Evidence map›Paper›PMID 27908290›Full record

ArticleStem cell research & therapy2016

Bile acid: a potential inducer of colon cancer stem cells.

Lulu Farhana, Pratima Nangia-Makker, Evan Arbit, Kathren Shango, Sarah Sarkar, Hamidah Mahmud, Timothy Hadden, Yingjie Yu, Adhip P N Majumdar

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 pooled it
5.7field-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

102 citing papers in PubMed, 2 syntheses or guidelines pooled it, 166 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. The metabolic profiles of cancer stem cells.Stem cell research & therapy · 2026
    Review
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  15. Biological Actions of Bile Acids via Cell Surface Receptors.International journal of molecular sciences · 2025
    Review
  16. Article
  17. Article
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  19. Article
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42 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

9 authors at 2 institutions in 1 country.

Lulu FarhanaDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Pratima Nangia-MakkerDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Evan ArbitDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Kathren ShangoDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Sarah SarkarDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Hamidah MahmudDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Timothy HaddenDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Yingjie YuDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA.
Adhip P N MajumdarDepartment of Veterans' Affairs Medical Center, 4646 John R, Detroit, MI, 48201, USA. a.majumdar@wayne.edu.
Wayne State University · USThe Barbara Ann Karmanos Cancer Institute · US

Funding

Racial Disparity in Colorectal Cancer: Molecular MechanismsR21CA175916 · NCI · WAYNE STATE UNIVERSITY · PI MAJUMDAR, ADHIP P. N. · 2013 to 2014
$297k
Differentiation and Elimination of Chemo-surviving Colon TumorsI01BX001927 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI MAJUMDAR, ADHIP P. N. · 2013 to 2016
–
BLRD VA I01 BX001927NCI NIH HHS R21 CA175916
6 · The paper itself

Abstract

backgroundAlthough the unconjugated secondary bile acids, specifically deoxycholic acid (DCA) and lithocholic acid (LCA), are considered to be risk factors for colorectal cancer, the precise mechanism(s) by which they regulate carcinogenesis is poorly understood. We hypothesize that the cytotoxic bile acids may promote stemness in colonic epithelial cells leading to generation of cancer stem cells (CSCs) that play a role in the development and progression of colon cancer.

methodsNormal human colonic epithelial cells (HCoEpiC) were used to study bile acid DCA/LCA-mediated induction of CSCs. The expression of CSC markers was measured by real-time qPCR. Flow cytometry was used to isolate CSCs. T-cell factor/lymphoid-enhancing factor (TCF/LEF) luciferase assay was employed to examine the transcriptional activity of β-catenin. Downregulation of muscarinic 3 receptor (M3R) was achieved through transfection of corresponding siRNA.

resultsWe found DCA/LCA to induce CSCs in normal human colonic epithelial cells, as evidenced by the increased proportion of CSCs, elevated levels of several CSC markers, as well as a number of epithelial-mesenchymal transition markers together with increased colonosphere formation, drug exclusion, ABCB1 and ABCG2 expression, and induction of M3R, p-EGFR, matrix metallopeptidases, and c-Myc. Inhibition of M3R signaling greatly suppressed DCA/LCA induction of the CSC marker ALDHA1 and also c-Myc mRNA expression as well as transcriptional activation of TCF/LEF.

conclusionsOur results suggest that bile acids, specifically DCA and LCA, induce cancer stemness in colonic epithelial cells by modulating M3R and Wnt/β-catenin signaling and thus could be considered promoters of colon cancer.

Indexed as

Gene Expression Regulation, NeoplasticATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily G, Member 2beta CateninBiomarkers, TumorCell LineCell Transformation, NeoplasticColonDeoxycholic AcidEpithelial CellsEpithelial-Mesenchymal TransitionErbB ReceptorsGenes, ReporterHumansLithocholic AcidLuciferasesABCB1 protein, humanABCG2 protein, humanATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily G, Member 2beta CateninBiomarkers, TumorCTNNB1 protein, humanDeoxycholic AcidEGFR protein, humanErbB ReceptorsLithocholic AcidLuciferasesMYC protein, humanNeoplasm ProteinsProto-Oncogene Proteins c-mycReceptor, Muscarinic M3RNA, Small InterferingT Cell Transcription Factor 1TCF7 protein, humanABCCB1ABCG2Cancer stem cellsColonic epithelial cellColonospheresDeoxycholic acidLithocholic acidmatrix metallopeptidasesWnt/β-catenin signaling

Identifiers

PMID27908290
PMCPMC5134122
OpenAlexW2558943513

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.