Evidence map›Paper›PMID 32084531›Full record

ArticleCellular signalling2020

Regulation of KLF4 by posttranslational modification circuitry in endocrine resistance.

Zhuan Zhou, Xinxin Song, Junlong Jack Chi, David R Gius, Yi Huang, Massimo Cristofanilli, Yong Wan

Open access · greenAbstract read
In one paragraph

Article in Cellular signalling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Regional and Sexual Dimorphism in Murine Skeletal Responses to Osteocytic HIF Pathway Modulation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 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

7 authors at 3 institutions in 1 country.

Zhuan ZhouDepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Xinxin SongDepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Junlong Jack ChiDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
David R GiusDepartment of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Yi HuangUniversity of Pittsburgh Cancer Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, United States.
Massimo CristofanilliDepartment of Medicine-Hematology and Oncology, Robert H Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.
Yong WanDepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States; Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States. Electronic address: yong.wan@northwestern.edu.
Northwestern University · USRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityUPMC Hillman Cancer Center · US

Funding

Targeting Posttranslational Modifications in Breast CarcinogenesisR01CA250110 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WAN, YONG · 2020 to 2025
$2.3M
MnSOD-K68-Ac reprograms a lineage plasticity switch / stemness in ER+ breast malignancies.R01CA253678 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GIUS, DAVID · 2021 to 2025
$2.1M
Dys-regulation of the MnSOD-Ac-ROS-HIF2a axis promotes IR / Cisplatin resistance phenotypeR01CA214025 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GIUS, DAVID · 2017 to 2021
$2.0M
Lineage Plasticity, due to Disruption of MnSOD Biology, drives resistance to Ionizing Radiation / Androgen Deprivation TherapyR01CA257148 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GIUS, DAVID · 2021 to 2025
$2.0M
Interplay between ER and TGF-b in carcinogenesisR01CA202948 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAN, YONG · 2016 to 2021
$1.4M
Targeting interplay between KLF4 and PRMT5 in carcinogenesisR01CA202963 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAN, YONG · 2016 to 2020
$1.3M
NCI NIH HHS R01 CA202948NCI NIH HHS R01 CA202963NCI NIH HHS R01 CA214025NCI NIH HHS R01 CA250110NCI NIH HHS R01 CA253678NCI NIH HHS R01 CA257148
6 · The paper itself

Abstract

KLF4 plays an important role in orchestrating a variety of cellular events, including cell-fate decision, genome stability and apoptosis. Its deregulation is correlated with human diseases such as breast cancer and gastrointestinal cancer. Results from recent biochemical studies have revealed that KLF4 is tightly regulated by posttranslational modifications. Here we report a new finding that KLF4 orchestrates estrogen receptor signaling and facilitates endocrine resistance. We also uncovered the underlying mechanism that alteration of KLF4 by posttranslational modifications such as phosphorylation and ubiquitylation changes tumor cell response to endocrine therapy drugs. IHC analyses using based on human breast cancer specimens showed the accumulation of KLF4 protein in ER-positive breast cancer tissues. Elevated KLF4 expression significantly correlated with prognosis and endocrine resistance. Our drug screening for suppressing KLF4 protein expression led to identification of Src kinase to be a critical player in modulating KLF4-mediated tamoxifen resistance. Depletion of VHL (von Hippel-Lindau tumor suppressor), a ubiquitin E3 ligase for KLF4, reduces tumor cell sensitivity to tamoxifen. We demonstrated phosphorylation of VHL by Src enhances proteolysis of VHL that in turn leads to upregulation of KLF4 and increases endocrine resistance. Suppression of Src-VHL-KLF4 cascade by Src inhibitor or enhancement of VHL-KLF4 ubiquitination by TAT-KLF4 (371-420AAa) peptides re-sensitizes tamoxifen-resistant breast cancer cells to tamoxifen treatment. Taken together, our findings demonstrate a novel role for KLF4 in modulating endocrine resistance via the Src-VHL-KLF4 axis.

Indexed as

Drug Resistance, NeoplasmGene Expression Regulation, NeoplasticBreast NeoplasmsHEK293 CellsHumansKruppel-Like Factor 4Kruppel-Like Transcription FactorsMCF-7 CellsVon Hippel-Lindau Tumor Suppressor ProteinKLF4 protein, humanKruppel-Like Factor 4Kruppel-Like Transcription FactorsVHL protein, humanVon Hippel-Lindau Tumor Suppressor ProteinEndocrineKLF4ResistanceSrcVHL

Identifiers

PMID32084531
PMCPMC7511032
OpenAlexW3008864664

What OpenQuestion holds

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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.