Evidence map›Paper›PMID 25410163›Full record

ArticleGut2016

HNF4α is a therapeutic target that links AMPK to WNT signalling in early-stage gastric cancer.

Hae Ryung Chang, Seungyoon Nam, Myeong-Cherl Kook, Kyung-Tae Kim, Xiuping Liu, Hui Yao, Hae Rim Jung, Robert Lemos, Hye Hyun Seo, Hee Seo Park and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

79 citing papers in PubMed, 116 citations in OpenAlex.

  1. Trial
  2. Review
  3. The role of HNF4α in adenocarcinoma.Biochemical Society transactions · 2026
    Review
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  8. Concurrent hypermethylation of CpG islands and hypomethylation of CpG-poor regions are associated with gastric cancer risk after Helicobacter pylori eradication.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  9. Hepatocyte nuclear factor 4-Alpha: a key regulator in liver carcinogenesis.Cellular oncology (Dordrecht, Netherlands) · 2025
    Review
  10. Article
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  15. Drug repurposing for cancer therapy.Signal transduction and targeted therapy · 2024
    Review
  16. Metformin: A Dual-Role Player in Cancer Treatment and Prevention.International journal of molecular sciences · 2024
    Review
  17. Review
  18. Article
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  20. Article

19 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

20 authors at 4 institutions in 2 countries.

Hae Ryung ChangNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Seungyoon NamNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Myeong-Cherl KookDepartment of Pathology, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Kyung-Tae KimMolecular Epidemiology Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Xiuping LiuDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Hui YaoDepartment of Bioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Hae Rim JungNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Robert LemosCancer Center, Sanford-Burnham Medical Research Institute, La Jolla, California, USA.
Hye Hyun SeoAnimal Sciences Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Hee Seo ParkNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Youme GimNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Dongwan HongCancer Genomics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Iksoo HuhDepartment of Statistics, Seoul National University, Seoul, Republic of Korea.
Young-Woo KimGastric Cancer Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
Dongfeng TanDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Chang-Gong LiuDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Garth PowisCancer Center, Sanford-Burnham Medical Research Institute, La Jolla, California, USA.
Taesung ParkDepartment of Statistics, Seoul National University, Seoul, Republic of Korea.
Han LiangDepartment of Bioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Yon Hui KimNew Experimental Therapeutics Branch, National Cancer Center of Korea, Goyang-si, Kyeonggi-do, Republic of Korea.
National Cancer Center · KRThe University of Texas MD Anderson Cancer Center · USSeoul National University · KRSanford Burnham Prebys Medical Discovery Institute · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
SPORE in Gastrointestinal CancerP50CA095060 · NCI · UNIVERSITY OF ARIZONA · PI GERNER, EUGENE W · 2002 to 2012
$25.3M
Therapeutic Targeting of Hypoxic and Oxidative StressP01CA017094 · NCI · UNIVERSITY OF ARIZONA · PI GILLIES, ROBERT J. · 1985 to 2011
$13.7M
Integrative Pipeline for Analysis & Translational Application of TCGA Data (GDAC)U24CA143883 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI AKBANI, REHAN, MILLS, GORDON B. · 2009 to 2016
$10.6M
Hypoxia Inducible Factor and Anticancer Drug ActionR01CA098920 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI POWIS, GARTH · 2003 to 2013
$3.5M
Chemoprevention by a Targeted Thioredoxin Inhibitor.R01CA129616 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI POWIS, GARTH · 2008 to 2011
$1.3M
NCI NIH HHS CA016672NCI NIH HHS CA129616NCI NIH HHS CA143883NCI NIH HHS CA17094NCI NIH HHS CA9506NCI NIH HHS CA98920NCI NIH HHS P01 CA017094NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA095060NCI NIH HHS R01 CA098920NCI NIH HHS R01 CA129616NCI NIH HHS U24 CA143883
6 · The paper itself

Abstract

backgroundWorldwide, gastric cancer (GC) is the fourth most common malignancy and the most common cancer in East Asia. Development of targeted therapies for this disease has focused on a few known oncogenes but has had limited effects.

objectiveTo determine oncogenic mechanisms and novel therapeutic targets specific for GC by identifying commonly dysregulated genes from the tumours of both Asian-Pacific and Caucasian patients.

methodsWe generated transcriptomic profiles of 22 Caucasian GC tumours and their matched non-cancerous samples and performed an integrative analysis across different GC gene expression datasets. We examined the inhibition of commonly overexpressed oncogenes and their constituent signalling pathways by RNAi and/or pharmacological inhibition.

resultsHepatocyte nuclear factor-4α (HNF4α) upregulation was a key signalling event in gastric tumours from both Caucasian and Asian patients, and HNF4α antagonism was antineoplastic. Perturbation experiments in GC tumour cell lines and xenograft models further demonstrated that HNF4α is downregulated by AMPKα signalling and the AMPK agonist metformin; blockade of HNF4α activity resulted in cyclin downregulation, cell cycle arrest and tumour growth inhibition. HNF4α also regulated WNT signalling through its target gene WNT5A, a potential prognostic marker of diffuse type gastric tumours.

conclusionsOur results indicate that HNF4α is a targetable oncoprotein in GC, is regulated by AMPK signalling through AMPKα and resides upstream of WNT signalling. HNF4α may regulate 'metabolic switch' characteristic of a general malignant phenotype and its target WNT5A has potential prognostic values. The AMPKα-HNF4α-WNT5A signalling cascade represents a potentially targetable pathway for drug development.

Indexed as

Gene Expression Regulation, NeoplasticAdenocarcinomaAMP-Activated Protein KinasesAnimalsAsian PeopleBiomarkers, TumorBlotting, WesternCase-Control StudiesCell Line, TumorDown-RegulationFemaleHepatocyte Nuclear Factor 4HumansImmunohistochemistryMiceMice, Inbred BALB CAMP-Activated Protein KinasesBiomarkers, TumorHepatocyte Nuclear Factor 4HNF4A protein, humanProto-Oncogene ProteinsWnt-5a ProteinWNT5A protein, humanWnt ProteinsDRUG DEVELOPMENTGASTRIC CANCERGENE EXPRESSIONMOLECULAR BIOLOGYONCOGENES

Identifiers

PMID25410163
PMCPMC4717359
OpenAlexW1974918249

What OpenQuestion holds

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LicenceCC BY-NC
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.