Evidence map›Paper›PMID 29980786›Full record

ArticleOncogene2018

Epigenetically regulated PAX6 drives cancer cells toward a stem-like state via GLI-SOX2 signaling axis in lung adenocarcinoma.

Akira Ooki, Wikum Dinalankara, Luigi Marchionni, Jun-Chieh J Tsay, Chandra Goparaju, Zahra Maleki, William N Rom, Harvey I Pass, Mohammad O Hoque

Abstract read
In one paragraph

Article in Oncogene, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  7. PAX Family, Master Regulator in Cancer.Diagnostics (Basel, Switzerland) · 2025
    Review
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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

9 authors at 3 institutions in 1 country.

Akira OokiDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA.ORCID http://orcid.org/0000-0001-7618-5775
Wikum DinalankaraDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA.
Luigi MarchionniDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA.
Jun-Chieh J TsayDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, New York University School of Medicine, New York, NY, 10016, USA.
Chandra GoparajuDivision of Thoracic Surgery, Department of Cardiothoracic Surgery, Langone Medical Center, New York University of Medicine, New York, NY, 10016, USA.
Zahra MalekiDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.
William N RomDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, New York University School of Medicine, New York, NY, 10016, USA.
Harvey I PassDivision of Thoracic Surgery, Department of Cardiothoracic Surgery, Langone Medical Center, New York University of Medicine, New York, NY, 10016, USA.
Mohammad O HoqueDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, 21231, USA. mhoque1@jhmi.edu.
Johns Hopkins University · USNew York University · USNYU Langone Health · US

Funding

Treatment of HIV- and HIV+ Patients with HPV16+ CIN2/3 Using pNGLV4a-hCRTE6E7L2 DNA vaccine administered intramuscularly via electroporationP50CA098252 · NCI · JOHNS HOPKINS UNIVERSITY · PI Richard Bruce Roden · 2003 to 2026
$53.5M
PQ1: Identification and characterization of genetic alterations for the progression of pre-neoplastic lung lesions by using novel PDx models and deep sequencingR01CA206027 · NCI · JOHNS HOPKINS UNIVERSITY · PI HOQUE, MOHAMMAD OBAIDUL, SIDRANSKY, DAVID · 2016 to 2020
$3.2M
Flight Attendant Medical Research Institute (FAMRI) 103015NCI NIH HHS P50 CA098252NCI NIH HHS R01 CA206027U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA206027
6 · The paper itself

Abstract

It remains unclear whether PAX6 acts as a crucial transcription factor for lung cancer stem cell (CSC) traits. We demonstrate that PAX6 acts as an oncogene responsible for induction of cancer stemness properties in lung adenocarcinoma (LUAD). Mechanistically, PAX6 promotes GLI transcription, resulting in SOX2 upregulation directly by the binding of GLI to the proximal promoter region of the SOX2 gene. The overexpressed SOX2 enhances the expression of key pluripotent factors (OCT4 and NANOG) and suppresses differentiation lineage factors (HOPX and NKX2-1), driving cancer cells toward a stem-like state. In contrast, in the differentiated non-CSCs, PAX6 is transcriptionally silenced by its promoter methylation. In human lung cancer tissues, the positive linear correlations of PAX6 expression with GLI and SOX2 expression and its negative correlations with HOPX and NKX2-1 expression were observed. Therapeutically, the blockade of the PAX6-GLI-SOX2 signaling axis elicits a long-lasting therapeutic efficacy by limiting CSC expansion following chemotherapy. Furthermore, a methylation panel including the PAX6 gene yielded a sensitivity of 79.1% and specificity of 83.3% for cancer detection using serum DNA from stage IA LUAD. Our findings provide a rationale for targeting the PAX6-GLI-SOX2 signaling axis with chemotherapy as an effective therapeutic strategy and support the clinical utility of PAX6 gene promoter methylation as a biomarker for early lung cancer detection.

Indexed as

Adenocarcinoma of LungAnimalsDNA MethylationEpigenesis, GeneticGene Expression Regulation, NeoplasticHeterograftsHumansLung NeoplasmsMiceNeoplastic Stem CellsOncogenesPAX6 Transcription FactorSignal TransductionSOXB1 Transcription FactorsZinc Finger Protein GLI1GLI1 protein, humanPAX6 protein, humanPAX6 Transcription FactorSOX2 protein, humanSOXB1 Transcription FactorsZinc Finger Protein GLI1

Identifiers

PMID29980786
PMCPMC6226336
OpenAlexW2839949610

What OpenQuestion holds

Textmetadata
LicenceTDM
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.