Evidence map›Paper›PMID 29468929›Full record

ArticleCell cycle (Georgetown, Tex.)2018

Tumor-derived lactate induces M2 macrophage polarization via the activation of the ERK/STAT3 signaling pathway in breast cancer.

Xianmin Mu, Wei Shi, Yue Xu, Che Xu, Ting Zhao, Biao Geng, Jing Yang, Jinshun Pan, Shi Hu, Chen Zhang and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell cycle (Georgetown, Tex.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 309 papers.

0numbers the graph read from it
0cells of the map it votes in
309citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

309 citing papers in PubMed, 489 citations in OpenAlex.

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  12. The role of lactate in retinal health and disease: mechanisms and potential therapeutic strategies. A narrative review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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249 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

18 authors at 1 institution in 1 country.

Xianmin Mua Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.ORCID 0000-0002-2365-9321
Wei Shib Department of Drug Screening and Evaluation , Chia Tai Tianqing Pharmaceutical Group Co., Ltd, Nanjing, Jiangsu 210023 , China.
Yue Xua Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Che Xua Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Ting Zhaoa Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Biao Genga Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Jing Yanga Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Jinshun Pana Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Shi Hua Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Chen Zhanga Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Juan Zhangc Department of Drug Clinical Trial Institution , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Chao Wangd Department of Surgery , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Jiajia Shend Department of Surgery , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Yin Chee Medical Center for Digestive Diseases, Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Zheng Liue Medical Center for Digestive Diseases, Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Yuanfang Lva Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Hao Wend Department of Surgery , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.
Qiang Youa Department of Biotherapy , Second Affiliated Hospital, Nanjing Medical University , Nanjing, Jiangsu 210011 , China.ORCID 0000-0003-3308-4127
Second Affiliated Hospital of Nanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-associated macrophages (TAM) are prominent components of tumor microenvironment (TME) and capable of promoting cancer progression. However, the mechanisms for the formation of M2-like TAMs remain enigmatic. Here, we show that lactate is a pivotal oncometabolite in the TME that drives macrophage M2-polarization to promote breast cancer proliferation, migration, and angiogenesis. In addition, we identified that the activation of ERK/STAT3, major signaling molecules in the lactate signaling pathway, deepens our molecular understanding of how lactate educates TAMs. Moreover, suppression of ERK/STAT3 signaling diminished tumor growth and angiogenesis by abolishing lactate-induced M2 macrophage polarization. Finally, research data of the natural compound withanolide D provide evidence for ERK/STAT3 signaling as a potential therapeutic strategy for the prevention and treatment of breast cancer. These findings suggest that the lactate-ERK/STAT3 signaling pathway is a driver of breast cancer progression by stimulating macrophage M2-like polarization and reveal potential new therapeutic targets for breast cancer treatment.

Indexed as

AnimalsBreast NeoplasmsCell Line, TumorCell MovementCell ProliferationExtracellular Signal-Regulated MAP KinasesFemaleHumansLactic AcidMacrophagesMembrane GlycoproteinsMiceMice, Inbred BALB CMice, NudePhosphorylationReceptors, ImmunologicExtracellular Signal-Regulated MAP KinasesLactic AcidMembrane GlycoproteinsMRC1 protein, humanReceptors, ImmunologicSTAT3 Transcription Factorwithanolide DWithanolidesangiogenesisbreast cancerLactateM2 macrophage polarizationSTAT3-ERK1/2 signaling

Identifiers

PMID29468929
PMCPMC5927648
OpenAlexW2790658373

What OpenQuestion holds

Textmetadata
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.