Evidence map›Paper›PMID 39827156›Full record

ArticleCell death & disease2025

Inhibition of KLF5 promotes ferroptosis via the ZEB1/HMOX1 axis to enhance sensitivity to oxaliplatin in cancer cells.

Zheng Zhang, Huaxiang Xu, Junyi He, Qiangsheng Hu, Yuxin Liu, Zijin Xu, Wenhui Lou, Wenchuan Wu, Lei Zhang, Ning Pu and 4 more

Abstract read
In one paragraph

Article in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  4. Review
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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

14 authors.

Zheng Zhang *Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-1396-2634
Huaxiang Xu *Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Junyi He *Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Qiangsheng Hu *Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yuxin LiuInstitute of liver diseases, Shanxi Medical University, Taiyuan, Shanxi, China.
Zijin XuDepartment of General Surgery, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai, China.
Wenhui LouDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0001-5820-6843
Wenchuan WuDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Lei ZhangDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Ning PuDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Chenye ShiDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Yaolin XuDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-0971-518X
Wenquan WangDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. wang.wenquan@zs-hospital.sh.cn.ORCID 0000-0002-4696-8098
Liang LiuDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. liu.liang@zs-hospital.sh.cn.ORCID 0009-0002-0403-6580

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82272929
6 · The paper itself

Abstract

As a novel form of nonapoptotic cell death, ferroptosis is developing into a promising therapeutic target of dedifferentiating and therapy-refractory cancers. However, its application in pancreatic cancer is still unknown. In the preliminary research, we found that F-box and WD repeat domain-containing 7 (FBW7) inhibited the migration and proliferation of pancreatic cancer cells through its substrate c-Myc. We further found that another key substrate of FBW7, KLF5, could inhibit ferroptosis. Inhibiting KLF5 significantly enhances the cytotoxicity of oxaliplatin rather than other chemotherapy drugs. Mechanistically, we found that KLF5 inhibited the expression of heme oxygenase 1 (HMOX1) via repressing zinc finger E-box-binding homeobox 1 (ZEB1). Inhibition of KLF5 facilitated the cytotoxic effect of oxaliplatin via promoting ferroptosis. Oxaliplatin combined with KLF5 inhibitor significantly potentiated cell death in vitro and inhibited tumor growth in vivo compared with either treatment alone. These results reveal a critical role of KLF5 in sensitized chemotherapy of pancreatic cancer, and suggest that ferroptosis combined with platinum-based chemotherapy rather than gemcitabine-based chemotherapy is expected to bring better therapeutic effects.

Indexed as

FerroptosisHeme Oxygenase-1Kruppel-Like Transcription FactorsOxaliplatinPancreatic NeoplasmsZinc Finger E-box-Binding Homeobox 1AnimalsAntineoplastic AgentsCell Line, TumorCell MovementCell ProliferationF-Box-WD Repeat-Containing Protein 7HumansMiceMice, Inbred BALB CMice, NudeAntineoplastic AgentsF-Box-WD Repeat-Containing Protein 7Heme Oxygenase-1KLF5 protein, humanKruppel-Like Transcription FactorsOxaliplatinZEB1 protein, humanZinc Finger E-box-Binding Homeobox 1

Identifiers

PMID39827156
PMCPMC11743205

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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.