Evidence map›Paper›PMID 32647187›Full record

ArticleSignal transduction and targeted therapy2020

Thrombin is a therapeutic target for non-small-cell lung cancer to inhibit vasculogenic mimicry formation.

Bing Zhao, Mengfang Wu, Zhihuang Hu, Yixin Ma, Wang Qi, Yanling Zhang, Yaran Li, Min Yu, Huijie Wang, Wei Mo

Open access · goldAbstract read
In one paragraph

Article in Signal transduction and targeted therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.7field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  14. Changing profile of lung cancer clinical characteristics in China: Over 8-year population-based study.Chinese medical journal pulmonary and critical care medicine · 2023
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  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Bing ZhaoKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Mengfang WuKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Zhihuang HuDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Yixin MaKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Wang QiKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Yanling ZhangKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Yaran LiKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Min YuKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China.
Huijie WangDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. wanghj98@hotmail.com.
Wei MoKey Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Shanghai, China. 15111010026@fudan.edu.cn.
Fudan University · CNShanghai Medical College of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor cells transform into endothelial cells by epithelial-to-mesenchymal transition, which is characterized by vasculogenic mimicry (VM). VM not only accelerates tumor progression but also increases drug-induced resistance. However, very little is currently known about the molecular determinants that enable VM. Targeting VM might bring a new breakthrough in cancer treatment. Thrombin is the key enzyme of the blood coagulation system and could contribute to tumor progression. Nevertheless, the association between thrombin and VM formation remains largely unknown. We found that VM was associated with the overall survival of non-small-cell lung cancer (NSCLC) patients, and that thrombin expression was closely related to VM formation. This research revealed that thrombin induced VM formation via PAR-1-mediated NF-κB signaling cascades. The novel thrombin inhibitors r-hirudin and DTIP inhibited VM formation and spontaneous metastases in subcutaneous tumors. Clinical pathological analysis confirmed that NSCLC patients with thrombin-positive/PAR-1-high expression had the poorest prognosis and were the most likely to form VM. The promotional activity of thrombin in VM formation and tumor metastasis was abolished in PAR-1-deficient NSCLC cells. The EGFR inhibitor gefitinib had no effect on VM and increased VEGF expression in tumors. The combination therapy of DTIP and gefitinib achieved a better therapeutic effect than either agent alone. This study is the first to illustrate that thrombin substantially contributes, together with PAR-1, to VM formation and to illustrate that VM might be a target of r-hirudin and DTIP to suppress tumor progression. The anticoagulants r-hirudin and DTIP could be employed for antitumor therapy. Combination therapy with DTIP with an EGFR inhibitor might achieve superior therapeutic effects.

Indexed as

Carcinoma, Non-Small-Cell LungEpithelial-Mesenchymal TransitionLung NeoplasmsAnimalsFemaleHeterograftsHumansMaleMiceNeoplasm MetastasisNeoplasm ProteinsNeoplasm TransplantationNeovascularization, PathologicThrombinNeoplasm ProteinsThrombin

Identifiers

PMID32647187
PMCPMC7347850
OpenAlexW3041660192

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.