Evidence map›Paper›PMID 27163161›Full record

ArticleAutophagy2016

A novel tumor-promoting mechanism of IL6 and the therapeutic efficacy of tocilizumab: Hypoxia-induced IL6 is a potent autophagy initiator in glioblastoma via the p-STAT3-MIR155-3p-CREBRF pathway.

Hao Xue, Guang Yuan, Xing Guo, Qinglin Liu, Jinsen Zhang, Xiao Gao, Xiaofan Guo, Shugang Xu, Tong Li, Qianqian Shao and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Autophagy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
8.3field-weighted citation impact, top 2% 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

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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  14. Regulation of autophagy by non-coding RNAs in human glioblastoma.Medical oncology (Northwood, London, England) · 2024
    Review
  15. Pyrimidine compounds BY4003 and BY4008 inhibit glioblastoma cells growth via modulating JAK3/STAT3 signaling pathway.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Article
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31 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

12 authors at 3 institutions in 1 country.

Hao Xuea Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Guang Yuanc Department of Neurosurgery , Central Hospital of Zibo City , Zibo , Shandong Province , China.
Xing Guoa Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Qinglin Liua Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Jinsen Zhanga Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Xiao Gaoa Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Xiaofan Guoa Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Shugang Xua Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Tong Lia Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Qianqian Shaoe Institute of Basic Medical Sciences and Key Laboratory of Cardiovascular Proteomics of Shandong Province, Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Shaofeng Yanb Brain Science Research Institute, Shandong University , Jinan , Shandong Province , China.
Gang Lia Department of Neurosurgery , Qilu Hospital of Shandong University , Jinan , Shandong Province , China.
Qilu Hospital of Shandong University · CNShandong University · CNCentral Hospital of Zibo · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypoxia induces protective autophagy in glioblastoma cells and new therapeutic avenues that target this process may improve the outcome for glioblastoma patients. Recent studies have suggested that the autophagic process is upregulated in glioblastomas in response to extensive hypoxia. Hypoxia also induces the upregulation of a specific set of proteins and microRNAs (miRNAs) in a variety of cell types. IL6 (interleukin 6), an inflammatory autocrine and paracrine cytokine that is overexpressed in glioblastoma, has been reported to be a biomarker for poor prognosis because of its tumor-promoting effects. Here, we describe a novel tumor-promoting mechanism of IL6, whereby hypoxia-induced IL6 acts as a potent initiator of autophagy in glioblastoma via the phosphorylated (p)-STAT3-MIR155-3p pathway. IL6 and p-STAT3 levels correlated with the abundance of autophagic cells and HIF1A levels in human glioma tissues and with the grade of human glioma, whereas inhibition of exogenous or endogenous IL6 repressed autophagy in glioblastoma cells in vitro. Knockdown of endogenous MIR155-3p inhibited IL6-induced autophagy, and enforced expression of MIR155-3p restored the anti-autophagic activity of IL6 inhibitors. We show that the hypoxia-IL6-p-STAT3-MIR155-3p-CREBRF-CREB3-ATG5 pathway plays a central role in malignant glioma progression, with blockade of the IL6 receptor by tocilizumab demonstrating a certain level of therapeutic efficacy in a xenograft model in vivo, especially in combination with temozolomide. Moreover, tocilizumab inhibits autophagy by promoting tumor apoptosis. Collectively, our findings provide new insight into the molecular mechanisms underlying hypoxia-induced glioma cell autophagy and point toward a possible efficacious adjuvant therapy for glioblastoma patients.

Indexed as

Antibodies, Monoclonal, HumanizedApoptosis Regulatory ProteinsAutophagyBrain NeoplasmsCarcinogensCell HypoxiaCell Line, TumorGlioblastomaHumansInterleukin-6MicroRNAsSignal TransductionSTAT3 Transcription FactorTumor Suppressor ProteinsAntibodies, Monoclonal, HumanizedApoptosis Regulatory ProteinsCarcinogensCREB3 regulatory factor, humanIL6 protein, humanInterleukin-6MicroRNAsSTAT3 protein, humanSTAT3 Transcription FactortocilizumabTumor Suppressor ProteinsATG5autophagyCREB3CREBRFglioblastomahypoxiaIL6microRNAsSTAT3tocilizumab

Identifiers

PMID27163161
PMCPMC4990999
OpenAlexW2359518746

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.