Evidence map›Paper›PMID 39244734›Full record

ArticleInternational journal of cancer2025

FHL2 expression by cancer-associated fibroblasts promotes metastasis and angiogenesis in lung adenocarcinoma.

Ryu Kanzaki, Steven Reid, Paulina Bolivar, Jonas Sjölund, Johan Staaf, Sara Larsson, Yasushi Shintani, Kristian Pietras

Erratum issuedAbstract read
In one paragraph

Article in International journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Correction to "FHLInternational journal of cancer · 2026
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  8. Targeting CAF-specific metabolic pathways in breast cancer.Naunyn-Schmiedeberg's archives of pharmacology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ryu KanzakiDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.ORCID 0000-0002-6492-4021
Steven ReidDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.
Paulina BolivarDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.
Jonas SjölundDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.ORCID 0000-0002-6992-3415
Johan StaafDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.ORCID 0000-0001-5254-5115
Sara LarssonDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.
Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Kristian PietrasDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University Cancer Centre, Lund University, Lund, Sweden.

Funding

Cancerfonden 19 0098 PTCancerfonden 21 1808 PjFru Berta Kamprads StiftelseGöran Gustafssons Stiftelse för Naturvetenskaplig och Medicinsk ForskningJapan Society for the Promotion of Science 19H03745Japan Society for the Promotion of Science 23K15554Mats Paulsson StiftelseSjöbergstiftelsenStiftelsen CanceraVetenskapsrådet 2018-03086
6 · The paper itself

Abstract

Cancer-associated fibroblasts (CAFs) contribute to the progression of lung cancer. Four and a half LIM domain protein-2 (FHL2) is a component of focal adhesion structures. We analyzed the function of FHL2 expressed by CAFs in lung adenocarcinoma. Expression of FHL2 in fibroblast subtypes was investigated using database of single-cell RNA-sequencing of lung cancer tissue. The role of FHL2 in the proliferation and migration of CAFs was assessed. The effects of FHL2 knockout on the migration and invasion of human lung adenocarcinoma cells and tube formation of endothelial cells induced by CAF-conditioned medium (CM) were evaluated. The effect of FHL2 knockout in CAFs on metastasis was determined using a murine orthotopic lung cancer model. The prognostic significance of stromal FHL2 was assessed by immunohistochemistry in human adenocarcinoma specimens. FHL2 is highly expressed in myofibroblasts in cancer tissue. TGF-β1 upregulated FHL2 expression in CAFs and FHL2 knockdown attenuated CAF proliferation. FHL2 knockout reduced CAF induced migration of A110L and H23 human lung adenocarcinoma cell lines, and the induction of tube formation of endothelial cells. FHL2 knockout reduced CAF-induced metastasis of lung adenocarcinomas in an orthotopic model in vivo. The concentration of Osteopontin (OPN) in CM from CAF was downregulated by FHL2 knockout. siRNA silencing and antibody blocking of OPN reduced the pro-migratory effect of CM from CAF on lung cancer cells. In resected lung adenocarcinoma specimens, positive stromal FHL2 expression was significantly associated with higher microvascular density and worse prognosis. In conclusion, FHL2 expression by CAFs enhances the progression of lung adenocarcinoma by promoting angiogenesis and metastasis.

Indexed as

Adenocarcinoma of LungCancer-Associated FibroblastsCell MovementCell ProliferationLIM-Homeodomain ProteinsLung NeoplasmsMuscle ProteinsNeovascularization, PathologicTranscription FactorsAdenocarcinomaAngiogenesisAnimalsCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansFHL2 protein, humanLIM-Homeodomain ProteinsMuscle ProteinsTranscription Factorscancer‐associated fibroblastFHL2lung adenocarcinomatumor microenvironment

Identifiers

PMID39244734
PMCPMC11578086

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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.