Evidence map›Paper›PMID 35484119›Full record

ArticleNature communications2022

Hypoxia-activated neuropeptide Y/Y5 receptor/RhoA pathway triggers chromosomal instability and bone metastasis in Ewing sarcoma.

Congyi Lu, Akanksha Mahajan, Sung-Hyeok Hong, Susana Galli, Shiya Zhu, Jason U Tilan, Nouran Abualsaud, Mina Adnani, Stacey Chung, Nada Elmansy and 15 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Review
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  7. The liver talks back: NPY orchestrates attraction of cancer cells and CHK2-dependent clonogenicity in the metastatic niche.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Single-Cell RNA Sequencing of Ewing Sarcoma Tumors Demonstrates Transcriptional Heterogeneity and Clonal Evolution.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Congyi Lu *Department of Physiology and Biophysics, Georgetown University, Washington, DC, United States.
Akanksha Mahajan *Department of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Sung-Hyeok Hong *Department of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Susana GalliDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Shiya ZhuDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Jason U TilanDepartment of Human Science, School of Nursing and Health Studies, Georgetown University, Washington, DC, United States.ORCID http://orcid.org/0000-0002-0454-5409
Nouran AbualsaudDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Mina AdnaniDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Stacey ChungDepartment of Human Science, School of Nursing and Health Studies, Georgetown University, Washington, DC, United States.ORCID http://orcid.org/0000-0001-5468-0361
Nada ElmansyDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Jasmine RodgersDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Olga RodriguezDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Christopher AlbaneseDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Hongkun WangDepartment of Biostatistics, Bioinformatics and Biomathematics, Georgetown University, Washington, DC, United States.
Maureen ReganGenome Editing Core, University of Illinois, Chicago, Il, United States.
Valerie ZgoncLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Jan BlancatoDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Ewa KrawczykCenter for Cell Reprogramming, Georgetown University Medical Center, Washington DC, United States.
G Ian GallicanoDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States.
Michael GirgisDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Amrita CheemaDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Ewa Iżycka-ŚwieszewskaDepartment of Pathology and Neuropathology, Medical University of Gdańsk, Gdańsk, Poland.
Luciane R CavalliDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, United States.
Svetlana D PackLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Joanna KitlinskaDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States. jbk4@georgetown.edu.

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
Neuropeptide Y (NPY) as a hypoxia-driven metastatic factorR01CA197964 · NCI · GEORGETOWN UNIVERSITY · PI KITLINSKA, JOANNA B. · 2015 to 2019
$1.7M
Neuropeptide Y in neuroblastoma: growth, angiogenesis and future therapeutics.R01CA123211 · NCI · GEORGETOWN UNIVERSITY · PI KITLINSKA, JOANNA B. · 2006 to 2010
$1.3M
Prenatal stress and neuroblastoma development - is there a link?R21CA198698 · NCI · GEORGETOWN UNIVERSITY · PI KITLINSKA, JOANNA B. · 2015 to 2016
$372k
In vivo model of hypoxia in Ewing SarcomaR03CA178809 · NCI · GEORGETOWN UNIVERSITY · PI KITLINSKA, JOANNA B. · 2013 to 2014
$153k
NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA123211NCI NIH HHS R01 CA197964NCI NIH HHS R03 CA178809NCI NIH HHS R21 CA198698
6 · The paper itself

Abstract

Adverse prognosis in Ewing sarcoma (ES) is associated with the presence of metastases, particularly in bone, tumor hypoxia and chromosomal instability (CIN). Yet, a mechanistic link between these factors remains unknown. We demonstrate that in ES, tumor hypoxia selectively exacerbates bone metastasis. This process is triggered by hypoxia-induced stimulation of the neuropeptide Y (NPY)/Y5 receptor (Y5R) pathway, which leads to RhoA over-activation and cytokinesis failure. These mitotic defects result in the formation of polyploid ES cells, the progeny of which exhibit high CIN, an ability to invade and colonize bone, and a resistance to chemotherapy. Blocking Y5R in hypoxic ES tumors prevents polyploidization and bone metastasis. Our findings provide evidence for the role of the hypoxia-inducible NPY/Y5R/RhoA axis in promoting genomic changes and subsequent osseous dissemination in ES, and suggest that targeting this pathway may prevent CIN and disease progression in ES and other cancers rich in NPY and Y5R.

Indexed as

Bone NeoplasmsSarcoma, EwingChromosomal InstabilityHumansHypoxiaNeuropeptide YReceptors, Neuropeptide YrhoA GTP-Binding ProteinNeuropeptide YReceptors, Neuropeptide YrhoA GTP-Binding ProteinRHOA protein, human

Identifiers

PMID35484119
PMCPMC9051212

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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.