Evidence map›Paper›PMID 37891619›Full record

ArticleBMC complementary medicine and therapies2023

Afzelin induces immunogenic cell death against lung cancer by targeting NQO2.

Lei Xia, Xiaoqing Xu, Meijun Li, Xinyue Zhang, Fang Cao

Open access · goldAbstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Degraded sulfated galactan derived fromMolecular medicine reports · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Advancing the Potential ofMolecules (Basel, Switzerland) · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Endoplasmic reticulum stress in non-small cell lung cancer.American journal of cancer research · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. 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

5 authors at 3 institutions in 1 country.

Lei XiaDepartment of Medical Oncology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No. 16369, Jingshi Road, Jinan, Shandong, 250000, China.
Xiaoqing XuThe First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, 250355, Shandong, China.
Meijun LiDepartment of Traditional Chinese Medicine, Zibo Central Hospital, Zibo, 255036, Shandong, China.
Xinyue ZhangThe First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, 250355, Shandong, China.
Fang CaoDepartment of Medical Oncology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No. 16369, Jingshi Road, Jinan, Shandong, 250000, China. 71000763@sdutcm.edu.cn.
Shandong University of Traditional Chinese Medicine · CNAffiliated Hospital of Shandong University of Traditional Chinese Medicine · CNCentral Hospital of Zibo · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer is one of the most common malignant cancers worldwide. Previous studies have shown that Afzelin, a flavonoid, possesses anticancer activity. The aim of this study was to explore Afzelin's effect on lung cancer cells and delineate potential anti-cancer mechanism.

methodsThe effect of Afzelin on cell viability, proliferation, and apoptosis of lung cancer cells i.e., A549 and H1299 cells, was studied. The targets for Afzelin in lung cancer were predicted using SwissTargetPrediction, Next, the GO analysis and pathway enrichment were analyzed using String. For in vitro studies, the overexpression plasmid of NQO2, the identified target of Afzelin, was transfected into Afzelin-treated cells to verify the regulatory role of Afzelin on its target and signaling pathway.

resultsIn in vitro studies, Afzelin markedly inhibited cell viability, proliferation, and raised apoptotic rate of A549 and H1299 cells. In addition, Afzelin activated endoplasmic reticulum (ER) stress and increased ATP, HMGB1, and CRT levels in lung cancer cells, indicating that Afzelin induced immunogenic cell death (ICD). SwissTargetPrediction identified NQO2 as a target of Afzelin. Further, Afzelin markedly inhibited NQO2 protein expression and in turn, overexpression of NQO2 attenuated the effect of Afzelin on A549 and H1299 cells.

conclusionAfzelin inhibits lung cancer progression by targeting NQO2, in turn, activating ER stress and inducing ICD.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHumansImmunogenic Cell DeathMannosidesProanthocyanidinsQuinone ReductasesafzelinMannosidesNRH - quinone oxidoreductase2ProanthocyanidinsQuinone ReductasesAfzelinEndoplasmic reticulum stressImmunogenic cell deathLung cancerNQO2

Identifiers

PMID37891619
PMCPMC10605937
OpenAlexW4387973441

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.