Evidence map›Paper›PMID 36939950›Full record

ArticleCellular oncology (Dordrecht, Netherlands)2023

Dipyridamole enhances the anti-cancer ability of aspirin against colorectal cancer by inducing apoptosis in an unfolded protein response-dependent manner.

Shan Huang, Nai-Qi Zhang, Chun-Jie Xu, Wu-Qing Huang, Dong-Xue Li, Jun Li, Lin-Li Yao, Kristina Sundquist, Jan Sundquist, Shu-Heng Jiang and 5 more

Abstract read
In one paragraph

Article in Cellular oncology (Dordrecht, Netherlands), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. NRF2 as a ferroptosis gatekeeper in colorectal cancer: implications for therapy.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. 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

15 authors at 7 institutions in 3 countries.

Shan Huang *State Key Laboratory of Oncogenes and Related Genes, Ren Ji Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, P.R. China.
Nai-Qi Zhang *Center for Primary Health Care Research, Lund University/Region Skåne, Lund, Sweden.
Chun-Jie Xu *Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Wu-Qing Huang *School of Public Health, Fujian Medical University, Fuzhou City, P.R. China.
Dong-Xue LiState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Jun LiState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Lin-Li YaoState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Kristina SundquistCenter for Primary Health Care Research, Lund University/Region Skåne, Lund, Sweden.
Jan SundquistCenter for Primary Health Care Research, Lund University/Region Skåne, Lund, Sweden.
Shu-Heng JiangState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Xin XingShanghai Fengxian District Central Hospital, No. 6600, Nanfeng Road, Shanghai, 201499, China.
Li-Peng HuState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China. lphu@shsci.org.
Zhi-Gang ZhangState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China. zzhang@shsci.org.
Jianguang JiCenter for Primary Health Care Research, Lund University/Region Skåne, Lund, Sweden. Jianguang.ji@med.lu.se.
Xue-Li ZhangState Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China. xlzhang@shsci.org.
State Key Laboratory of Oncogene and Related Genes · CNLund University · SEShanghai Jiao Tong University · CNFujian Medical University · CNIcahn School of Medicine at Mount Sinai · USShanghai Cancer Institute · CNXian Central Hospital · CN

Funding

Innovative research team of high-level local universities in Shanghai SHSMU-ZDCX20210802Medicine and Engineering Interdisciplinary Research Fund of Shanghai Jiao Tong University YG2021ZD08Program of Shanghai Academic/Technology Research Leader 19XD1403400Shanghai Municipal Health Commission 202040092Shanghai Sailing Program 21YF1445200the National Natural Science Foundation of China 81902370the National Natural Science Foundation of China 82073023the National Natural Science Foundation of China 82103357the National Natural Science Foundation of China 92168111the National Natural Science Foundation of Shanghai 21ZR1461300the National Natural Science Foundation of Shanghai 22ZR1460000the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support 20181708the Swedish Research Council 2021-01187
6 · The paper itself

Abstract

purposeAvailable evidence indicates that dipyridamole enhances the anti-thrombotic effects of aspirin for the prevention of secondary strokes. Aspirin is a well-known non-steroid anti-inflammatory drug. This anti-inflammatory property has turned aspirin into a potential drug for inflammation-related cancers such as colorectal cancer (CRC). Here, we aimed to explore whether the anti-cancer effect of aspirin against CRC could be improved by combined administration with dipyridamole.

methodsPopulation-based clinical data analysis was conducted to assess a possible therapeutic effect of combined dipyridamole and aspirin treatment in inhibiting CRC compared with either monotherapy. This therapeutic effect was further verified in different CRC mouse models, i.e. an orthotopic xenograft mouse model, an AOM/DSS mouse model, an Apc

resultsWe found that dipyridamole combined with aspirin had a better inhibitory effect on CRC than either monotherapy alone. The enhanced anti-cancer effect of the combined use of dipyridamole with aspirin was found to rely on the induction of an overwhelmed endoplasmic reticulum (ER) stress and subsequent pro-apoptotic unfolded protein response (UPR), which was different from the anti-platelet effect.

conclusionsOur data indicate that the anti-cancer effect of aspirin against CRC may be enhanced by combined administration with dipyridamole. In case further clinical studies confirm our findings, these may be repurposed as adjuvant agents.

Indexed as

AspirinColorectal NeoplasmsAnimalsAnti-Inflammatory AgentsApoptosisDipyridamoleHumansMiceUnfolded Protein ResponseAnti-Inflammatory AgentsAspirinDipyridamoleAnti-cancer drugColorectal cancerDrug combinationER stressPro-apoptotic UPR

Identifiers

PMID36939950
PMCPMC12974625
OpenAlexW4327896727

What OpenQuestion holds

Textmetadata
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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.