Evidence map›Paper›PMID 40100452›Full record

ArticleMedical oncology (Northwood, London, England)2025

EM-12, a natural sesquiterpene lactone extracted from Elephantopus mollis, promotes cancer cell apoptosis by activating ER stress.

Xiang Huang, Junzhen Zhou, Zhenhua Li, Meijun Ye, Changyan Hou, Qing Zhang, Yuanhong Chen, Qiang Li, Fengying Li, Xiaofeng Zhu and 1 more

Abstract read
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In one paragraph

Article in Medical oncology (Northwood, London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Ethyl acetate extract ofResearch in pharmaceutical sciences · 2026
    Article
  2. 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

11 authors.

Xiang Huang *Medical College of Jiaying University, Meizhou, 514031, China.
Junzhen Zhou *Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Zhenhua Li *Department of Biochemistry, Basic Medical College, Jinan University, Guangzhou, 510630, China.
Meijun YeDepartment of Medical Bioinformatics, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, 510080, China.
Changyan HouDepartment of Biochemistry, Basic Medical College, Jinan University, Guangzhou, 510630, China.
Qing ZhangDepartment of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yuanhong ChenDepartment of Gynecology, Dongguan Eastern Central Hospital, The Sixth Affiliated Hospital of Jinan University, Dongguan, 523560, China.
Qiang LiDepartment of General Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Fengying LiDepartment of Gynecology, The Affiliated Shunde Hospital of Jinan University, Foshan, 528000, China.
Xiaofeng ZhuState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University, Guangzhou, 510060, China. zhuxfeng@mail.sysu.edu.cn.
Jianwei JiangDepartment of Biochemistry, Basic Medical College, Jinan University, Guangzhou, 510630, China. jjw703@jnu.edu.cn.

Funding

Guangzhou Science and Technology Program 202002030087National Natural Science Foundation of China 82074064
6 · The paper itself

Abstract

The Elephantopus mollis H.B.K. contains various sesquiterpene lactones that have shown anti-proliferative and proapoptotic effects in various cancers, although the underlying mechanisms are partially understood. Inducing of excessive ER stress is a potential cancer therapeutic strategy. However, ER stress activator remain limited in current clinical applications. In this study, we identified that EM-12, an uncovered sesquiterpene lactone isolated from Elephantopus mollis H.B.K., as a BiP ATPase activity inhibitor through BiP ATPase activity assay in vitro. This molecule also exhibits significantly greater cytotoxicity in numerous ovarian cancer cell lines, including paclitaxel-resistance ovarian cancer cell line, compared to transformed ovarian epithelial cell lines. In addition, EM-12 exerts broad-spectrum cytotoxicity against various human cancer cell lines, including liver, nasopharyngeal, and breast cancer cell lines. Mechanically, EM-12 promotes ER stress and ER-stress-related apoptosis to against cancer cells through inhibiting BiP ATPase activity.

Indexed as

ApoptosisAsteraceaeEndoplasmic Reticulum StressLactonesSesquiterpenesCell Line, TumorCell ProliferationEndoplasmic Reticulum Chaperone BiPFemaleHumansEndoplasmic Reticulum Chaperone BiPLactonesSesquiterpenesApoptosis,Ovarian cancerElephantopus mollisEndoplasmic reticulum stressSesquiterpene lactone

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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.