Evidence map›Paper›PMID 34586745›Full record

ArticleClinical and translational medicine2021

Glutathione peroxidase 4-dependent glutathione high-consumption drives acquired platinum chemoresistance in lung cancer-derived brain metastasis.

Wenwen Liu, Yang Zhou, Wenzhe Duan, Jing Song, Song Wei, Shengkai Xia, Yingyan Wang, Xiaohui Du, Encheng Li, Caixia Ren and 3 more

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 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
12.5field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
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  8. CD146Theranostics · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Metabolic adaptations of brain metastasis.Nature reviews. Cancer · 2025
    Review
  14. Review
  15. Review
  16. [Applications and Advances of Metabolomics in Lung Cancer Research].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2025
    Review
  17. Article
  18. Article
  19. Ferroptosis-related signaling pathways in cancer drug resistance.Cancer drug resistance (Alhambra, Calif.) · 2025
    Review
  20. Article

2 more citing papers are in PubMed but not listed here.

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

13 authors at 4 institutions in 2 countries.

Wenwen LiuCancer Translational Medicine Research Center, The Second Hospital, Dalian Medical University, Dalian, China.
Yang ZhouLiaoning Clinical Research Center for Lung Cancer, The Second Hospital, Dalian Medical University, Dalian, China.
Wenzhe DuanDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Jing SongDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Song WeiDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Shengkai XiaDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Yingyan WangLaboratory Center for Diagnostics, Dalian Medical University, Dalian, China.
Xiaohui DuLiaoning Clinical Research Center for Lung Cancer, The Second Hospital, Dalian Medical University, Dalian, China.
Encheng LiDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Caixia RenDepartment of Respiratory Medicine, The Second Hospital, Dalian Medical University, Dalian, China.
Wei WangInstitute of Microelectronics, Peking University, Beijing, China.
Qimin ZhanKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Molecular Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Qi WangCancer Translational Medicine Research Center, The Second Hospital, Dalian Medical University, Dalian, China.
Dalian Medical University · CNSecond Affiliated Hospital of Dalian Medical University · CNInstitute of Microelectronics · CNPeking University Cancer Hospital · CN

Funding

National Natural Science Foundation of China 21906014National Natural Science Foundation of China 81903185National Natural Science Foundation of China 81972916National Natural Science Foundation of China 82003319National Natural Science Foundation of China 82027805Scientific research on "Seedling Cultivation" project of Young Scientific and Technological Talents of Education Department of Liaoning Province LZ2019055The Science and Technology Innovation Foundation of Dalian 2019J11CY019United Fund of the Second Hospital of Dalian Medical University and Dalian Institute of Chemical Physics, Chinese Academy of Sciences UF-QN-202001
6 · The paper itself

Abstract

backgroundPlatinum-based chemotherapy is effective in inducing shrinkage of primary lung cancer lesions; however, it shows finite therapeutic efficacy in patients suffering from brain metastasis (BM). The intrinsic changes of BM cells, which contribute to the poor results remain unknown.

methodsPlatinum drug-sensitivity was assessed by utilizing a preclinical BM model of PC9 lung adenocarcinoma cells in vitro and in vivo. High consumption of glutathione (GSH) and two associated upregulated proteins (GPX4 and GSTM1) in BM were identified by integrated metabolomics and proteomics in cell lines and verified by clinical serum sample. Gain-of-function and rescue experiments were implemented to reveal the impact and mechanism of GPX4 and GSTM1 on the chemosensitivity in BM. The interaction between GPX4 and GSTM1 was examined by immunoblotting and immunoprecipitation. The mechanism of upregulation of GPX4 was further uncovered by luciferase reporter assay, immunoprecipitation, and electrophoretic mobility shift assay.

resultsThe derivative brain metastatic subpopulations (PC9-BrMs) of parental cells PC9 developed obvious resistance to platinum. Radically altered profiles of BM metabolism and protein expression compared with primary lung cancer cells were described and GPX4 and GSTM1 were identified as being responsible for the high consumption of GSH, leading to decreased chemosensitivity by negatively regulating ferroptosis. Besides, GSTM1 was found regulated by GPX4, which was transcriptionally activated by the Wnt/NR2F2 signaling axis in BM.

conclusionsCollectively, our findings demonstrated that Wnt/NR2F2/GPX4 promoted acquired chemoresistance by suppressing ferroptosis with high consumption of GSH. GPX4 inhibitor was found to augment the anticancer effect of platinum drugs in lung cancer BM, providing novel strategies for lung cancer patients with BM.

Indexed as

Brain NeoplasmsDrug Resistance, NeoplasmLung NeoplasmsPhospholipid Hydroperoxide Glutathione PeroxidaseAnimalsCell Line, TumorCell SurvivalFerroptosisGlutathioneGlutathione TransferaseHumansMicePlatinumGlutathioneGlutathione TransferasePhospholipid Hydroperoxide Glutathione PeroxidasePlatinumbrain metastasischemotherapeutic resistanceferroptosisglutathione metabolismGPX4 inhibitorlung cancer

Identifiers

PMID34586745
PMCPMC8473645
OpenAlexW3202100113

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LicenceCC BY
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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.