Evidence map›Paper›PMID 39658701›Full record

ArticleCell death and differentiation2025

Spermine synthase engages in macrophages M2 polarization to sabotage antitumor immunity in hepatocellular carcinoma.

Yining Sun, Peitao Zhou, Junying Qian, Qin Zeng, Guangyan Wei, Yongsheng Li, Yuechen Liu, Yingjie Lai, Yizhi Zhan, Dehua Wu and 1 more

Abstract read
In one paragraph

Article in Cell death and differentiation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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  16. Article
  17. Ubiquitination in hepatocellular carcinoma immunity.Journal of translational medicine · 2025
    Review
  18. Article
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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

11 authors.

Yining Sun *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.ORCID 0000-0002-3369-9693
Peitao Zhou *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.ORCID 0000-0001-5094-3945
Junying Qian *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Qin Zeng *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Guangyan WeiDepartment of Radiation Oncology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
Yongsheng LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Yuechen LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Yingjie LaiDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Yizhi ZhanDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China. yizhi2012@smu.edu.cn.
Dehua WuDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China. 18602062748@163.com.ORCID 0000-0003-0560-0016
Yuan FangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China. fangyuan1313@163.com.ORCID 0000-0003-0483-2237

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82073394National Natural Science Foundation of China (National Science Foundation of China) 82103595National Natural Science Foundation of China (National Science Foundation of China) 82272737Natural Science Foundation of Guangdong Province (Guangdong Natural Science Foundation) 2022B1515120035Natural Science Foundation of Guangdong Province (Guangdong Natural Science Foundation) 2023A1515011789
6 · The paper itself

Abstract

Disturbances in tumor cell metabolism reshape the tumor microenvironment (TME) and impair antitumor immunity, but the implicit mechanisms remain elusive. Here, we found that spermine synthase (SMS) was significantly upregulated in tumor cells, which correlated positively with the immunosuppressive microenvironment and predicted poor survival in hepatocellular carcinoma (HCC) patients. Via "subcutaneous" and "orthotopic" HCC syngeneic mouse models and a series of in vitro coculture experiments, we identified elevated SMS levels in HCC cells played a role in immune escape mainly through its metabolic product spermine, which induced M2 polarization of tumor-associated macrophages (TAMs) and subsequently corresponded with a decreased antitumor functionality of CD8

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsMacrophagesSpermine SynthaseAnimalsCell Line, TumorFemaleHumansMaleMiceMice, Inbred BALB CMice, Inbred C57BLSignal TransductionSpermineTumor-Associated MacrophagesTumor MicroenvironmentSpermineSpermine Synthase

Identifiers

PMID39658701
PMCPMC11894157

What OpenQuestion holds

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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.