Evidence map›Paper›PMID 31882989›Full record

ArticleScientific reports2019

Neferine induces autophagy-dependent cell death in apoptosis-resistant cancers via ryanodine receptor and Ca

Betty Yuen Kwan Law, Francesco Michelangeli, Yuan Qing Qu, Su-Wei Xu, Yu Han, Simon Wing Fai Mok, Ivo Ricardo de Seabra Rodrigues Dias, Masood-Ul-Hassan Javed, Wai-Kit Chan, Wei-Wei Xue and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Aporphine AlkaloidPharmaceuticals (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Next Generation Calcium Nanomaterials: Disrupting Tumor CaInternational journal of nanomedicine · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Compton imaging for medical applications.Radiological physics and technology · 2022
    Review
  18. Article
  19. Review
  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

16 authors at 4 institutions in 4 countries.

Betty Yuen Kwan LawState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Francesco MichelangeliSchool of Biosciences, University of Birmingham, Edgbaston, Birmingham, UK.
Yuan Qing QuState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.ORCID http://orcid.org/0000-0003-3733-3661
Su-Wei XuDepartment of Basic Medicine of Zhuhai health school, Zhuhai, China.
Yu HanState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Simon Wing Fai MokState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Ivo Ricardo de Seabra Rodrigues DiasState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Masood-Ul-Hassan JavedCollege of Medicine, King Saud Bin Abdulaziz University of Health Sciences, King Abdul Aziz Medical City, Jeddah, 21423, Kingdom of Saudi Arabia.
Wai-Kit ChanState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Wei-Wei XueCollege of Chemistry and Chemical Engineering, Lanzhou University, Lanzhou, Gansu, 730000, P.R. China.
Xiao-Jun YaoState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Wu ZengState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Hui ZhangState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Jing-Rong WangState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China.
Liang LiuState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China. lliu@must.edu.mo.
Vincent Kam Wai WongState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China. bowaiwong@gmail.com.ORCID http://orcid.org/0000-0002-2951-8108
Macau University of Science and Technology · MOKing Saud bin Abdulaziz University for Health Sciences · SALanzhou University · CNUniversity of Chester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistance of cancer cells to chemotherapy is a significant clinical concern and mechanisms regulating cell death in cancer therapy, including apoptosis, autophagy or necrosis, have been extensively investigated over the last decade. Accordingly, the identification of medicinal compounds against chemoresistant cancer cells via new mechanism of action is highly desired. Autophagy is important in inducing cell death or survival in cancer therapy. Recently, novel autophagy activators isolated from natural products were shown to induce autophagic cell death in apoptosis-resistant cancer cells in a calcium-dependent manner. Therefore, enhancement of autophagy may serve as additional therapeutic strategy against these resistant cancers. By computational docking analysis, biochemical assays, and advanced live-cell imaging, we identified that neferine, a natural alkaloid from Nelumbo nucifera, induces autophagy by activating the ryanodine receptor and calcium release. With well-known apoptotic agents, such as staurosporine, taxol, doxorubicin, cisplatin and etoposide, utilized as controls, neferine was shown to induce autophagic cell death in a panel of cancer cells, including apoptosis-defective and -resistant cancer cells or isogenic cancer cells, via calcium mobilization through the activation of ryanodine receptor and Ulk-1-PERK and AMPK-mTOR signaling cascades. Taken together, this study provides insights into the cytotoxic mechanism of neferine-induced autophagy through ryanodine receptor activation in resistant cancers.

Indexed as

ApoptosisAutophagic Cell DeathBenzylisoquinolinesCalciumCell Line, TumorDrugs, Chinese HerbalHumansNeoplasmsRyanodine Receptor Calcium Release ChannelBenzylisoquinolinesCalciumDrugs, Chinese HerbalneferineRyanodine Receptor Calcium Release Channel

Identifiers

PMID31882989
PMCPMC6934498
OpenAlexW2997952322

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.