Evidence map›Paper›PMID 25251599›Full record

ArticleHepatology (Baltimore, Md.)2015

Axl activates autocrine transforming growth factor-β signaling in hepatocellular carcinoma.

Patrick Reichl, Mirko Dengler, Franziska van Zijl, Heidemarie Huber, Gerhard Führlinger, Christian Reichel, Wolfgang Sieghart, Markus Peck-Radosavljevic, Markus Grubinger, Wolfgang Mikulits

Open access · hybridAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

94 citing papers in PubMed, 153 citations in OpenAlex.

  1. A Phase I/II Multicenter Study of Single-Agent Foretinib as First-Line Therapy in Patients with Advanced Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  8. Review
  9. CD73 promotes non-small cell lung cancer metastasis by regulating Axl signaling independent of GAS6.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Patrick ReichlDepartment of Medicine I, Division: Institute of Cancer Research, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Mirko Dengler
Franziska van Zijl
Heidemarie Huber
Gerhard Führlinger
Christian Reichel
Wolfgang Sieghart
Markus Peck-Radosavljevic
Markus Grubinger
Wolfgang Mikulits
Medical University of Vienna · ATComprehensive Cancer Center Vienna · ATSeibersdorf Laboratories (Austria) · AT

Funding

Austrian Science Fund FWF P 25356
6 · The paper itself

Abstract

unlabelledIn hepatocellular carcinoma (HCC), intrahepatic metastasis frequently correlates with epithelial to mesenchymal transition (EMT) of malignant hepatocytes. Several mechanisms have been identified to be essentially involved in hepatocellular EMT, among them transforming growth factor (TGF)-β signaling. Here we show the up-regulation and activation of the receptor tyrosine kinase Axl in EMT-transformed hepatoma cells. Knockdown of Axl expression resulted in abrogation of invasive and transendothelial migratory abilities of mesenchymal HCC cells in vitro and Axl overexpression-induced metastatic colonization of epithelial hepatoma cells in vivo. Importantly, Axl knockdown severely impaired resistance to TGF-β-mediated growth inhibition. Analysis of the Axl interactome revealed binding of Axl to 14-3-3ζ, which is essentially required for Axl-mediated cell invasion, transendothelial migration, and resistance against TGF-β. Axl/14-3-3ζ signaling caused phosphorylation of Smad3 linker region (Smad3L) at Ser213, resulting in the up-regulation of tumor-progressive TGF-β target genes such as PAI1, MMP9, and Snail as well as augmented TGF-β1 secretion in mesenchymal HCC cells. Accordingly, high Axl expression in HCC patient samples correlated with elevated vessel invasion of HCC cells, higher risk of tumor recurrence after liver transplantation, strong phosphorylation of Smad3L, and lower survival. In addition, elevated expression of both Axl and 14-3-3ζ showed strongly reduced survival of HCC patients.

conclusionOur data suggest that Axl/14-3-3ζ signaling is central for TGF-β-mediated HCC progression and a promising target for HCC therapy.

Indexed as

Autocrine CommunicationSignal Transduction14-3-3 ProteinsAxl Receptor Tyrosine KinaseCarcinoma, HepatocellularCell MovementEpithelial-Mesenchymal TransitionFemaleHumansLiver NeoplasmsMaleNeoplasm InvasivenessPhosphatidylinositol 3-KinasesProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesTransforming Growth Factor beta14-3-3 ProteinsAXL protein, humanAxl Receptor Tyrosine KinasePhosphatidylinositol 3-KinasesProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesTransforming Growth Factor betaYWHAZ protein, human

Identifiers

PMID25251599
PMCPMC4450343
OpenAlexW1983894470

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.