Evidence map›Paper›PMID 29515034›Full record

ArticleJCI insight2018

Nrf2 prevents Notch-induced insulin resistance and tumorigenesis in mice.

Dionysios V Chartoumpekis, Yoko Yagishita, Marco Fazzari, Dushani L Palliyaguru, Uma Nm Rao, Apostolos Zaravinos, Nicholas Kh Khoo, Francisco J Schopfer, Kurt R Weiss, George K Michalopoulos and 4 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

25 citing papers in PubMed, 35 citations in OpenAlex.

  1. Nrf2 Hyperactivation as a Driver of Radiotherapy Resistance and Suppressed Antitumor Immunity in Head and Neck Squamous Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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  5. Dual Deletion ofInternational journal of molecular sciences · 2024
    Article
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  12. The Nrf2 in Obesity: A Friend or Foe?Antioxidants (Basel, Switzerland) · 2022
    Review
  13. Review
  14. Article
  15. Fructose and the Liver.International journal of molecular sciences · 2021
    Review
  16. Review
  17. Mice Hypomorphic forThyroid : official journal of the American Thyroid Association · 2021
    Article
  18. The Keap1/Nrf2 Signaling Pathway in the Thyroid-2020 Update.Antioxidants (Basel, Switzerland) · 2020
    Review
  19. The Role of the Nrf2 Signaling in Obesity and Insulin Resistance.International journal of molecular sciences · 2020
    Review
  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

14 authors at 2 institutions in 3 countries.

Dionysios V ChartoumpekisDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Yoko YagishitaDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Marco FazzariDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dushani L PalliyaguruDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Uma Nm RaoDepartment of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Apostolos ZaravinosDepartment of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Nicholas Kh KhooDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Francisco J SchopferDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kurt R WeissDepartment of Orthopaedic Surgery and.
George K MichalopoulosDepartment of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Ian SipulaDepartment of Medicine, Division of Endocrinology and Metabolism, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Robert M O'DohertyDepartment of Medicine, Division of Endocrinology and Metabolism, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Thomas W KenslerDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Nobunao WakabayashiDepartment of Pharmacology and Chemical Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USEuropean University Cyprus · CY

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Targeting Nrf2 for Cancer ChemopreventionR35CA197222 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KENSLER, THOMAS W · 2015 to 2021
$6.7M
Dendritic Cells and ObesityR01DK102839 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI O'DOHERTY, ROBERT M · 2015 to 2018
$1.5M
Exploring Sarcoma Metastatic PotentialK08CA177927 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WEISS, KURT RICHARD · 2013 to 2017
$827k
NCI NIH HHS K08 CA177927NCI NIH HHS P30 CA047904NCI NIH HHS R35 CA197222NIDDK NIH HHS R01 DK102839
6 · The paper itself

Abstract

Insulin resistance is associated with increased incidence and enhanced progression of cancers. However, little is known about strategies that can effectively ameliorate insulin resistance and consequently halt cancer progression. Herein, we propose that the transcription factor Nrf2 (also known as Nfe2l2) may be such a target, given its central role in disease prevention. To this end, we developed a mouse that overexpresses the Notch intracellular domain in adipocytes (AdNICD), leading to lipodystrophy-induced severe insulin resistance and subsequent development of sarcomas, as a model reflecting that Notch signaling is deregulated in cancers and shows positive associations with insulin resistance and fatty liver disease in humans. Nrf2 pathway activation was achieved by knocking down Keap1, a repressor of Nrf2, in the AdNICD background. Constitutively enhanced Nrf2 signaling in this setting led to prevention of hepatic steatosis, dyslipidemia, and insulin resistance by repressing hepatic lipogenic pathways and restoration of the hepatic fatty acid profile to control levels. This protective effect of Nrf2 against diabetes extended to significant reduction and delay in sarcoma incidence and latency. Our study highlights that the Nrf2 pathway, which has been induced by small molecules in clinical trials, is a potential therapeutic target against insulin resistance and subsequent risk of cancer.

Indexed as

AnimalsCarcinogenesisGene Expression Regulation, NeoplasticGene Knockdown TechniquesHumansInsulin ResistanceKelch-Like ECH-Associated Protein 1LipodystrophyMaleMiceMice, Inbred C57BLMice, TransgenicNF-E2-Related Factor 2Protein DomainsReceptors, NotchSarcomaKeap1 protein, mouseKelch-Like ECH-Associated Protein 1Nfe2l2 protein, mouseNF-E2-Related Factor 2Receptors, NotchCancerDiabetesMetabolismOncology

Identifiers

PMID29515034
PMCPMC5922294
OpenAlexW2789777380

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.