Evidence map›Paper›PMID 32138176›Full record

ArticleCancers2020

Impact of the

Leontine Sandforth, Nourhane Ammar, Lisa Antonia Dinges, Christoph Röcken, Alexander Arlt, Susanne Sebens, Heiner Schäfer

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

36 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
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  4. International journal of molecular sciences · 2025
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  19. Exploring monocarboxylate transporter inhibition for cancer treatment.Exploration of targeted anti-tumor therapy · 2024
    Review
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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 1 institution in 1 country.

Leontine SandforthInstitute for Experimental Cancer Research-Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U30, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Nourhane AmmarInstitute for Experimental Cancer Research-Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U30, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Lisa Antonia DingesInstitute for Experimental Cancer Research-Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U30, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Christoph RöckenDepartment of Pathology - Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U33, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Alexander ArltDepartment of Internal Medicine I-UKSH Campus Kiel-Bldg. K3, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Susanne SebensInstitute for Experimental Cancer Research-Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U30, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Heiner SchäferInstitute for Experimental Cancer Research-Christian-Albrechts-University & UKSH Campus Kiel-Bldg. U30, Arnold-Heller-Straße 3, 24105 Kiel, Germany.
Christian-Albrechts-Universität zu Kiel · DE

Funding

Deutsche Forschungsgemeinschaft SCHA677/15-1
6 · The paper itself

Abstract

Metabolite exchange between stromal and tumor cells or among tumor cells themselves accompanies metabolic reprogramming in cancer including pancreatic adenocarcinoma (PDAC). Some tumor cells import and utilize lactate for oxidative energy production (reverse Warburg-metabolism) and the presence of these "reverse Warburg" cells associates with a more aggressive phenotype and worse prognosis, though the underlying mechanisms are poorly understood. We now show that PDAC cells (BxPc3, A818-6, T3M4) expressing the lactate-importer monocarboxylate transporter-1 (MCT1) are protected by lactate against gemcitabine-induced apoptosis in a MCT1-dependent fashion, contrary to MCT1-negative PDAC cells (Panc1, Capan2). Moreover, lactate administration under glucose starvation, resembling reverse Warburg co a phenotype of BxPc3 and T3M4 cells that confers greater potential of clonal growth upon re-exposure to glucose, along with drug resistance and elevated expression of the stemness marker Nestin and reprogramming factors (Oct4, KLF4, Nanog). These lactate dependent effects on stemness properties are abrogated by the MCT1/lactate-uptake inhibitor 7ACC2 or MCT1 knock-down. Furthermore, the clinical relevance of these observations was supported by detecting co-expression of MCT1 and reprogramming factors in human PDAC tissues. In conclusion, the MCT1-dependent import of lactate supplies "reverse Warburg "PDAC cells with an efficient driver of metabostemness. This condition may essentially contribute to malignant traits including therapy resistance.

Indexed as

cancer stem cellschemoresistancemetabolic reprogrammingtumor–stroma interactions

Identifiers

PMID32138176
PMCPMC7139999
OpenAlexW3009043826

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.