Evidence map›Paper›PMID 39911497›Full record

ArticleGastro hep advances2025

Adenosine Receptor 3 in Liver Cancer: Expression Variability, Epigenetic Modulation, and Enhanced Histone Deacetylase Inhibitor Effects.

Louise Kaldjob-Heinrich, Sandro Nuciforo, Steffen Lemke, Aaron Stahl, Stefan Czemmel, Sepideh Babaei, Lauriane Blukacz, Marie-Anne Meier, Yizheng Zhang, Christian M Schürch and 11 more

Abstract read
In one paragraph

Article in Gastro hep advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Bitopic AJournal of medicinal chemistry · 2025
    Article
  3. 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

21 authors.

Louise Kaldjob-HeinrichDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.
Sandro NuciforoDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Steffen LemkeQuantitative Biology Center (QBiC), Eberhard-Karls University, Tuebingen, Germany.
Aaron StahlNMI, Natural and Medical Sciences Institute at the University of Tuebingen, Reutlingen, Germany.
Stefan CzemmelQuantitative Biology Center (QBiC), Eberhard-Karls University, Tuebingen, Germany.
Sepideh BabaeiDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.
Lauriane BlukaczDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Marie-Anne MeierDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Yizheng ZhangDepartment of Pathology and Neuropathology, Eberhard Karls University, Tübingen, Germany.
Christian M SchürchDepartment of Pathology and Neuropathology, Eberhard Karls University, Tübingen, Germany.
Irene Gonzalez-MenendezDepartment of Pathology and Neuropathology, Eberhard Karls University, Tübingen, Germany.
Pascal WoelffingiFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', Eberhard-Karls University, Tuebingen, Germany.
Nisar P MalekDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.
Veit SchebleDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.
Sven NahnsenQuantitative Biology Center (QBiC), Eberhard-Karls University, Tuebingen, Germany.
Manfred ClaassenDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.
Markus TemplinNMI, Natural and Medical Sciences Institute at the University of Tuebingen, Reutlingen, Germany.
Hans BösmüllerDepartment of Pathology and Neuropathology, Eberhard Karls University, Tübingen, Germany.
Markus H HeimDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Daniel DauchiFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', Eberhard-Karls University, Tuebingen, Germany.
Michael BitzerDepartment Internal Medicine I, Eberhard-Karls University, Tuebingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Primary liver cancer, including hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA), has low response rates to existing treatments, highlighting the urgent need for novel treatment options. Adenosine A3 receptor (ADORA3) signaling has emerged as a potential target. Namodenoson, an ADORA3 agonist, has shown promise in early clinical trials for HCC. However, further data are required to clarify ADORA3 expression patterns in liver cancer, mechanisms of action, and the potential for combination therapies to inform patient selection for future clinical trials. Methods: Patient-derived tissue microarrays and RNA-sequencing were employed to investigate ADORA3 expression. Cellular responses to ADORA3 stimulation and combination treatments were studied in HCC and CCA cell lines and patient-derived organoids (PDOs). Genome-wide RNA-Seq analysis, mRNA analysis, and DigiWest protein profiling were performed. Results: Tissue microarray analysis revealed higher ADORA3 expression in nonmalignant samples and a subset of tumors with weak or absent ADORA3 expression. This was supported by RNA sequencing data from The Cancer Genome Atlas and needle biopsy samples. Cell lines and PDOs exhibited antiproliferative effects with the ADORA3 agonist Namodenoson, confirmed by receptor dependency tests with specific antagonists and siRNA experiments. Genome-wide RNA-Seq analysis suggested chromatin remodeling events after ADORA3 stimulation. mRNA expression and DigiWest profiling identified downregulation of histone deacetylases and histone H3 modifications. Combination treatments with different ADORA3 agonists and histone deacetylase inhibitors significantly enhanced antiproliferative effects in almost all selected combinations, supported by investigations in PDOs. Conclusion: ADORA3 expression varies considerably in HCC or CCA, ranging from high to absent receptor detection. This observation might help to identify patients for clinical studies. Additionally, Namodenoson's epigenetic modulating activity suggests epigenetic drugs as promising candidates for combination treatment.

Indexed as

Adenosine Receptor 3Cancer Combination TherapyCholangiocarcinomaEpigeneticHepatocellular Carcinoma

Identifiers

PMID39911497
PMCPMC11795062

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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.