Evidence map›Paper›PMID 33122847›Full record

ArticleBritish journal of cancer2021

Acetyl-bufalin shows potent efficacy against non-small-cell lung cancer by targeting the CDK9/STAT3 signalling pathway.

Lehe Yang, Feng Zhou, Yan Zhuang, Yanan Liu, Lingyuan Xu, Haiyang Zhao, Youqun Xiang, Xuanxuan Dai, Zhiguo Liu, Xiaoying Huang and 2 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.1field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 62 citations in OpenAlex.

  1. TRMT6-Mediated mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 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

12 authors at 2 institutions in 1 country.

Lehe YangSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Feng ZhouSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Yan ZhuangSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Yanan LiuSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Lingyuan XuSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Haiyang ZhaoThe Institute of Life Sciences, Wenzhou University, 325035, Wenzhou, Zhejiang, China.
Youqun XiangThe First Affiliated Hospital, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China.
Xuanxuan DaiThe First Affiliated Hospital, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China.
Zhiguo LiuSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.
Xiaoying HuangThe First Affiliated Hospital, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China. zjwzhxy@126.com.
Liangxing WangThe First Affiliated Hospital, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China. wzyxywlx@163.com.
Chengguang ZhaoSchool of Pharmaceutical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China. zhaochengguang@wmu.edu.cn.ORCID http://orcid.org/0000-0002-0418-3241
Wenzhou Medical University · CNWenzhou University · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81773579National Natural Science Foundation of China (National Science Foundation of China) 81902692Natural Science Foundation of Zhejiang Province (Zhejiang Provincial Natural Science Foundation) LY18H160047
6 · The paper itself

Abstract

backgroundCyclin-dependent kinase 9 (CDK9) is a promising prognostic marker and therapeutic target in cancers. Bufalin is an effective anti-tumour agent; however, the clinical application of bufalin is limited due to its high toxicity. Acetyl-bufalin, the bufalin prodrug, was designed and synthesised with higher efficiency and lower toxicity.

methodsThree non-small-cell lung cancer (NSCLC) cell lines, a xenograft model and a patient-derived xenograft (PDX) model were used to examine the effects of acetyl-bufalin. CDK9/STAT3 involvement was investigated by knockdown with siRNA, proteome microarray assay, western blot analysis and co-immunoprecipitation experiments. Acute toxicity test and pharmacokinetics (PK) study were conducted to assess the safety and PK. The human NSCLC tissues were analysed to verify high CDK9 expression.

resultsWe showed that CDK9 induced NSCLC cell proliferation and that this effect was associated with STAT3 activation, specifically an increase in STAT3 phosphorylation and transcription factor activity. Acetyl-bufalin is an effective and safety inhibitor of the CDK9/STAT3 pathway, leading to the impediment of various oncogenic processes in NSCLC. Molecular docking and high-throughput proteomics platform analysis uncovered acetyl-bufalin directly binds to CDK9. Consequently, acetyl-bufalin impaired the complex formation of CDK9 and STAT3, decreased the expressions of P-STAT3, and transcribed target genes such as cyclin B1, CDC2, MCL-1, Survivin, VEGF, BCL2, and it upregulated the expression levels of BAX and caspase-3 activity. Acetyl-bufalin inhibited tumour growth in NSCLC xenograft and PDX models.

conclusionsAcetyl-bufalin is a novel blocker of the CDK9/STAT3 pathway thus may have potential in therapy of NSCLC and other cancers.

Indexed as

AnimalsAntineoplastic AgentsApoptosisBufanolidesCarcinoma, Non-Small-Cell LungCell Line, TumorCyclin-Dependent Kinase 9Enzyme InhibitorsFemaleG2 Phase Cell Cycle CheckpointsHeterograftsHumansLung NeoplasmsMiceMice, Inbred BALB CMice, Inbred NODAntineoplastic AgentsbufalinBufanolidesCDK9 protein, humanCyclin-Dependent Kinase 9Enzyme InhibitorsProdrugsRNA, Small InterferingSTAT3 protein, humanSTAT3 Transcription Factor

Identifiers

PMID33122847
PMCPMC7851395
OpenAlexW3094756389

What OpenQuestion holds

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LicenceCC BY
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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.