Evidence map›Paper›PMID 39888380›Full record

ArticleNeuro-oncology2025

IRS2 as a driver of brain metastasis in colorectal cancer: A potential target for novel therapeutic strategies.

Inbal Greenberg, Fayhaa Khair-Dabour, Keren Merenbakh-Lamin, Ethan S Sokol, Anat Klein Goldberg, Dor Simkin, Avishay Spitzer, Moshe Benhamou, Shai Bar-Shira, Michal Raz and 8 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. IRS2 as a driver and therapeutic target in brain metastases from colorectal cancer: a systematic review of mechanistic and translational evidence.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Article
  3. Article
  4. 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

18 authors.

Inbal GreenbergFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-3972-7146
Fayhaa Khair-DabourFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Keren Merenbakh-LaminDepartment of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Ethan S SokolFoundation Medicine, Cambridge, MA, USA.ORCID 0000-0002-5480-8473
Anat Klein GoldbergDepartment of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Dor SimkinDepartment of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Avishay SpitzerDepartment of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0001-6551-9338
Moshe BenhamouDepartment of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Shai Bar-ShiraFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Michal RazInstitute of Pathology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Rachel GrossmanBrain Tumor Center, Department of Neurosurgery, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Eilam YeiniDepartment of Physiology and Pharmacology, Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Paula OfekDepartment of Physiology and Pharmacology, Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Tomer MeirsonDavidoff Cancer Center, Rabin Medical Center, Petah Tikva, Israel.ORCID 0000-0002-5011-5477
Ronit Satchi-FainaroSagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-7360-7837
Hadas ReuveniTyrNovo Ltd. Science Park, Rehovot, Israel.
Ido WolfFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Tami RubinekFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

Israel Cancer Association 20160053Israel Science Foundation 1320/14
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) ranks as the fourth most common cause of brain metastasis (BM), with its incidence on the rise. However, the molecular mechanisms driving the formation of these lesions from CRC remain unclear.

methodsWe analyzed the Foundation Medicine genomic database, which includes over 35,000 CRC samples from both local and metastatic sites. The role of insulin receptor substrate 2 (IRS2) in CRC brain tropism was investigated using various in vitro (co-culture systems and 3D sphere formation assays), in vivo (intracranial and subcutaneous mouse models), and ex vivo (CRC Patient-Derived Explants) models. The molecular and metabolic effects of IRS2 were examined through RNA sequencing and Seahorse analysis. The therapeutic potential of a combined treatment with NT219, an IRS2 inhibitor, and 5-fluorouracil (5-FU) was assessed using our CRC BM mouse model.

resultsOur research reveals a distinctive genomic profile of CRC BM and highlights the role of IRS2 in promoting CRC BM. IRS2 mediates its effect by modulating the β-catenin and oxidative phosphorylation (OXPHOS) pathways. We developed a mouse model of BM from CRC and demonstrated that treatment with the IRS2 inhibitor NT219, in combination with 5-FU, significantly suppresses BM development and prolongs survival.

conclusionsOur work underscores the unique role of IRS2 in facilitating CRC brain adaptation and suggests a novel therapeutic strategy for CRC patients with BM.

Indexed as

Brain NeoplasmsColorectal NeoplasmsInsulin Receptor Substrate ProteinsAnimalsCell ProliferationFemaleFluorouracilHumansMiceTumor Cells, CulturedXenograft Model Antitumor AssaysFluorouracilInsulin Receptor Substrate ProteinsIRS2 protein, humanbrain metastasiscolorectal cancerIRS2oxidative phosphorylationβ-catenin

Identifiers

PMID39888380
PMCPMC12417839

What OpenQuestion holds

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LicenceCC BY
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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.