Evidence map›Paper›PMID 39627202›Full record

ArticleNature communications2024

Loss of NUMB drives aggressive bladder cancer via a RHOA/ROCK/YAP signaling axis.

F A Tucci, R Pennisi, D C Rigiracciolo, M G Filippone, R Bonfanti, F Romeo, S Freddi, E Guerrera, C Soriani, S Rodighiero and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Translational cancer research · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

22 authors.

F A Tucci *European Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0001-6247-5392
R Pennisi *European Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0001-6542-7898
D C RigiraccioloEuropean Institute of Oncology IRCCS, Milan, Italy.
M G FilipponeEuropean Institute of Oncology IRCCS, Milan, Italy.
R BonfantiEuropean Institute of Oncology IRCCS, Milan, Italy.
F RomeoEuropean Institute of Oncology IRCCS, Milan, Italy.
S FreddiEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0003-4263-3060
E GuerreraEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0009-0004-7492-1563
C SorianiEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0003-4363-6597
S RodighieroEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0003-4236-7823
R H GunbyEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0002-4359-3884
G JodiceEuropean Institute of Oncology IRCCS, Milan, Italy.
F SanguedolceDepartment of Pathology, University of Foggia, Foggia, Italy.
G RenneEuropean Institute of Oncology IRCCS, Milan, Italy.
N FuscoEuropean Institute of Oncology IRCCS, Milan, Italy.
P P Di FioreEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0002-2252-0950
G PruneriSchool of Pathology, University of Milan, Milan, Italy.
G BertalotDepartment of Anatomy and Pathological Histology, APSS, Trento, Italy.
G MusiEuropean Institute of Oncology IRCCS, Milan, Italy.
G VagoSchool of Pathology, University of Milan, Milan, Italy.
D TosoniEuropean Institute of Oncology IRCCS, Milan, Italy. daniela.tosoni@ieo.it.ORCID 0000-0003-4443-1059
S PeceEuropean Institute of Oncology IRCCS, Milan, Italy. salvatore.pece@ieo.it.ORCID 0000-0003-1764-3929

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) IG 23049Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) IG 23060Ministero della Salute (Ministry of Health, Italy) 5x1000 fundsMinistero della Salute (Ministry of Health, Italy) RF-2016-02361540Ministero della Salute (Ministry of Health, Italy) RF-2021-12373957Ministero della Salute (Ministry of Health, Italy) Ricerca CorrenteMinistero dell'Istruzione, dell'Università e della Ricerca (Ministry of Education, University and Research) MIUR-PRIN2017Ministero dell'Istruzione, dell'Università e della Ricerca (Ministry of Education, University and Research) MIUR/PRIN2020
6 · The paper itself

Abstract

Advances in bladder cancer (BCa) treatment have been hampered by the lack of predictive biomarkers and targeted therapies. Here, we demonstrate that loss of the tumor suppressor NUMB promotes aggressive bladder tumorigenesis and worsens disease outcomes. Retrospective cohort studies show that NUMB-loss correlates with poor prognosis in post-cystectomy muscle-invasive BCa patients and increased risk of muscle invasion progression in non-muscle invasive BCa patients. In mouse models, targeted Numb ablation induces spontaneous tumorigenesis and sensitizes the urothelium to carcinogenic insults, accelerating tumor onset and progression. Integrative transcriptomic and functional analyses in mouse and human BCa models reveal that upregulation of YAP transcriptional activity via a RHOA/ROCK-dependent pathway is a hallmark of NUMB-deficient BCa. Pharmacological or genetic inhibition of this molecular pathway selectively inhibits proliferation and invasion of NUMB-deficient BCa cells in 3D-Matrigel organoids. Thus, NUMB-loss could serve as a biomarker for identifying high-risk patients who may benefit from targeted anti-RHOA/ROCK/YAP therapies.

Indexed as

Membrane ProteinsNerve Tissue ProteinsrhoA GTP-Binding Proteinrho-Associated KinasesSignal TransductionTranscription FactorsUrinary Bladder NeoplasmsAdaptor Proteins, Signal TransducingAnimalsCarcinogenesisCell Cycle ProteinsCell Line, TumorCell ProliferationFemaleGene Expression Regulation, NeoplasticHumansAdaptor Proteins, Signal TransducingCell Cycle ProteinsMembrane ProteinsNerve Tissue ProteinsNUMB protein, humanNumb protein, mouserhoA GTP-Binding ProteinRHOA protein, humanrho-Associated KinasesTranscription FactorsYAP-Signaling Proteins

Identifiers

PMID39627202
PMCPMC11615365

What OpenQuestion holds

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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.