Evidence map›Paper›PMID 30420613›Full record

ArticleBritish journal of cancer2018

SOX9 expression decreases survival of patients with intrahepatic cholangiocarcinoma by conferring chemoresistance.

Xiaodong Yuan, Jun Li, Cédric Coulouarn, Tao Lin, Laurent Sulpice, Damien Bergeat, Carolina De La Torre, Roman Liebe, Norbert Gretz, Matthias P A Ebert and 2 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Co-repression ofbioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. KRAS Withdrawal in Cholangiocarcinoma Leads to Immune Infiltration and Tumor Regression.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Genes · 2021
    Review
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

12 authors at 4 institutions in 2 countries.

Xiaodong YuanDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Jun LiDepartment of General Visceral Transplantation, University Hospital Tübingen, Tübingen, Germany.
Cédric CoulouarnInserm, Inra, University Rennes, UMR 1241, Nutrition Metabolisms and Cancer (NuMeCan), Service de Chirurgie Hépatobiliaire et Digestive, Rennes, France.
Tao LinDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Laurent SulpiceInserm, Inra, University Rennes, UMR 1241, Nutrition Metabolisms and Cancer (NuMeCan), Service de Chirurgie Hépatobiliaire et Digestive, Rennes, France.
Damien BergeatInserm, Inra, University Rennes, UMR 1241, Nutrition Metabolisms and Cancer (NuMeCan), Service de Chirurgie Hépatobiliaire et Digestive, Rennes, France.
Carolina De La TorreMedical Research Center, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany.
Roman LiebeDepartment of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.
Norbert GretzMedical Research Center, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany.
Matthias P A EbertDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Steven DooleyDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. steven.dooley@medma.uni-heidelberg.de.
Hong-Lei WengDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. honglei.weng@medma.uni-heidelberg.de.
Heidelberg University · DEInserm · FRSaarland University · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex-determining region Y-box (SRY-box) containing gene 9 (SOX9) expression confers cancer stem cell features. However, SOX9 function in intrahepatic cholangiocarcinoma (iCCA) is unknown. This study investigated the effects and underlying mechanisms of SOX9 in iCCA.

methodsSOX9 expression in 59 iCCA patients was examined by immunohistochemistry. The association between SOX9 expression and clinical outcome was evaluated. Gene signature and biological functions of SOX9 in iCCA were examined in vitro.

resultsiCCA patients with high SOX9 expression had shorter survival time than those with low SOX9. In patients receiving chemotherapy, median survival time in patients with low and high levels of SOX9 were 62 and 22 months, respectively. In vitro, gemcitabine increased SOX9 expression in iCCA cells. When SOX9 was knocked down, gemcitabine-induced apoptosis was markedly increased. Silencing SOX9 significantly inhibited gemcitabine-induced phosphorylation of checkpoint kinase 1, a key cell cycle checkpoint protein that coordinates the DNA damage response and inhibited the expression of multidrug resistance genes. Microarray analyses showed that SOX9 knockdown in CCA cells altered gene signatures associated with multidrug resistance and p53 signalling.

conclusionsSOX9 governs the response of CCA cells to chemotherapy. SOX9 is a biomarker to select iCCA patients eligible for efficient chemotherapy.

Indexed as

Antineoplastic AgentsBile Duct NeoplasmsBiomarkers, TumorCell ProliferationCholangiocarcinomaChronic DiseaseDeoxycytidineDrug Resistance, NeoplasmGemcitabineHumansLiver DiseasesSOX9 Transcription FactorSurvival AnalysisTreatment OutcomeAntineoplastic AgentsBiomarkers, TumorDeoxycytidineGemcitabineSOX9 protein, humanSOX9 Transcription Factor

Identifiers

PMID30420613
PMCPMC6265288
OpenAlexW2899716693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.