Evidence map›Paper›PMID 36922872›Full record

ArticleJournal of experimental & clinical cancer research : CR2023

CircFOXK2 promotes hepatocellular carcinoma progression and leads to a poor clinical prognosis via regulating the Warburg effect.

Jun Zheng, Xijing Yan, Tongyu Lu, Wen Song, Yang Li, Jinliang Liang, Jiebin Zhang, Jianye Cai, Xin Sui, Jiaqi Xiao and 7 more

Open access · goldFull text read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Genes & diseases · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. The significance of m6A-circFOXK2 in CD4Journal of translational autoimmunity · 2025
    Article
  7. Mitochondrial metabolism and cancer therapeutic innovation.Signal transduction and targeted therapy · 2025
    Review
  8. Article
  9. Real-Time Visualization of Endogenous HChemical & biomedical imaging · 2025
    Article
  10. Coding circular RNA in human cancer.Genes & diseases · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Multimodal cell-cell communication driving CD8Frontiers in immunology · 2025
    Review
  18. Article
  19. Review
  20. Review
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

17 authors at 6 institutions in 1 country.

Jun Zheng *Department of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Xijing Yan *Department of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Tongyu Lu *Department of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Wen Song *Department of Anesthesiology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, 510120, China.
Yang LiDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Jinliang LiangGuangdong Key Laboratory of Liver Disease Research, Key Laboratory of Liver Disease Biotherapy and Translational Medicine of Guangdong Higher Education Institutes, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, China.
Jiebin ZhangDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Jianye CaiDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Xin SuiSurgical ICU of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, China.
Jiaqi XiaoDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Haitian ChenDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Guihua ChenDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China.
Qi ZhangDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China. kee_kee@126.com.
Yubin LiuDepartment of General Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. liuyubin@gdph.org.cn.
Yang YangDepartment of Hepatic Surgery and Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-Sen University, Organ Transplantation Research Center of Guangdong Province, Guangdong Province Engineering Laboratory for Transplantation Medicine, Guangzhou, 510630, China. yysysu@163.com.
Kanghong ZhengDepartment of General Surgery of Guangdong Tongjiang Hospital, Foshan, 528300, China. zhengkh1959@163.com.
Zihao PanDepartment of General Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. panzihao@gdph.org.cn.
Third Affiliated Hospital of Sun Yat-sen University · CNSun Yat-sen University · CNFoshan Hospital of TCM · CNGuangdong Academy of Medical Sciences · CNGuangdong General Hospital · CNSun Yat-sen Memorial Hospital · CN

Funding

Guangdong Basic and Applied Basic Research Foundation 2020A1515110687Guangdong Basic and Applied Basic Research Foundation 2021A1515111058Guangdong Key Laboratory of Liver Disease Research 2020B1212060019Guangzhou Basic and Applied Basic Research Foundation 202102020237Major talent project cultivation plan project P02093Major talent project cultivation plan project P02095Medical Scientific Research Foundation of Guangdong Province A2020120National 13th Five-Year Science and Technology Plan Major Projects of China 2017ZX10203205National Bioengineering Research Center Cultivation Platform WW201905National Key Laboratory of Liver Disease Research WW201701National key research and development program 2017YFA0104304National Natural Science Foundation of China 81770648National Natural Science Foundation of China 81802897National Natural Science Foundation of China 81900597National Natural Science Foundation of China 81970567National Natural Science Foundation of China 81972286National Natural Science Foundation of China 82073171National Natural Science Foundation of China 82100693National Natural Science Foundation of China 82170631Natural Science Foundation of China 81901943Natural Science Foundation of Guangdong Province 2019A1515011698Natural Science Foundation of Guangdong Province 2021A1515010571Natural Science Foundation of Guangdong Province 2021A1515011156Natural Science Foundation of Guangdong Province 2021A1515012136Science and Technology Program of Guangdong Province 2019B020236003Science and Technology Program of Guangzhou City 201803040005
6 · The paper itself

Abstract

backgroundThe Warburg effect is well-established to be essential for tumor progression and accounts for the poor clinical outcomes of hepatocellular carcinoma (HCC) patients. An increasing body of literature suggests that circular RNAs (circRNAs) are important regulators for HCC. However, few circRNAs involved in the Warburg effect of HCC have hitherto been investigated. Herein, we aimed to explore the contribution of circFOXK2 to glucose metabolism reprogramming in HCC.

methodsIn the present study, different primers were designed to identify 14 circRNAs originating from the FOXK2 gene, and their differential expression between HCC and adjacent liver tissues was screened. Ultimately, circFOXK2 (hsa_circ_0000817) was selected for further research. Next, the clinical significance of circFOXK2 was evaluated. We then assessed the pro-oncogenic activity of circFOXK2 and its impact on the Warburg effect in both HCC cell lines and animal xenografts. Finally, the molecular mechanisms of how circFOXK2 regulates the Warburg effect of HCC were explored.

resultsCircFOXK2 was aberrantly upregulated in HCC tissues and positively correlated with poor clinical outcomes in patients that underwent radical hepatectomy. Silencing of circFOXK2 significantly suppressed HCC progression both in vitro and in vivo. Mechanistically, circFOXK2 upregulated the expression of protein FOXK2-142aa to promote LDHA phosphorylation and led to mitochondrial fission by regulating the miR-484/Fis1 pathway, ultimately activating the Warburg effect in HCC.

conclusionsCircFOXK2 is a prognostic biomarker of HCC that promotes the Warburg effect by promoting the expression of proteins and miRNA sponges that lead to tumor progression. Overall, circFOXK2 has huge prospects as a potential therapeutic target for patients with HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsMicroRNAsRNA, CircularAnimalsCell Line, TumorCell ProliferationForkhead Transcription FactorsGene Expression Regulation, NeoplasticHumansPrognosisForkhead Transcription Factorsinterleukin binding factorMicroRNAsRNA, CircularCircular RNAEncoding capacityHepatocellular carcinomamiRNA spongeThe Warburg effect

Identifiers

PMID36922872
PMCPMC10018916
OpenAlexW4324385805

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