Evidence map›Paper›PMID 32642294›Full record

ArticleAmerican journal of cancer research2020

Loss of progesterone receptor through epigenetic regulation is associated with poor prognosis in solid tumors.

Yiyang Li, Cheng Huang, Tamar Kavlashvili, Abby Fronk, Yuping Zhang, Yang Wei, Donghai Dai, Eric J Devor, Xiangbing Meng, Kristina W Thiel and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of cancer research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 34% 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

12 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 1 institution in 2 countries.

Yiyang LiDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Cheng HuangDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Tamar KavlashviliDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Abby FronkDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Yuping ZhangDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Yang WeiDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Donghai DaiDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Eric J DevorDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Xiangbing MengDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Kristina W ThielDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Kimberly K LeslieDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
Shujie YangDepartment of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa IA 52242, USA.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
Restoring Progestin Sensitivity in Endometrial CancerR37CA238274 · NCI · UNIVERSITY OF IOWA · PI YANG, SHUJIE · 2019 to 2025
$2.4M
NCI NIH HHS R37 CA238274
6 · The paper itself

Abstract

backgroundHormonal therapy using progestins, acting through the progesterone receptor (PR), is a well-established method to treat uterine endometrial hyperplasia and carcinoma. Recent population studies indicate that progestin exposure significantly reduces the incidence of ovarian, pancreatic and lung cancers in addition to endometrial cancer in women. This unexpected differentiating function of progestin in organs outside of the reproductive system led us to hypothesize that progestins/PR are protective against cancer development and progression in many tumor types.

methodsThe Cancer Genome Atlas, Oncomine and Prognostic Databases were searched to determine the relative expression of PR in tumors from multiple sites, and clinical outcomes linked to PR expression were determined. In addition, mRNA and protein expression were evaluated using real-time PCR and Western blotting. Chromatin immunoprecipitation (ChIP) assay was performed to understand the PR downregulation mechanisms in tumor cells and patient samples. Methylation-specific PCR was conducted to survey the PR methylation status. The Student's t-test were performed to determine significance. Flow cytometry was used to quantify apoptotic cells.

resultsLow PR expression levels were consistently linked to less favorable clinical outcomes in endometrial, pancreatic, ovarian and non-small cell lung cancers. Clinical specimens and cell lines from these cancers demonstrate low levels of PR, and we now report that the mechanism for loss of PR is mediated through epigenetic repression. However, PR silencing can be overcome with epigenetic modulators. Histone deacetylase inhibitor (LBH589) and hypomethylating agent (5-aza-decitabine) restored functional PR expression at both the mRNA and protein levels and promoted marked cell death through induction of apoptosis in the presence of progesterone.

conclusionsOur studies support the possibility that progestin therapy in combination with epigenetic modulators, a concept we term "molecularly enhanced progestin therapy", is an approach worthy of study for malignancies originating from tissues outside of the reproductive tract.

Indexed as

epigenetic regulationlung cancerovarian cancerProgesterone receptorprogestin

Identifiers

PMID32642294
PMCPMC7339273
OpenAlexW3041631140

What OpenQuestion holds

Textmetadata
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.