Evidence map›Paper›PMID 39948437›Full record

ArticleNature genetics2025

Active repression of cell fate plasticity by PROX1 safeguards hepatocyte identity and prevents liver tumorigenesis.

Bryce Lim, Aryan Kamal, Borja Gomez Ramos, Juan M Adrian Segarra, Ignacio L Ibarra, Lennart Dignas, Tim Kindinger, Kai Volz, Mohammad Rahbari, Nuh Rahbari and 19 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Cell plasticity in cancer and therapy resistance.Experimental & molecular medicine · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
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

29 authors.

Bryce Lim *Cell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5688-3952
Aryan Kamal *Faculty of Biosciences, Heidelberg University, Heidelberg, Germany.
Borja Gomez RamosCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7353-2943
Juan M Adrian SegarraCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3712-0554
Ignacio L IbarraFaculty of Biosciences, Heidelberg University, Heidelberg, Germany.
Lennart DignasCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Tim KindingerCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Kai VolzCell Plasticity and Epigenetic Remodeling Helmholtz Group, DKFZ, Heidelberg, Germany.
Mohammad RahbariDivision of Chronic Inflammation and Cancer, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1133-2134
Nuh RahbariDepartment of Surgery, University Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Eric PoiselCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Kanela KafetzopoulouCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Lio BöseCell Plasticity and Epigenetic Remodeling Helmholtz Group, DKFZ, Heidelberg, Germany.
Marco BreinigCell Plasticity and Epigenetic Remodeling Helmholtz Group, DKFZ, Heidelberg, Germany.
Danijela HeideDivision of Chronic Inflammation and Cancer, DKFZ, Heidelberg, Germany.
Suchira GallageDivision of Chronic Inflammation and Cancer, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-1956-3597
Jose E Barragan AvilaDivision of Chronic Inflammation and Cancer, DKFZ, Heidelberg, Germany.
Hendrik WiethoffInstitute of Pathology, University Hospital, Heidelberg, Germany.
Ivan BerestFaculty of Biosciences, Heidelberg University, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7607-9163
Sarah SchnabellehnerDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-0558-9339
Martin SchneiderProteomics Core Facility, DKFZ, Heidelberg, Germany.
Jonas BeckerFaculty of Biosciences, Heidelberg University, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-3827-3322
Dominic HelmProteomics Core Facility, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9321-2069
Dirk GrimmDepartment of Infectious Diseases/Virology, Section Viral Vector Technologies, Medical Faculty and Faculty of Engineering Sciences, Heidelberg University, Center for Integrative Infectious Diseases Research (CIID), BioQuant, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-6227-5665
Taija MäkinenDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-9338-1257
Darjus F TschaharganehCell Plasticity and Epigenetic Remodeling Helmholtz Group, DKFZ, Heidelberg, Germany.
Mathias HeikenwalderDivision of Chronic Inflammation and Cancer, DKFZ, Heidelberg, Germany.
Judith B ZauggEuropean Molecular Biology Laboratory, Molecular Systems Biology Unit, Heidelberg, Germany. judith.zaugg@embl.de.ORCID http://orcid.org/0000-0001-8324-4040
Moritz MallCell Fate Engineering and Disease Modeling Group, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany. m.mall@dkfz.de.ORCID http://orcid.org/0000-0002-1278-2594

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) SFBTR-179EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 804710
6 · The paper itself

Abstract

Cell fate plasticity enables development, yet unlocked plasticity is a cancer hallmark. While transcription master regulators induce lineage-specific genes to restrict plasticity, it remains unclear whether plasticity is actively suppressed by lineage-specific repressors. Here we computationally predict so-called safeguard repressors for 18 cell types that block phenotypic plasticity lifelong. We validated hepatocyte-specific candidates using reprogramming, revealing that prospero homeobox protein 1 (PROX1) enhanced hepatocyte identity by direct repression of alternative fate master regulators. In mice, Prox1 was required for efficient hepatocyte regeneration after injury and was sufficient to prevent liver tumorigenesis. In line with patient data, Prox1 depletion caused hepatocyte fate loss in vivo and enabled the transition of hepatocellular carcinoma to cholangiocarcinoma. Conversely, overexpression promoted cholangiocarcinoma to hepatocellular carcinoma transdifferentiation. Our findings provide evidence for PROX1 as a hepatocyte-specific safeguard and support a model where cell-type-specific repressors actively suppress plasticity throughout life to safeguard lineage identity and thus prevent disease.

Indexed as

CarcinogenesisCarcinoma, HepatocellularCell PlasticityHepatocytesHomeodomain ProteinsLiver NeoplasmsTumor Suppressor ProteinsAnimalsCell DifferentiationCell LineageCell TransdifferentiationCholangiocarcinomaGene Expression Regulation, NeoplasticHumansLiverMiceHomeodomain ProteinsProspero-Related Homeobox 1 ProteinTumor Suppressor Proteins

Identifiers

PMID39948437
PMCPMC11906372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.