Evidence map›Paper›PMID 36310172›Full record

ArticleJournal of biomedical science2022

Dysregulation of SOX17/NRF2 axis confers chemoradiotherapy resistance and emerges as a novel therapeutic target in esophageal squamous cell carcinoma.

Chih-Hsiung Hsieh, Wen-Hui Kuan, Wei-Lun Chang, I-Ying Kuo, Hsun Liu, Dar-Bin Shieh, Hsuan Liu, Bertrand Tan, Yi-Ching Wang

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  6. EZH2 promotes malignant biological behavior in esophageal squamous cell carcinoma via EMT.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  7. Review
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  10. Exosomes in esophageal cancer: function and therapeutic prospects.Medical oncology (Northwood, London, England) · 2024
    Review
  11. Article
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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

9 authors at 4 institutions in 1 country.

Chih-Hsiung HsiehDepartment of Pharmacology, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
Wen-Hui KuanDepartment of Pharmacology, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
Wei-Lun ChangDepartment of Internal Medicine, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 70101, Taiwan.
I-Ying KuoDepartment of Pharmacology, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
Hsun LiuDepartment of Pharmacology, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
Dar-Bin ShiehInstitute of Oral Medicine, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
Hsuan LiuDepartment of Biochemistry, Chang Gung University, Taoyuan, 33302, Taiwan.
Bertrand TanDepartment of Biochemistry, Chang Gung University, Taoyuan, 33302, Taiwan.
Yi-Ching WangDepartment of Pharmacology, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan. ycw5798@mail.ncku.edu.tw.ORCID http://orcid.org/0000-0002-7694-2067
National Cheng Kung University · TWChang Gung University · TWKaohsiung Medical University · TWNational Cheng Kung University Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST 110-2320-B-006-063National Health Research Institutes NHRI-EX109-10726BI
6 · The paper itself

Abstract

backgroundEsophageal squamous cell carcinoma (ESCC) is the sixth leading cause of cancer-associated death worldwide with a dismal overall 5-year survival rate of less than 20%. The standard first-line therapy for advanced ESCC is concomitant chemo-radiation therapy (CCRT); however, patients usually develop resistance, resulting in unfavorable outcomes. Therefore, it is urgent to identify the mechanisms underlying CCRT resistance and develop effective treatment strategies.

methodsPatients' endoscopic biopsy tumor tissues obtained before CCRT treatment were used to perform RNA-seq and GSEA analysis. Immunohistochemical (IHC) staining, chromatin immunoprecipitation (ChIP), and promoter reporter analyses were conducted to investigate the relationship between SOX17 and NRF2. Xenograft mouse models were used to study the role of SOX17/NRF2 axis in tumor growth and the efficacy of carboxymethyl cellulose-coated zero-valent-iron (ZVI@CMC).

resultsIn this study, a notable gene expression signature associated with NRF2 activation was observed in the poor CCRT responders. Further, IHC staining of endoscopic biopsy of 164 ESCC patients revealed an inverse correlation between NRF2 and SOX17, a tumor-suppressive transcription factor with low expression in ESCC due to promoter hypermethylation. Using ChIP and promoter reporter analyses, we demonstrated that SOX17 was a novel upstream transcriptional suppressor of NRF2. In particular, SOX17

conclusionThis study identifies a novel SOX17

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaAnimalsCell Line, TumorChemoradiotherapyGene Expression Regulation, NeoplasticHMGB ProteinsHumansMiceNF-E2-Related Factor 2PrognosisPromoter Regions, GeneticSOXF Transcription FactorsHMGB ProteinsNFE2L2 protein, humanNfe2l2 protein, mouseNF-E2-Related Factor 2SOX17 protein, humanSox17 protein, mouseSOXF Transcription FactorsAnd esophageal squamous cell carcinomaChemoradiotherapy resistanceDNA methyltransferasesNRF2SOX17

Identifiers

PMID36310172
PMCPMC9618214
OpenAlexW4307951262

What OpenQuestion holds

Textmetadata
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.