Evidence map›Paper›PMID 30624777›Full record

ArticleJournal of cellular physiology2019

Arecoline N-oxide regulates oral squamous cell carcinoma development through NOTCH1 and FAT1 expressions.

Tzer-Min Kuo, Srinivasan Nithiyanantham, Chi-Pin Lee, Hui-Ting Hsu, Shun-Yuan Luo, You-Zhe Lin, Kun-Tu Yeh, Ying-Chin Ko

Abstract read
In one paragraph

Article in Journal of cellular physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.6field-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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Models of Oral Epithelial Dysplasia: A Systematic Review and Temporal Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
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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

8 authors at 3 institutions in 1 country.

Tzer-Min KuoEnvironment-Omics-Disease Research Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Srinivasan NithiyananthamEnvironment-Omics-Disease Research Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.ORCID 0000-0001-9217-1269
Chi-Pin LeeEnvironment-Omics-Disease Research Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Hui-Ting HsuDepartment of Surgical Pathology, Changhua Christian Hospital, Changhua, Taiwan.
Shun-Yuan LuoDepartment of Chemistry, National Chung Hsing University, Taichung, Taiwan.
You-Zhe LinGraduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan.
Kun-Tu YehDepartment of Pathology, Changhua Christian Hospital, Changhua, Taiwan.
Ying-Chin KoEnvironment-Omics-Disease Research Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
China Medical University · TWChanghua Christian Hospital · TWNational Chung Hsing University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Areca nut has been evaluated as a group I carcinogen to humans. However, the exact compounds of areca nut causing oral cancer remain unproven. Previous findings from our lab revealed that arecoline N-oxide (ANO), a metabolite of arecoline, exhibits an oral fibrotic effect in immune-deficient NOD/SCID mice. The aim of this study is to investigate the oral potentially malignant disorders (OPMD) inductive activity between areca-alkaloid arecoline and its metabolite ANO in C57BL/6 mice. Our findings show that ANO showed higher activity in inducing hyperplasia with leukoplakia and collagen deposition in C57BL/6 mice compared with the arecoline treated groups. Importantly, immunohistochemical studies showed significant upregulation of NOTCH1, HES1, FAT1, PCNA, and Ki67 expressions in the pathological hyperplastic part. In addition, in vitro studies showed that upregulation of NOTCH1 and FAT1 expressions in ANO treated HGF-1 and DOK cell models. We found that NOTCH1 regulates TP53 expression from NOTCH1 knockdown oral cancer cells. The DNA damage was significantly increased after arecoline and ANO treatment. Further, we found that arecoline-induced H2AX expression was regulated by FMO3. Altogether, our findings show that ANO exhibited higher toxicity in OPMD activity and play a significant role in the induction of areca nut mediated oral tumorigenesis.

Indexed as

AnimalsArecolineBiomarkers, TumorBody WeightCadherinsCarcinogenesisCarcinoma, Squamous CellCell Line, TumorCell ProliferationCyclic N-OxidesDNA DamageDown-RegulationGene Expression Regulation, NeoplasticHumansHyperplasiaKi-67 AntigenArecolinearecoline 1-oxideBiomarkers, TumorCadherinsCyclic N-Oxidesfat1 protein, mouseHes1 protein, mouseKi-67 AntigenNeoplasm ProteinsNotch1 protein, mouseProliferating Cell Nuclear AntigenReceptor, Notch1RNA, MessengerRNA, Small InterferingTranscription Factor HES-1areca nutarecolinearecoline N-oxideOPMDoral cancer

Identifiers

PMID30624777
PMCPMC13483058
OpenAlexW2908562995

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.