Evidence map›Paper›PMID 40130164›Full record

ArticleFrontiers in endocrinology2025

Wnt/β-catenin pathway activation is associated with glucocorticoid secretion in adrenocortical carcinoma, but not directly with immune cell infiltration.

Tanja Maier, Laura-Sophie Landwehr, Alexandra Triebig, Stefan Kircher, Marc P Schauer, Thomas Knösel, Silviu Sbiera, Paul Schwarzlmueller, Petra Zimmermann, Martin Reincke and 3 more

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

13 authors.

Tanja MaierDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Laura-Sophie LandwehrDepartment of Internal Medicine I, Division of Endocrinology and Diabetes, University Hospital, University Würzburg, Würzburg, Germany.
Alexandra TriebigDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Stefan KircherInstitute of Pathology, University of Würzburg, Würzburg, Germany.
Marc P SchauerDepartment of Internal Medicine I, Division of Endocrinology and Diabetes, University Hospital, University Würzburg, Würzburg, Germany.
Thomas KnöselInstitute of Pathology, Ludwig-Maximilians-Universität (LMU) Munich, Munich, Germany.
Silviu SbieraDepartment of Internal Medicine I, Division of Endocrinology and Diabetes, University Hospital, University Würzburg, Würzburg, Germany.
Paul SchwarzlmuellerDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Petra ZimmermannDepartment of General, Visceral and Transplant Surgery, University Hospital, Ludwig-Maximilians-Universität (LMU) Munich, Munich, Germany.
Martin ReinckeDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Isabel WeigandDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Martin FassnachtDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.
Matthias KroissDepartment of Medicine IV, Ludwig-Maximilians-Universität (LMU) University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In advanced adrenocortical carcinoma (ACC), the response rate to immune checkpoint inhibition (ICI) is only ~15%. Glucocorticoid (GC) secretion and the activation of the Wnt/β-catenin pathway have been suggested to contribute to low tumour immune cell infiltration. The transcription factor lymphoid enhancer factor 1 (LEF-1) transduces β-catenin ( Objective: To understand the contribution of Wnt/β-catenin pathway activation and glucocorticoid receptor (GR) signalling to the immunologically cold ACC tumour microenvironment. Methods: Semi-quantitative immunohistochemistry (IHC) of β-catenin (CTNNB1), LEF-1, GR and T cell markers CD3, CD4, CD8, Fox P3 in 59 ACC samples. Targeted RNA expression analysis of 354 immune-related genes in 58 additional ACC tissue specimens. Correlative analyses with clinical data. Results: Nuclear LEF-1 and CTNNB1 protein expression were positively correlated in ACC tissue (Pearson R Conclusion: Lef-1 expression is useful as a biomarker of activated Wnt/β-catenin signalling in ACC. Wnt/β-catenin pathway activation was not associated with reduced immune cell markers in ACC but GC secretion and may be related to tumoural antigen presentation.

Indexed as

Adrenal Cortex NeoplasmsAdrenocortical Carcinomabeta CateninGlucocorticoidsLymphocytes, Tumor-InfiltratingWnt Signaling PathwayAdultAgedFemaleHumansLymphoid Enhancer-Binding Factor 1MaleMiddle AgedReceptors, GlucocorticoidTumor Microenvironmentbeta CateninCTNNB1 protein, humanGlucocorticoidsLEF1 protein, humanLymphoid Enhancer-Binding Factor 1Receptors, Glucocorticoidadrenocortical carcinomaglucocorticoid receptorhypercortisolismimmune cell infiltrationimmunohistochemistryLEF-1markerprognosis

Identifiers

PMID40130164
PMCPMC11930824

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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.