Evidence map›Paper›PMID 40305758›Full record

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

Lactylation-Driven NUPR1 Promotes Immunosuppression of Tumor-Infiltrating Macrophages in Hepatocellular Carcinoma.

Jialiang Cai, Peiling Zhang, Yufan Cai, Guiqi Zhu, Shiping Chen, Lina Song, Junxian Du, Biao Wang, Weixing Dai, Jian Zhou and 3 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 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–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

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Gut microbes · 2026
    Article
  3. Article
  4. Article
  5. Loss of NCCRP1 overcomes immune evasion in lung adenocarcinoma.Journal for immunotherapy of cancer · 2026
    Article
  6. Review
  7. Review
  8. Balkan medical journal · 2026
    Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Targeting Lactate and Lactylation in Cancer Metabolism and Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. 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

13 authors.

Jialiang CaiLiver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Peiling ZhangLiver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yufan CaiDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Guiqi ZhuState Key Laboratory of Genetic Engineering, Fudan University, Shanghai, 200032, China.
Shiping ChenLiver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Lina SongLiver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Junxian DuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Biao WangDepartment of Radiation Oncology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Weixing DaiDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Jian ZhouDepartment of Liver Surgery and Transplantation, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jia FanDepartment of Liver Surgery and Transplantation, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yiyi YuDepartment of Medical Oncology, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Zhi DaiLiver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.ORCID https://orcid.org/0000-0002-4032-9201

Funding

Chinese Society of Clinical Oncology research fund Y-2019AZQN-1014Leading Project of the Science and Technology Committee of Shanghai Municipality 21Y21900100National Natural Science Foundation of China 82072670National Natural Science Foundation of China 82372946Project of Shanghai Municipal Health Commission 202140269
6 · The paper itself

Abstract

While checkpoint immunotherapy effectively mobilizes T-cell responses against tumors, its success in hepatocellular carcinoma (HCC) is frequently undermined by immunosuppressive myeloid cells within the tumor microenvironment. This study investigates the role of nuclear protein 1 (NUPR1), a gene prominently expressed in tumor-associated macrophages (TAMs), in mediating this suppression and influencing immunotherapy outcomes. Through comprehensive analysis of single-cell RNA sequencing (scRNA-seq) datasets and functional assays in vitro and in vivo, NUPR1 is identified as a critical regulator within TAMs. The upregulation of NUPR1 is associated with enhanced M2 macrophage polarization and increased expression of immune checkpoints PD-L1 and SIRPA, resulting in CD8+ T cell exhaustion and a diminished response to immunotherapy. Mechanistically, NUPR1 inhibits the ERK and JNK signaling pathways, thereby creating an immunosuppressive milieu conducive to tumor progression. Additionally, tumor-derived lactate is shown to upregulate NUPR1 expression in macrophages via histone lactylation, perpetuating a feedback loop that intensifies immune suppression. Pharmacological targeting of NUPR1 reverses M2 polarization, curtails tumor growth, and augments the efficacy of PD-1 blockade in preclinical models, positioning NUPR1 as both a potential biomarker for immunotherapy responsiveness and a therapeutic target to boost immunotherapy efficacy in HCC.

Indexed as

Basic Helix-Loop-Helix ProteinsCarcinoma, HepatocellularLiver NeoplasmsNeoplasm ProteinsTumor-Associated MacrophagesAnimalsCell Line, TumorHumansImmunotherapyMiceTumor MicroenvironmentBasic Helix-Loop-Helix ProteinsNeoplasm ProteinsNUPR1 protein, humanhistone lactylationimmune checkpoint blockadeMAPK pathwaynuclear protein 1tumor‐associated macrophages (TMA)

Identifiers

PMID40305758
PMCPMC12120759

What OpenQuestion holds

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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.