Evidence map›Paper›PMID 35941043›Full record

ReviewCytokine & growth factor reviews2022

The NOTCH4-GATA4-IRG1 axis as a novel target in early-onset colorectal cancer.

Katharina M Scheurlen, Julia H Chariker, Ziad Kanaan, Andrew B Littlefield, Joan B George, Caden Seraphine, Andre Rochet, Eric C Rouchka, Susan Galandiuk

Open access · hybridAbstract readReview
In one paragraph

Review in Cytokine & growth factor reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Role of itaconate in intestinal disease (Review).International journal of molecular medicine · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Reprogramming immunity with itaconate: metabolic mechanisms and therapeutic perspectives.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  11. Whole transcriptome analysis identifiesCancer pathogenesis and therapy · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. The role and therapeutic potential of itaconate in lung disease.Cellular & molecular biology letters · 2024
    Review
  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

9 authors at 3 institutions in 1 country.

Katharina M ScheurlenDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA.
Julia H CharikerKentucky IDeA Networks of Biomedical Research Excellence (KY INBRE), Bioinformatics Core, University of Louisville, Louisville, KY, USA.
Ziad KanaanGastroenterology, Rochester, MI, John D. Dingell VAMC, Department of Medicine, Division of Gastroenterology, Wayne State University, MI, USA.
Andrew B LittlefieldDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA.
Joan B GeorgeDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA.
Caden SeraphineDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA.
Andre RochetDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA.
Eric C RouchkaKentucky IDeA Networks of Biomedical Research Excellence (KY INBRE), Bioinformatics Core, University of Louisville, Louisville, KY, USA.
Susan GalandiukDigestive Surgery Research Laboratory, Price Institute of Surgical Research, Department of Surgery, University of Louisville, Louisville, KY, USA. Electronic address: susan.galandiuk@louisville.edu.
University of Louisville · USRice Institute · USWayne State University · US

Funding

WKU Lead Faculty AwardP20GM103436 · NIGMS · UNIVERSITY OF LOUISVILLE · PI ERIC C ROUCHKA · 2012 to 2026
$60.1M
University of Louisville Cancer Education ProgramR25CA134283 · NCI · UNIVERSITY OF LOUISVILLE · PI HEIN, DAVID W, KIDD, LA CREIS RENEE · 2011 to 2022
$3.1M
NCI NIH HHS R25 CA134283NIGMS NIH HHS P20 GM103436
6 · The paper itself

Abstract

The early onset of colorectal cancer (CRC) in individuals younger than 50 years is an emerging phenomenon, and obesity is a strong risk factor. Inflammatory mechanisms are mediated by immune cells, with macrophages and their phenotypical changes playing a significant role in CRC. Obesity-related hormones, such as leptin and adiponectin, affect macrophage polarization and cytokine expression. Macrophage metabolism, and therefore polarization, directly affects tumor progression and survival in patients with CRC. Altered obesity-related hormone levels induce phosphoinositide kinase-3 (PI3K)/serine-threonine-protein kinase (AKT) activation in colon cancer, causing increased cell survival, hyperplasia, and proliferation. Investigating the effects of obesity-related mechanisms on PI3K/Akt signaling can provide new insights for targeting mechanisms in CRC and obesity among the young. Central molecules for the control of cell proliferation, differentiation, and tumorigenesis within the gastrointestinal tract include downstream targets of the PI3K/AKT pathway, such as Neurogenic locus notch homolog 4 (Notch4) and GATA binding proteins (GATA). Leptin and adiponectin both alter gene expression within this pathway, thereby affecting TAM-mediated CRC progression. Our goal is to introduce the NOTCH4-GATA4-IRG1 axis as a link between inflammation and sporadic CRC and to discuss this pathway as a new potential immunotherapeutic target in individuals affected with obesity and early-onset CRC.

Indexed as

Colorectal NeoplasmsLeptinAdiponectinAge of OnsetCarboxy-LyasesCell Line, TumorCell ProliferationGATA4 Transcription FactorGene Expression Regulation, NeoplasticHumansObesityPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktReceptor, Notch4ACOD1 protein, humanAdiponectinCarboxy-LyasesGATA4 protein, humanGATA4 Transcription FactorLeptinNOTCH4 protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktReceptor, Notch4AdiposityColonic neoplasmsColorectal neoplasmsEarly-onset colorectal cancerObesityTumor-associated macrophages

Identifiers

PMID35941043
PMCPMC12278326
OpenAlexW4283753819

What OpenQuestion holds

Textmetadata
LicenceTDM
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.