Evidence map›Paper›PMID 26901856›Full record

ArticlePloS one2016

The Activation of ERK1/2 and JNK MAPK Signaling by Insulin/IGF-1 Is Responsible for the Development of Colon Cancer with Type 2 Diabetes Mellitus.

Jia-An Teng, San-Gang Wu, Jia-Xin Chen, Qiang Li, Fang Peng, Zhou Zhu, Jian Qin, Zhen-Yu He

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03813381 (The Impact of a Moderate CAlorie and Protein REstriction PROgram), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.2field-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.

NCT03813381 nacompletednot on this map

The Impact of a Moderate CAlorie and Protein REstriction PROgram (CARE-PRO) as an Efficient and Affordable Therapeutic Strategy in Patients With Barrett's Esophagus.

TypeinterventionalSponsorIstituto Oncologico Veneto IRCCSRan2015 to 2021Enrolled160ConditionsBarrett's Esophagus, Overweight and ObesityArmsCalorie and protein restriction diet
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Article
  3. The Role of Insulin Resistance in Cancer.Current oncology (Toronto, Ont.) · 2025
    Review
  4. Review
  5. Betulinic acid and obesity-related disorders.Frontiers in pharmacology · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Clinical significance of serum IGFBP-3 in colorectal cancer.Journal of clinical laboratory analysis · 2019
    Article
  18. Article
  19. Article
  20. Article
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

8 authors at 5 institutions in 1 country.

Jia-An TengDepartment of Cadre Medicine, Division of Endocrinology and Metabolism, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
San-Gang WuDepartment of Radiation Oncology, Xiamen Cancer Center, the First affiliated Hospital of Xiamen University, Xiamen, China.
Jia-Xin ChenDepartment of Radiation Oncology of Clinical Cancer Center, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Qiang LiOrgan Transplantation Center, Department of Surgery, the Second Xiangya Hospital, Central South University, Changsha, China.
Fang PengDepartment of Radiation Oncology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhou ZhuDepartment of Gastrointestinal and Peripheral Vascular Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Jian QinDepartment of Radiation Oncology of Clinical Cancer Center, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Zhen-Yu HeSun Yat-sen University Cancer Center, State Key laboratory of Oncology in South China, Department of Radiation Oncology, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China.
The People's Hospital of Guangxi Zhuang Autonomous Region · CNFirst Affiliated Hospital of Xiamen University · CNSecond Xiangya Hospital of Central South University · CNSun Yat-sen University · CNSun Yat-sen University Cancer Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies showed that type 2 diabetes mellitus (T2DM) is linked to increased risk of developing colon cancer. Insulin and insulin-like growth factor 1 (IGF-1) are increased in patients with T2DM. The increased insulin and IGF-1 may be responsible for the developing of colon cancer. In this study, we investigated the effects and mechanisms of insulin and IGF-1 in colon cancer development in vitro and in vivo. Insulin and IGF-1 alone or together elevated proliferation and reduced apoptosis in colon cancer MC38 cells. Meanwhile, insulin and IGF-1 promoted the phosphorylation of extracellular-signal regulated kinase 1/2 (ERK1/2) and c-Jun N-terminal kinase (JNK). Treatment with ERK1/2 or JNK inhibitor in the presence of insulin and IGF-1 significantly decreased B-cell lymphoma 2 (Bcl-2) and increased Bcl-2-associated X protein (Bax) expression and finally increased apoptosis and inhibited the proliferation. Accelerative colon tumor growth was found in a mouse model of T2DM with db/db mice which got high level of endogenous insulin and IGF-1. Furthermore, the inhibition of ERK1/2 or JNK suppressed the development of colon tumor in vivo. These results suggest that the activation of ERK1/2 and JNK signaling by insulin and IGF-1, at least in part, is responsible for the development of colon cancer with T2DM.

Indexed as

AnimalsApoptosisbcl-2-Associated X ProteinBlood GlucoseCell CycleCell Line, TumorCell ProliferationColonic NeoplasmsDiabetes Mellitus, Type 2InsulinInsulin-Like Growth Factor IJNK Mitogen-Activated Protein KinasesMaleMAP Kinase Signaling SystemMicebcl-2-Associated X ProteinBlood GlucoseInsulinInsulin-Like Growth Factor IJNK Mitogen-Activated Protein Kinases

Identifiers

PMID26901856
PMCPMC4763097
OpenAlexW2282615677

What OpenQuestion holds

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Registered trials

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.