Evidence map›Paper›PMID 37231196›Full record

ArticleNature aging2023

Senescence-induced immune remodeling facilitates metastatic adrenal cancer in a sex-dimorphic manner.

Kate M Warde, Lorenzo J Smith, Lihua Liu, Chris J Stubben, Brian K Lohman, Parker W Willett, Julia L Ammer, Guadalupe Castaneda-Hernandez, Sikiru O Imodoye, Chenge Zhang and 9 more

Open access · greenAbstract read
In one paragraph

Article in Nature aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
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  13. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
  14. Article
  15. Adrenocortical stem cells in health and disease.Nature reviews. Endocrinology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Sexual dimorphism in benign adrenocortical tumours.European journal of endocrinology · 2025
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 2 countries.

Kate M WardeDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-6147-294X
Lorenzo J SmithDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-7931-6072
Lihua LiuDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Chris J StubbenBioinformatics Shared Resource, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Brian K LohmanBioinformatics Shared Resource, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Parker W WillettDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Julia L AmmerDepartment of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI, USA.
Guadalupe Castaneda-HernandezDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Sikiru O ImodoyeDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-7295-4338
Chenge ZhangDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Kara D JonesDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Kimber Converso-BaranFrankel Cardiovascular Center Physiology and Phenotyping Core, University of Michigan, Ann Arbor, MI, USA.
H Atakan EkizDepartment of Molecular Biology and Genetics, Izmir Institute of Technology, Urla Izmir, Turkey.
Marc BarryDepartment of Pathology, University of Utah, Salt Lake City, UT, USA.
Michael R ClayDepartment of Pathology, University of Colorado School of Medicine at Colorado Anschutz Medical Campus, Aurora, CO, USA.
Katja Kiseljak-VassiliadesDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado School of Medicine at Colorado Anschutz Medical Campus, Aurora, CO, USA.
Thomas J GiordanoDepartment of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI, USA.
Gary D HammerDepartment of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-6843-3628
Kaitlin J BashamDepartment of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA. kaitlin.basham@hci.utah.edu.ORCID 0000-0001-6607-8167
University of Utah · USUniversity of Michigan · USUniversity of Colorado Anschutz Medical Campus · USIzmir Institute of Technology · TRMichigan Medicine · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Identifying and Characterizing Therapeutic Targets in Adrenal CancerK08CA222620 · NCI · UNIVERSITY OF COLORADO DENVER · PI KISELJAKVASSILIADES, KATJA · 2018 to 2022
$1.0M
Huntsman Cancer Institute (HCI) Cancer Genetics, Epigenetics, Models, and Signaling (Cancer GEMS) Training ProgramT32CA265782 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Donald E Ayer, Sheri L Holmen · 2023 to 2026
$1.0M
Amnis ImageStreamX MarkII Imaging Flow CytometerS10OD026959 · OD · UNIVERSITY OF UTAH · PI MARVIN, JAMES E · 2020 to 2020
$517k
BLRD VA I01 BX004665NCI NIH HHS K08 CA222620NCI NIH HHS P30 CA042014NCI NIH HHS T32 CA265782NIH HHS S10 OD026959
6 · The paper itself

Abstract

Aging markedly increases cancer risk, yet our mechanistic understanding of how aging influences cancer initiation is limited. Here we demonstrate that the loss of ZNRF3, an inhibitor of Wnt signaling that is frequently mutated in adrenocortical carcinoma, leads to the induction of cellular senescence that remodels the tissue microenvironment and ultimately permits metastatic adrenal cancer in old animals. The effects are sexually dimorphic, with males exhibiting earlier senescence activation and a greater innate immune response, driven in part by androgens, resulting in high myeloid cell accumulation and lower incidence of malignancy. Conversely, females present a dampened immune response and increased susceptibility to metastatic cancer. Senescence-recruited myeloid cells become depleted as tumors progress, which is recapitulated in patients in whom a low myeloid signature is associated with worse outcomes. Our study uncovers a role for myeloid cells in restraining adrenal cancer with substantial prognostic value and provides a model for interrogating pleiotropic effects of cellular senescence in cancer.

Indexed as

Adrenal Cortex NeoplasmsAdrenocortical CarcinomaAgingAnimalsCellular SenescenceFemaleMaleSignal TransductionTumor Microenvironment

Identifiers

PMID37231196
PMCPMC11534150
OpenAlexW4378211932

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.