Evidence map›Paper›PMID 33463054›Full record

ArticleClinical and translational medicine2021

Hypoxia-induced FOXO4/LDHA axis modulates gastric cancer cell glycolysis and progression.

Xiao-Hong Wang, Zhong-Hua Jiang, Hong-Mei Yang, Yu Zhang, Li-Hua Xu

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 76 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

5 authors at 2 institutions in 1 country.

Xiao-Hong WangDepartment of Gastroenterology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhong-Hua JiangDepartment of Gastroenterology, The Yancheng Clinical College of Xuzhou Medical University, Yancheng, Jiangsu, China.ORCID 0000-0002-7526-5877
Hong-Mei YangDepartment of Gastroenterology, The Yancheng Clinical College of Xuzhou Medical University, Yancheng, Jiangsu, China.
Yu ZhangDepartment of Gastroenterology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Li-Hua XuDepartment of Gastroenterology, The Sixth People's Hospital of Nantong, Nantong, Jiangsu, China.
Xuzhou Medical College · CNNantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimWe previously identified forkhead box (FOX) O4 mRNA as a predictor in gastric cancer (GC). However, the underlying mechanism has yet to be elucidated. We aimed to illustrate the mechanism by which FOXO4 regulated glycolysis under hypoxia in GC.

methodsFOXO4 protein expression was investigated by immunohistochemical staining of 252 GC and their normal adjacent tissues. We restored or silenced FOXO4 expression in GC cell lines to explore the underlying mechanisms.

resultsFOXO4 was downregulated in GC. Loss of FOXO4 expression was validated in univariate and multivariate survival analysis as an independent prognostic predictor for overall survival (P < 0.05) and disease-free survival (P<0.05). Restored FOXO4 expression significantly impaired the glycolysis rate in GC cells, while silencing FOXO4 expression enhanced glycolysis rate. FOXO4 expression was inversely associated with maximum standardized uptake value in mice models and patient samples. Mechanistically, FOXO4 bound to the glycolytic enzyme lactate dehydrogenase (LDH)A promoter and inactivated its activity in a dose-dependent manner (P < 0.05). Finally, we determined that FOXO4 was a transcriptional target of hypoxia-inducible factor (HIF) -1α, which is central in response to hypoxia.

conclusionsOur data suggested that FOXO4 plays a key role in the regulation of glycolysis in GC, and disrupting the HIF-1α-FOXO4-LDHA axis might be a promising therapeutic strategy for GC.

Indexed as

AnimalsCell Cycle ProteinsCohort StudiesDisease-Free SurvivalDisease Models, AnimalDisease ProgressionFemaleForkhead Transcription FactorsGlycolysisHumansHypoxiaLactate Dehydrogenase 5MaleMiceMiddle AgedStomach NeoplasmsCell Cycle ProteinsForkhead Transcription FactorsFOXO4 protein, humanFoxO4 protein, mouseLactate Dehydrogenase 5Forkhead box O4Gastric cancerGlycolysisHypoxia-inducible factor-1αLactate dehydrogenase A

Identifiers

PMID33463054
PMCPMC7809603
OpenAlexW3122632465

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Registered trials

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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.