Evidence map›Paper›PMID 26576639›Full record

ArticleMolecular cancer2015

PKM2 regulates neural invasion of and predicts poor prognosis for human hilar cholangiocarcinoma.

Guanzhen Yu, Wenlong Yu, Guangzhi Jin, Dongyun Xu, Ying Chen, Tian Xia, Allan Yu, Wenzheng Fang, Xiaoli Zhang, Zhaosheng Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in Molecular cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Prognostic role of glycolysis for cancer outcome: evidence from 86 studies.Journal of cancer research and clinical oncology · 2019
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  7. Advances in the Use of Metformin for Liver Disease.Current medicinal chemistry · 2025
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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 5 institutions in 2 countries.

Guanzhen YuDepartment of Oncology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, People's Republic of China. qiaoshanqian@aliyun.com.
Wenlong YuDepartment of Surgery, Eastern Hepatobiliary Hospital, Shanghai, People's Republic of China.
Guangzhi JinDepartment of Pathology, Eastern Hepatobiliary Hospital, Shanghai, People's Republic of China.
Dongyun XuDepartment of Oncology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, People's Republic of China.
Ying ChenDepartment of Pathology, Changhai Hospital, Shanghai, People's Republic of China.
Tian XiaDepartment of Gastroenterology, Changhai Hospital, Shanghai, 200433, People's Republic of China.
Allan YuDepartment of Gastroenterology, Hepatology and Nutrition, Unit 1466, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Wenzheng FangDepartment of Oncology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, People's Republic of China.
Xiaoli ZhangDepartment of Pathology, Chinese People's Liberation Army, No 411 Hospital, Shanghai, People's Republic of China.
Zhaosheng LiDepartment of Gastroenterology, Changhai Hospital, Shanghai, 200433, People's Republic of China. zhaoshenli.smmu.edu@hotmail.com.
Keping XieDepartment of Gastroenterology, Hepatology and Nutrition, Unit 1466, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA. kepxie@mdanderson.org.
Second Military Medical University · CNShanghai East Hospital · CNThe University of Texas MD Anderson Cancer Center · USChanghai Hospital · CNChinese People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe therapeutic and prognostic value of the glycolytic enzymes hexokinase, phosphofructokinase, and pyruvate kinase (PK) has been implicated in a variety of cancers, while their roles in treatment of and prognosis for hilar cholangiocarcinoma (HC) remain unclear. In this study, we determined the expression of PKM2 in and its impact on biology and clinical outcome of human HC.

methodsThe regulation and function of PKM2 in HC pathogenesis was evaluated using human tissues, molecular and cell biology, and animal models, and its prognostic significance was determined according to its impact on patient survival.

resultsWe found that expression of hexokinase 1 and the M2 splice isoform of PK (PKM2) was upregulated in HC tissues and that this expression correlated with tumor recurrence and outcome. PKM2 expression was increased in HC cases with chronic cholangitis as demonstrated by isobaric tags for relative and absolute quantification. High PKM2 expression was highly correlated with high syndecan 2 (SDC2) expression and neural invasion. PKM2 downregulation led to a decrease in SDC2 expression. Treatment with metformin markedly suppressed PKM2 and SDC2 expression at both the transcriptional and posttranscriptional levels and inhibited HC cell proliferation and tumor growth.

conclusionsPKM2 regulates neural invasion of HC cells at least in part via regulation of SDC2. Inhibition of PKM2 and SDC2 expression contributes to the therapeutic effect of metformin on HC. Therefore, PKM2 is an independent prognostic factor and potential therapeutic target for human HC.

Indexed as

AdultAgedAnimalsCarrier ProteinsCell Line, TumorCell ProliferationGene Expression Regulation, NeoplasticHexokinaseHumansKlatskin TumorMaleMembrane ProteinsMiceMice, Inbred BALB CMiddle AgedNeoplasm Recurrence, LocalCarrier ProteinsHexokinaseHK1 protein, humanMembrane ProteinsProtein IsoformsSDC2 protein, humanSyndecan-2Thyroid Hormone-Binding ProteinsThyroid Hormones

Identifiers

PMID26576639
PMCPMC4650283
OpenAlexW2180311794

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Registered trials

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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.