Evidence map›Paper›PMID 37786278›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2023

ELK4 Promotes Colorectal Cancer Progression by Activating the Neoangiogenic Factor LRG1 in a Noncanonical SP1/3-Dependent Manner.

Zhehui Zhu, Yuegui Guo, Yun Liu, Rui Ding, Zhenyu Huang, Wei Yu, Long Cui, Peng Du, Ajay Goel, Chen-Ying Liu

Open access · goldAbstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. The critical role of LRG1 in pathological fibrosis.Journal of molecular medicine (Berlin, Germany) · 2025
    Review
  6. Gut-derivedmSystems · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Frontiers in genetics · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. 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

10 authors at 3 institutions in 2 countries.

Zhehui ZhuDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Yuegui GuoDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Yun LiuDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Rui DingDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Zhenyu HuangDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Wei YuDepartment of General Surgery, State Key Laboratory of Genetic Engineering, School of Life Sciences, Zhongshan Hospital, Fudan University, Shanghai, 200438, China.
Long CuiDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Peng DuDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Ajay GoelCenter for Gastrointestinal Research, Baylor Scott & White Research Institute and Charles A. Sammons Cancer Center, Baylor University Medical Center, Department of Molecular Diagnostics and Experimental Therapeutics, Beckman Research Institute of City of Hope Comprehensive Cancer Center, Duarte, CA, 91010, USA.
Chen-Ying LiuDepartment of Colorectal and Anal Surgery, Shanghai Colorectal Cancer Research Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.ORCID 0000-0002-8930-6182
Shanghai Jiao Tong University · CNBaylor University Medical Center · USFudan University · CN

Funding

China Postdoctoral Science Funded project 2023M730679Innovative Research Team of High-Level Local Universities in Shanghai SSMU-ZDCX20181202National Key R&D Program of China 2019YFC1316002National Natural Science Foundation of China 81873547National Natural Science Foundation of China 81874177National Natural Science Foundation of China 81974060National Natural Science Foundation of China 82073056National Natural Science Foundation of China 82073201Shanghai Sailing Program 23YF1406200
6 · The paper itself

Abstract

Although the MAPK/MEK/ERK pathway is prevalently activated in colorectal cancer (CRC), MEK/ERK inhibitors show limited efficiency in clinic. As a downstream target of MAPK, ELK4 is thought to work primarily by forming a complex with SRF. Whether ELK4 can serve as a potential therapeutic target is unclear and the transcriptional regulatory mechanism has not been systemically analyzed. Here, it is shown that ELK4 promotes CRC tumorigenesis. Integrated genomics- and proteomics-based approaches identified SP1 and SP3, instead of SRF, as cooperative functional partners of ELK4 at genome-wide level in CRC. Serum-induced phosphorylation of ELK4 by MAPKs facilitated its interaction with SP1/SP3. The pathological neoangiogenic factor LRG1 is identified as a direct target of the ELK4-SP1/SP3 complex. Furthermore, targeting the ELK4-SP1/SP3 complex by combination treatment with MEK/ERK inhibitor and the relatively specific SP1 inhibitor mithramycin A (MMA) elicited a synergistic antitumor effect on CRC. Clinically, ELK4 is a marker of poor prognosis in CRC. A 9-gene prognostic model based on the ELK4-SP1/3 complex-regulated gene set showed robust prognostic accuracy. The results demonstrate that ELK4 cooperates with SP1 and SP3 to transcriptionally regulate LRG1 to promote CRC tumorigenesis in an SRF-independent manner, identifying the ELK4-SP1/SP3 complex as a potential target for rational combination therapy.

Indexed as

Colorectal NeoplasmsGene Expression RegulationCarcinogenesisets-Domain Protein Elk-4GlycoproteinsHumansMitogen-Activated Protein Kinase KinasesPromoter Regions, GeneticELK4 protein, humanets-Domain Protein Elk-4GlycoproteinsLRG1 protein, humanMitogen-Activated Protein Kinase Kinasescolorectal cancerELK4LRG1SP1SP3

Identifiers

PMID37786278
PMCPMC10646254
OpenAlexW4387296236

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.