

methodsOne hundred ninety-two pairs of human pancreatic adenocarcinoma and adjacent nontumor pancreatic tissues were collected from patients undergoing surgery. We measured CD44s levels in tissue samples and pancreatic cancer cell lines by immunohistochemistry, real-time polymerase chain reaction, and immunoblot; levels were correlated with patient survival times. We studied the effects of anti-CD44s in mice with human pancreatic tumor xenografts and used flow cytometry to determine the effects on TICs. Changes in CD44s signaling were examined by real-time polymerase chain reaction, immunoblot, reporter assay, and in vitro tumorsphere formation assays.

resultsLevels of CD44s were significantly higher in pancreatic cancer than adjacent nontumor tissues. Patients whose tumors expressed high levels of CD44s had a median survival of 10 months compared with >43 months for those with low levels. Anti-CD44s reduced growth, metastasis, and postradiation recurrence of pancreatic xenograft tumors in mice. The antibody reduced the number of TICs in cultured pancreatic cancer cells and xenograft tumors, as well as their tumorigenicity. In cultured pancreatic cancer cell lines, anti-CD44s down-regulated the stem cell self-renewal genes Nanog, Sox-2, and Rex-1 and inhibited signal transducer and activator of transcription 3-mediated cell proliferation and survival signaling.

conclusionsThe TIC marker CD44s is up-regulated in human pancreatic tumors and associated with patient survival time. CD44s is required for initiation, growth, metastasis, and postradiation recurrence of xenograft tumors in mice. Anti-CD44s eliminated bulk tumor cells as well as TICs from the tumors. Strategies to target CD44s cab be developed to block pancreatic tumor formation and post-radiotherapy recurrence in patients.

Indexed as

AdenocarcinomaAnimalsAntibodiesBiomarkers, TumorCell Line, TumorCell ProliferationFemaleGene Expression Regulation, NeoplasticHumansHyaluronan ReceptorsKaplan-Meier EstimateMiceMice, NudeNeoplasm Recurrence, LocalNeoplastic Stem CellsPancreatic NeoplasmsAntibodiesBiomarkers, TumorCD44 protein, humanHyaluronan ReceptorsTranscription FactorsCancer Stem CellH4C4ProgressionTumorigenesis

Identifiers

PMID24397969
PMCPMC3982149
OpenAlexW2088181957

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.