Evidence map›Paper›PMID 30636370›Full record

ArticleCancer medicine2019

CD44 standard isoform is involved in maintenance of cancer stem cells of a hepatocellular carcinoma cell line.

Ryoma Asai, Hiroyuki Tsuchiya, Masataka Amisaki, Kazuki Makimoto, Ai Takenaga, Tomohiko Sakabe, Shotaro Hoi, Shigemi Koyama, Goshi Shiota

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

48 citing papers in PubMed, 73 citations in OpenAlex.

  1. Review
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  9. Sorafenib-Drug Delivery Strategies in Primary Liver Cancer.Journal of functional biomaterials · 2025
    Review
  10. Evaluation of hepatic cancer stem cells (CDMolecular biology reports · 2025
    Article
  11. Article
  12. Review
  13. Review
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  15. Article
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  18. Article
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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 1 institution in 1 country.

Ryoma AsaiDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Hiroyuki TsuchiyaDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.ORCID 0000-0002-2144-8272
Masataka AmisakiDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.ORCID 0000-0003-4153-4036
Kazuki MakimotoDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Ai TakenagaDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Tomohiko SakabeFaculty of Medicine, Division of Organ Pathology, Department of Pathology, Tottori University, Yonago, Japan.
Shotaro HoiDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Shigemi KoyamaDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Goshi ShiotaDivision of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Tottori University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death worldwide. Cancer stem cells (CSCs) have attracted attention as a novel therapeutic target for cancer because they play important roles in the development and aggravation of cancer. CD44 is expressed as a standard isoform (CD44s) and several variant isoforms. CD44v is a major isoform expressed on CSCs of a variety of tumors and has been extensively studied. However, HCC tissues dominantly express CD44s, whose function in CSCs remains unclear. In the present study, we investigated the roles of CD44s in CSCs of HCC. Knock-out of the CD44 gene in HuH7 HCC cells on which only CD44s is expressed resulted in decreased spheroid formation and increased drug sensitivity. The expression of CSC marker genes, including CD133 and EpCAM, was significantly downregulated in the spheroids of CD44-deficient cells compared with those in the spheroids of HuH7 cells. In addition, CD44 deficiency impaired antioxidant capacity, concomitant with downregulation of glutathione peroxidase 1 (GPX1) and thioredoxin. Because GPX1 uses the reduced form of glutathione (GSH) to regenerate oxidized cellular components, GSH levels were significantly increased in the CD44-deficient cells. We also found that NOTCH3 and its target genes were downregulated in the spheroids of CD44-deficient cells. NOTCH3 expression in HCC tissues was significantly increased compared with that in adjacent nontumor liver tissues and was correlated with CD44 expression. These results suggest that CD44s is involved in maintenance of CSCs in a HCC cell line, possibly through the NOTCH3 signaling pathway.

Indexed as

Carcinoma, HepatocellularHyaluronan ReceptorsLiver NeoplasmsNeoplastic Stem CellsReceptor, Notch3AgedCell Line, TumorDrug Resistance, NeoplasmFemaleGlutathioneHumansMaleMiddle AgedProtein IsoformsSignal TransductionCD44 protein, humanGlutathioneHyaluronan ReceptorsNOTCH3 protein, humanProtein IsoformsReceptor, Notch3cancer stem cellCD44hepatocellular carcinomaNOTCH3oxidative stress

Identifiers

PMID30636370
PMCPMC6382709
OpenAlexW2909536530

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.