Evidence map›Paper›PMID 29624806›Full record

ArticleCancer science2018

Krüppel-like factor 4 promotes c-Met amplification-mediated gefitinib resistance in non-small-cell lung cancer.

Wei Feng, Qianyi Xie, Suo Liu, Ying Ji, Chunyun Li, Chunle Wang, Longyu Jin

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
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  4. Construction and clinical significance of prognostic risk markers based on cancer driver genes in lung adenocarcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

7 authors at 1 institution in 1 country.

Wei FengDepartments of Cardiothoracic Surgery, Third Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0000-0003-0065-6539
Qianyi XieDepartments of Cardiothoracic Surgery, Third Xiangya Hospital of Central South University, Changsha, China.
Suo LiuDepartments of Cardiothoracic Surgery, Third Xiangya Hospital of Central South University, Changsha, China.
Ying JiDepartments of Cardiothoracic Surgery, Third Xiangya Hospital of Central South University, Changsha, China.
Chunyun LiDepartments of Pediatrics, Third Xiangya Hospital of Central South University, Changsha, China.
Chunle WangDepartment of Cardiac Surgery, Second Xiangya Hospital of Central South University, Changsha, China.
Longyu JinDepartments of Cardiothoracic Surgery, Third Xiangya Hospital of Central South University, Changsha, China.
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gefitinib has been widely used in the first-line treatment of advanced EGFR-mutated non-small-cell lung cancer (NSCLC). However, many NSCLC patients will acquire resistance to gefitinib after 9-14 months of treatment. This study revealed that Krüppel-like factor 4 (KLF4) contributes to the formation of gefitinib resistance in c-Met-overexpressing NSCLC cells. We observed that KLF4 was overexpressed in c-Met-overexpressing NSCLC cells and tissues. Knockdown of KLF4 increased tumorigenic properties in gefitinib-resistant NSCLC cell lines without c-Met overexpression, but it reduced tumorigenic properties and increased gefitinib sensitivity in gefitinib-resistant NSCLC cells with c-Met overexpression, whereas overexpression of KLF4 reduced gefitinib sensitivity in gefitinib-sensitive NSCLC cells. Furthermore, Western blot analysis revealed that KLF4 contributed to the formation of gefitinib resistance in c-Met-overexpressing NSCLC cells by inhibiting the expression of apoptosis-related proteins under gefitinib treatment and activating the c-Met/Akt signaling pathway by decreasing the inhibition of β-catenin on phosphorylation of c-Met to prevent blockade by gefitinib. In summary, this study's results suggest that KLF4 is a promising candidate molecular target for both prevention and therapy of NSCLC with c-Met overexpression.

Indexed as

Gene AmplificationA549 CellsAnimalsAntineoplastic AgentsApoptosisCarcinoma, Non-Small-Cell LungCell LineCell Line, TumorCell ProliferationDrug Resistance, NeoplasmGefitinibHumansKruppel-Like Factor 4Kruppel-Like Transcription FactorsLung NeoplasmsMaleAntineoplastic AgentsGefitinibKLF4 protein, humanKlf4 protein, mouseKruppel-Like Factor 4Kruppel-Like Transcription FactorsMET protein, humanProto-Oncogene Proteins c-metQuinazolinesAktc-Metgefitinib resistanceKLF4NSCLC

Identifiers

PMID29624806
PMCPMC5989843
OpenAlexW2795634051

What OpenQuestion holds

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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.