Evidence map›Paper›PMID 33222684›Full record

ArticleJournal of experimental & clinical cancer research : CR2020

WNT4 secreted by tumor tissues promotes tumor progression in colorectal cancer by activation of the Wnt/β-catenin signalling pathway.

Dongmei Yang, Qing Li, Renduo Shang, Liwen Yao, Lianlian Wu, Mengjiao Zhang, Lihui Zhang, Ming Xu, Zihua Lu, Jie Zhou and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

46 citing papers in PubMed, 69 citations in OpenAlex.

  1. Spatial Transcriptomics Reveals Location-Specific Tumor Cell Subtypes and Signaling within Multifocal Small Intestinal Neuroendocrine Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Evolutionary conservation and cancer implications of the WNT signaling pathway.Medical oncology (Northwood, London, England) · 2025
    Review
  9. Article
  10. Unleashing Wnts: Wnt Ligands Fuel Cancer Spread.Journal of cancer biology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Emerging roles and biomarker potential of WNT6 in human cancers.Cell communication and signaling : CCS · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

15 authors at 2 institutions in 1 country.

Dongmei YangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Qing LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Renduo ShangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Liwen YaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Lianlian WuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Mengjiao ZhangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Lihui ZhangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Ming XuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Zihua LuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Jie ZhouDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Li HuangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Xiaodong HuangHubei Key Laboratory of Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Du ChengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Yanning YangDepartment of Ophthalmology, Renmin Hospital of Wuhan University, Jiefang Rd. 238, Wuhan, Hubei, 430060, People's Republic of China. ophyyn@163.com.
Honggang YuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, 430060, China. yuhonggang@whu.edu.cn.
Wuhan University · CNRenmin Hospital of Wuhan University · CN

Funding

National Natural Science Foundation of China 81672387National Natural Science Foundation of China 81770899
6 · The paper itself

Abstract

backgroundWingless and Int-related protein (Wnt) ligands are aberrantly expressed in patients with colorectal cancer (CRC). However, the aberrant level of Wnt ligands in serum have not been explored. Here, we aimed to identify the levels of WNT4 in serum and explored its oncogenic role in CRC.

methodsThe Oncomine database was used to analyze the relationship between WNT4 and the prognosis of CRC. ELISA was performed to measure WNT4 levels in serum and conditioned medium from fresh CRC tissues and adjacent normal tissues. Western blot and immunohistochemistry were carried out to measure the expression of WNT4 in human CRC tissues and adjacent normal tissues. The migration and invasion of CRC cells were determined by trans-well assay, and the effects of WNT4 on CRC invasion and metastasis in vivo were verified by tumor xenograft in nude mice. Cancer-associated fibroblasts (CAFs) and angiogenesis in subcutaneous nodules were detected by immunofluorescence (IF). In addition, the suspended spheres formation and tube formation assay were performed to explore the effects of WNT4 on CAFs and angiogenesis respectively.

resultsWNT4 was significantly upregulated in serum of CRC patients, and CRC tissues were identified as an important source of elevated WNT4 levels in CRC patients. Interestingly, elevated levels of WNT4 in serum were downregulated after tumor resection. Furthermore, we found that WNT4 contributed to epithelial-to-mesenchymal transition (EMT) and activated fibroblasts by activating the WNT4/β-catenin pathway in vitro and in vivo. Moreover, angiogenesis was induced via the WNT4/β-catenin/Ang2 pathway. Those effects could be reversed by ICG-001, a β-catenin/TCF inhibitor.

conclusionOur findings indicated that serum levels of WNT4 may be a potential biomarker for CRC. WNT4 secreted by colorectal cancer tissues promote the progression of CRC by inducing EMT, activate fibroblasts and promote angiogenesis through the canonical Wnt/β-catenin signalling pathway.

Indexed as

Wnt Signaling PathwayAnimalsCell Line, TumorColorectal NeoplasmsDisease Models, AnimalDisease ProgressionHCT116 CellsHeterograftsHumansHuman Umbilical Vein Endothelial CellsMaleMiceMice, NudeTransfectionWnt4 ProteinWnt4 ProteinWNT4 protein, humanAngiogenesisBiomarkerColorectal cancerEpithelial-mesenchymal transitionFibroblastTumor metastasisWNT4

Identifiers

PMID33222684
PMCPMC7682076
OpenAlexW3104743974

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.