Evidence map›Paper›PMID 31757777›Full record

ArticleEBioMedicine2019

Ethanol promotes alcohol-related colorectal cancer metastasis via the TGF-β/RUNX3/Snail axis by inducing TGF-β1 upregulation and RUNX3 cytoplasmic mislocalization.

Kehong Zheng, Jinlong Yu, Zetao Chen, Rui Zhou, Chuang Lin, Yuxuan Zhang, Zonghai Huang, Lina Yu, Liang Zhao, Qian Wang

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Alcohol Consumption and Smoking History at the Time of Diagnosis and the Risk of Colorectal Cancer Recurrence and Mortality: Results from the ColoCare Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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 3 institutions in 1 country.

Kehong ZhengDivision of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong province, China; Department of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China. Electronic address: drzhengkh@163.com.
Jinlong YuDepartment of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Zetao ChenDepartment of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China; Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Rui ZhouDepartment of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Chuang LinDepartment of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuxuan ZhangDepartment of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China; Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Zonghai HuangDepartment of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Lina YuDepartment of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, China; Department of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China. Electronic address: nana1800@smu.edu.cn.
Liang ZhaoDepartment of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, China; Department of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China. Electronic address: liangsmu@foxmail.com.
Qian WangDivision of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong province, China. Electronic address: Wangqian@smu.edu.cn.
Southern Medical University · CNNanfang Hospital · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol intake is a well-known lifestyle risk factor for CRC, and an increasing number of studies have revealed that alcohol intake is also tightly associated with CRC metastasis. However, the effect of alcohol on CRC metastasis and its underlying mechanism remain unclear.

methodsA retrospective cohort study was performed to investigate the characteristics of patients with alcohol-related CRC. The effects of ethanol on the biological behaviours of CRC cells were assessed through in vivo and in vitro assays using the Lieber-DeCarli ethanol liquid diet and ethanol, respectively. The ethanol-mediated signalling pathway and downstream factors were screened through ELISA, western blot, immunofluorescence and co-immunoprecipitation.

findingsMost patients with alcohol-related CRC, particularly those with tumour metastasis, were characterized by a notably higher circulating ethanol level and a lower systemic acetaldehyde level. Moreover, CRC cells accumulated in ethanol, but not acetaldehyde, to notably higher levels compared with adjacent normal cells. Alcohol intake significantly promoted CRC metastasis via the ethanol-mediated TGF-β/Smad/Snail axis, and ethanol induced the cytoplasmic mislocalization of RUNX3 and further promoted the aggressiveness of CRC by targeting Snail. Pirfenidone (PFD) significantly eliminated the effects of ethanol on CRC metastasis by specifically blocking TGF-β signalling.

interpretationAlcohol intake plays a vital role in CRC metastasis via the ethanol-mediated TGF-β/RUNX3/Snail axis, and PFD might be a novel therapeutic management strategy for CRC.

Indexed as

Signal TransductionAlcohol DrinkingAnimalsBiomarkersCell Line, TumorColorectal NeoplasmsCore Binding Factor Alpha 3 SubunitDisease Models, AnimalEpithelial-Mesenchymal TransitionHumansIncidenceMiceNeoplasm MetastasisNeurophysinsProtein BindingProtein PrecursorsAVP protein, humanBiomarkersCore Binding Factor Alpha 3 SubunitNeurophysinsProtein PrecursorsRunx3 protein, humanSnail Family Transcription FactorsTransforming Growth Factor betaTransforming Growth Factor beta1VasopressinsColorectal cancerEthanolPirfenidoneRUNX3TGF-β signallingTumour metastasis

Identifiers

PMID31757777
PMCPMC6921366
OpenAlexW2990671362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.