Evidence map›Paper›PMID 39932456›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Tribbles Pseudokinase 3 Converts Sorafenib Therapy to Neutrophil-Mediated Lung Metastasis in Hepatocellular Carcinoma.

Xu-Yan Wang, Yuan Liao, Rui-Qi Wang, Yi-Tong Lu, Ying-Zhe Wang, Yu-Qi Xin, Dong-Ming Kuang, Xiang-Ming Lao, Junying Xu, Zhi-Ling Zhou and 1 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  13. Single-cell transcriptomics identifies anFrontiers in molecular biosciences · 2025
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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.

Xu-Yan WangGuangdong Provincial Key Laboratory of Liver Disease Research, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Yuan LiaoDepartment of Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Rui-Qi WangDepartment of Pharmacy, Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University), Zhuhai, 519000, China.
Yi-Tong LuSchool of Life Sciences, Sun Yat-sen University, Guangzhou, 510275, China.
Ying-Zhe WangSchool of Life Sciences, Sun Yat-sen University, Guangzhou, 510275, China.
Yu-Qi XinSchool of Life Sciences, Sun Yat-sen University, Guangzhou, 510275, China.
Dong-Ming KuangSchool of Life Sciences, Sun Yat-sen University, Guangzhou, 510275, China.ORCID https://orcid.org/0000-0003-3570-9717
Xiang-Ming LaoState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Junying XuDepartment of Oncology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, 214023, China.
Zhi-Ling ZhouDepartment of Pharmacy, Zhuhai People's Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University), Zhuhai, 519000, China.
Kunhua HuGuangdong Provincial Key Laboratory of Liver Disease Research, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.

Funding

Fundamental Research Funds for the Central Universities 23ptpy61Guangdong Provincial Basic and Applied Basic Research Fund Project Provincial Enterprise Joint Fund General Project 2022A1515220220Guangzhou Municipal Institute Enterprise Joint Funding Project 2024A03J0101Key-Area Research and Development Program of Guangdong Province 2023B1111030006National Natural Science Foundation of China 32200740National Natural Science Foundation of China 82303902National Natural Science Foundation of China 82472868Natural Science Foundation of Guangdong Province 2023A1515012463Natural Science Foundation of Guangdong Province 2023A1515012466Natural Science Foundation of Guangdong Province 2024A1515010549Research Start Project of Zhuhai People's Hospital 2020ycqd001
6 · The paper itself

Abstract

Rapid development of resistance to sorafenib and subsequent hyperprogression in patients with advanced hepatocellular carcinoma (HCC) pose significant challenges, with the underlying mechanisms still largely unknown. Herein, sorafenib-induced TRIB3 is identified as a liver-specific determinant driving secondary resistance to sorafenib by facilitating the accumulation of protumorigenic neutrophils within tumors. Mechanistically, TRIB3, triggered by the sorafenib-elicited ROS-ER stress axis, operates in an NF-κB-dependent manner to upregulate CXCR1/2 ligands, subsequently promoting neutrophil recruitment into tumors. These enriched neutrophils enhance epithelial-mesenchymal transition processes in malignant cells through the oncostatin M-STAT3 pathway, thereby repurposing the therapeutic efficacy of sorafenib away from anti-angiogenesis and toward lung metastasis. Clinically, elevated TRIB3 expression indicates inferior survival and unfavorable clinical efficacy of sorafenib in HCC patients. Correspondingly, strategies that either inhibiting TRIB3 upregulation or blocking its downstream signaling successfully augment the therapeutic efficacy of sorafenib and prevent sorafenib-induced hyperprogression in vivo. The study thus identifies a pivotal mechanism of sorafenib resistance in HCC, centered on the TRIB3-mediated recruitment of protumorigenic neutrophils and subsequent disease hyperprogression.

Indexed as

Carcinoma, HepatocellularCell Cycle ProteinsLiver NeoplasmsLung NeoplasmsNeutrophilsProtein Serine-Threonine KinasesSorafenibAnimalsAntineoplastic AgentsCell Line, TumorDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionHumansMaleMiceRepressor ProteinsAntineoplastic AgentsCell Cycle ProteinsProtein Serine-Threonine KinasesRepressor ProteinsSorafenibTRIB3 protein, humanhepatocellular carcinomalung metastasisneutrophilsorafenib resistanceTRIB3

Identifiers

PMID39932456
PMCPMC11967757

What OpenQuestion holds

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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.