Evidence map›Paper›PMID 35545835›Full record

ArticleCancer medicine2022

Ursolic acid silences CYP19A1/aromatase to suppress gastric cancer growth.

Wen-Lung Ma, Ning Chang, Yingchun Yu, Yu-Ting Su, Guan-Yu Chen, Wei-Chung Cheng, Yang-Chang Wu, Ching-Chia Li, Wei-Chun Chang, Juan-Cheng Yang

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 33 citations in OpenAlex.

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  5. Molecules (Basel, Switzerland) · 2025
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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

10 authors at 3 institutions in 1 country.

Wen-Lung MaGraduate Institute of Biomedical Sciences, Center for Tumor Biology, Department of Pharmacology, Chinese Medicine Research Center, Drug Development Center, and Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, School of Medicine, China Medical University, Taichung, Taiwan.ORCID 0000-0002-5571-3302
Ning ChangDepartment of Medical Research, Chinese Medicine Research and Development Center, and Department of Obstetrics & Gynecology, China Medical University Hospital, Taichung, Taiwan.
Yingchun YuDepartment of Medical Research, Chinese Medicine Research and Development Center, and Department of Obstetrics & Gynecology, China Medical University Hospital, Taichung, Taiwan.
Yu-Ting SuGraduate Institute of Biomedical Sciences, Center for Tumor Biology, Department of Pharmacology, Chinese Medicine Research Center, Drug Development Center, and Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, School of Medicine, China Medical University, Taichung, Taiwan.
Guan-Yu ChenDepartment of Medical Research, Chinese Medicine Research and Development Center, and Department of Obstetrics & Gynecology, China Medical University Hospital, Taichung, Taiwan.ORCID 0000-0002-2773-8748
Wei-Chung ChengDepartment of Medical Research, Chinese Medicine Research and Development Center, and Department of Obstetrics & Gynecology, China Medical University Hospital, Taichung, Taiwan.
Yang-Chang WuGraduate Institute of Biomedical Sciences, Center for Tumor Biology, Department of Pharmacology, Chinese Medicine Research Center, Drug Development Center, and Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, School of Medicine, China Medical University, Taichung, Taiwan.
Ching-Chia LiGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Wei-Chun ChangDepartment of Medical Research, Chinese Medicine Research and Development Center, and Department of Obstetrics & Gynecology, China Medical University Hospital, Taichung, Taiwan.
Juan-Cheng YangGraduate Institute of Biomedical Sciences, Center for Tumor Biology, Department of Pharmacology, Chinese Medicine Research Center, Drug Development Center, and Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, School of Medicine, China Medical University, Taichung, Taiwan.
China Medical University · TWAsia University · TWKaohsiung Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGastric cancer (GCa) is a malignancy with few effective treatments. Ursolic acid (UA), a bioactive triterpenoid enriched in Hedyotis diffusa Willd, known to suppress GCa without identified target. CYP19A1 (cytochrome P450 family 19A1; also known as aromatase, Ar) was correlated to GCa prognosis. Relatedly, Ar silencers, which halt the expression of Ar exhibited anti-GCa effects in experimental models, are currently being investigated.

methodThe docking simulation score of UA was compared with Ar inhibitors, e.g., letrozole, exemestane, in Ar protein crystallization. Hedyotis diffusa Willd ethanol extract, UA, or 5-fluracil were applied onto AGS, SC-M1, MKN45 GCa cells for cancer inhibition tests. Immunoblot for measuring gene expressions upon drug treatments, or gene knockdown/overexpression. Treatments were also applied in a MKN45 implantation tumor model. A web-based GCa cohort for Ar expression association with prognosis was performed.

resultThe ethanol extracts of Hedyotis diffusa Willd, enrich with UA, exhibited cytotoxic activity against GCa cells. Molecular docking simulations with the 3D Ar structure revealed an excellent fitting score for UA. UA increase cytotoxic, and suppressed colony, in addition to its Ar silencing capacity. Moreover, UA synergistically facilitated 5-FU, (a standard GCa treatment) regimen in vitro. Consistent with those results, adding estradiol did not reverse the cancer-suppressing effects of UA, which confirmed UA acts as an Ar silencer. Furthermore, UA exhibited tumor-suppressing index (TSI) score of 90% over a 6-week treatment term when used for single dosing in xenograft tumor model. In the clinical setting, Ar expression was found to be higher in GCa tumors than normal parental tissue from the TCGA (The Cancer Genome Atlas) cohort, while high Ar expression associated with poor prognosis. Together, the results indicate UA could be used to treat GCa by silencing Ar expression in GCa. Hedyotis diffusa Willd ethanol extract could be an functional food supplements.

Indexed as

Antineoplastic AgentsAromataseHedyotisStomach NeoplasmsTriterpenesAnimalsEthanolFluorouracilHumansMolecular Docking SimulationPlant ExtractsUrsolic AcidAntineoplastic AgentsAromataseCYP19A1 protein, humanEthanolFluorouracilPlant ExtractsTriterpenesUrsolic AcidAr silencerCYP19A1/aromatasegastric cancerHedyotis diffusa Willdursolic acid

Identifiers

PMID35545835
PMCPMC9302273
OpenAlexW4280615415

What OpenQuestion holds

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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.