Evidence map›Paper›PMID 36163032›Full record

ArticleJournal of experimental & clinical cancer research : CR2022

AADAC protects colorectal cancer liver colonization from ferroptosis through SLC7A11-dependent inhibition of lipid peroxidation.

Rongquan Sun, Zhifei Lin, Xiangyu Wang, Lu Liu, Meisi Huo, Rui Zhang, Jing Lin, Chao Xiao, Yitong Li, Wenwei Zhu and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 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 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
9.3field-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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Targeting ferroptosis to overcome drug resistance in gastrointestinal cancers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  17. NRF2 as a ferroptosis gatekeeper in colorectal cancer: implications for therapy.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Rongquan Sun *Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Zhifei Lin *Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Xiangyu Wang *Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Lu LiuDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Meisi HuoDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Rui ZhangDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Jing LinDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Chao XiaoDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Yitong LiDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Wenwei ZhuDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Lu LuDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China.
Jubo ZhangDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Jinhong ChenDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, No.12, Middle Urumqi Road, Shanghai, 200040, China. jinhongch@hotmail.com.ORCID http://orcid.org/0000-0003-0952-9990
Fudan University · CN

Funding

National Key Project for Infectious Diseases 2017ZX10203207
6 · The paper itself

Abstract

backgroundOxidative stress is a highly active metabolic process in the liver, that poses great threats to disseminated tumor cells during their colonization. Here, we aimed to investigate how colorectal cancer (CRC) cells overcome lipid peroxidation to sustain their metastatic colonization in the liver.

methodsOrthotopic colorectal liver metastasis (CRLM) and CRC liver colonization mouse models were constructed to determine the roles of lipid peroxidation and AADAC in CRC liver colonization. The levels of lipid peroxidation were detected in cells or tissues. AADAC overexpression in LMs and its clinical relevance were analyzed. The oncogenic role of AADAC in CRC liver colonization was evaluated in cell experiments.

resultsCompared with primary tumors (PTs), liver metastases (LMs) showed significantly lower glutathione to oxidized glutathione (GSH/GSSG) ratio and higher malondialdehyde (MDA) levels in CRLM patients and orthotopic mouse models. Inhibition of lipid peroxidation by liproxstatin-1 promoted CRC liver colonization in mouse models. RNA-seq results revealed AADAC as the most significantly upregulated lipid metabolism related gene in LMs compared with PTs. Analyses of datasets and patient and mouse model samples confirmed that AADAC was upregulated in LMs compared with PTs, and was correlated with poor prognosis. AADAC promoted cell proliferation, and facilitated liver colonization in a mouse model by reducing ROS accumulation, which led to lipid peroxidation and ferroptosis. Mechanistically, AADAC upregulated SLC7A11 by activating NRF2 to inhibit lipid peroxidation, thereby protecting metastatic cells from ferroptosis.

conclusionsAADAC protects metastatic CRC cells from ferroptosis by inhibiting lipid peroxidation in an SLC7A11-dependent manner, thus effectively promoting their metastatic colonization and growth in the liver. Together, our findings suggest that AADAC can act as a prognostic indicator and potential therapeutic target for CRLM.

Indexed as

Colorectal NeoplasmsFerroptosisLiver NeoplasmsAmino Acid Transport System y+AnimalsCarboxylic Ester HydrolasesGlutathioneGlutathione DisulfideLipid PeroxidationMalondialdehydeMiceNF-E2-Related Factor 2Reactive Oxygen SpeciesAadac protein, mouseAmino Acid Transport System y+Carboxylic Ester HydrolasesGlutathioneGlutathione DisulfideMalondialdehydeNF-E2-Related Factor 2Reactive Oxygen SpeciesSlc7a11 protein, mouseAADACColorectal cancerFerroptosisLiver colonizationSLC7A11

Identifiers

PMID36163032
PMCPMC9511737
OpenAlexW4297235846

What OpenQuestion holds

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LicenceCC BY
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.