Evidence map›Paper›PMID 31250351›Full record

ArticleHepatology international2019

CCN2-MAPK-Id-1 loop feedback amplification is involved in maintaining stemness in oxaliplatin-resistant hepatocellular carcinoma.

Xia Liao, Yang Bu, Shanshan Jiang, Fan Chang, Fengan Jia, Xuelian Xiao, Ge Song, Mei Zhang, Pengbo Ning, Qingan Jia

Open access · hybridAbstract read
In one paragraph

Article in Hepatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 11% 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, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Translational cancer research · 2022
    Article
  7. Review
  8. Article
  9. The CCN axis in cancer development and progression.Journal of cell communication and signaling · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Frontiers in oncology · 2021
    Article
  14. Article
  15. Article
  16. Redox-Mediated Mechanism of Chemoresistance in Cancer Cells.Antioxidants (Basel, Switzerland) · 2019
    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

10 authors at 5 institutions in 1 country.

Xia LiaoDepartment of Nutrition, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
Yang BuDepartment of Hepatobiliary Surgery, General Hospital, Ningxia Medical University, Yinchuan, 750001, China.
Shanshan JiangInstitute of Hematological Research, Shaanxi Provincial People's Hospital, Xi'an, 710068, China.
Fan ChangMetabolite Research Center, Shaanxi Institute of Microbiology, Xi'an, 710043, China.
Fengan JiaMetabolite Research Center, Shaanxi Institute of Microbiology, Xi'an, 710043, China.
Xuelian XiaoDepartment of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an, 710061, China.
Ge SongDepartment of Nutrition, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
Mei ZhangDepartment of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an, 710061, China.
Pengbo NingSchool of Life Science and Technology, Xidian University, Xi'an, Shaanxi, China.
Qingan JiaDepartment of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an, 710061, China. qajia66@163.com.
First Affiliated Hospital of Xi'an Jiaotong University · CNInstitute of Microbiology · CNNingxia Medical University · CNShanxi Medical University · CNXidian University · CN

Funding

Fundamental Research Funds for the Central Universities 1191329835National Natural Science Foundation of China 81502694Natural Science Foundation of Ningxia Province NZ15130Postdoctoral Research Foundation of China 2015M570330
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is the second leading cause of cancer death worldwide. Chemotherapy is an alternative treatment for advanced HCCs, but chemo-resistance prevents cancer therapies from achieving stable and complete responses. Understanding the underlying mechanisms in chemo-resistance is critical to improve the efficacy of HCC.

methodsThe expression levels of Id-1 and CCN2 were detected in large cohorts of HCCs, and functional analyses of Id-1 and CCN2 were performed both in vitro and in vivo. cDNA microarrays were performed to evaluate the alterations of expression profiling of HCC cells with overexpression of CCN2. Finally, the role of downstream signaling of MAPK/Id-1 signaling pathway in oxaliplatin resistance were also explored.

resultsThe increased expression of Id-1 and CCN2 were closely related to oxaliplatin resistance in HCC. Upregulation of CCN2 and Id-1 was independently associated with shorter survival and increased recurrence in HCC patients, and significantly enhanced oxaliplatin resistance and promoted lung metastasis in vivo, whereas knock-down of their expression significantly reversed the chemo-resistance and inhibited HCC cell stemness. cDNA microarrays and PCR revealed that Id-1 and MAPK pathway were the downstream signaling of CCN2. CCN2 significantly enhanced oxaliplatin resistance by activating the MAPK/Id-1 signaling pathway, and Id-1 could upregulate CCN2 in a positive feedback manner.

conclusionsCCN2/MAPK/Id-1 loop feedback amplification is involved in oxaliplatin resistance, and the combination of oxaliplatin with inhibitor of CCN2 or MAPK signaling could provide a promising approach to ameliorating oxaliplatin resistance in HCC.

Indexed as

AdultAgedAnimalsAntineoplastic AgentsBiomarkers, TumorButadienesCarcinoma, HepatocellularCell Line, TumorConnective Tissue Growth FactorDown-RegulationDrug Resistance, NeoplasmFeedbackFemaleGene Expression Regulation, NeoplasticHeterograftsHumansAntineoplastic AgentsBiomarkers, TumorButadienesCCN2 protein, humanConnective Tissue Growth FactorMAPK1 protein, humanMitogen-Activated Protein Kinase 1NitrilesOxaliplatinProtein Kinase InhibitorsRNA, MessengerSorafenibU 0126CCN2Hepatocellular carcinomaId-1MAPK signalingOxaliplatin

Identifiers

PMID31250351
PMCPMC6661033
OpenAlexW2955968916

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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.