Evidence map›Paper›PMID 40371356›Full record

ArticleFrontiers in pharmacology2025

Sulindac exhibits anti-proliferative and anti-invasive effects and enhances the sensitivity to paclitaxel in ovarian cancer.

Shuning Chen, Weimin Kong, Xiaochang Shen, Nikita Sinha, Jennifer Haag, Boer Deng, Haomeng Zhang, Catherine John, Wenchuan Sun, Chunxiao Zhou and 1 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Shuning Chen *Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.
Weimin Kong *Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.
Xiaochang ShenDepartment of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.
Nikita SinhaDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jennifer HaagDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Boer DengDepartment of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.
Haomeng ZhangDepartment of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.
Catherine JohnDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Wenchuan SunDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Chunxiao ZhouDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Victoria L Bae-JumpDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Chronic inflammation is a key contributor to carcinogenesis, progression, and chemoresistance in ovarian cancer, making inflammatory pathways a logical therapeutic target for the treatment of this disease. Sulindac, a commonly used non-steroidal anti-inflammatory drug, has demonstrated anti-proliferative and anti-invasive effects on several preclinical models of cancer. In this study, we investigated the antitumorigenic effects of sulindac in human ovarian cancer cell lines and a transgenic mouse model of ovarian cancer (KpB). Methods: MTT and colony formation assays were used to evaluate cell proliferation. Cell cycle was detected by Cellometer. ELISA assays were conducted to evaluate the changes of cellular stress, apoptosis and adhesion, while invasion was determined by wound healing assay. Protein expression was examined through Western blotting and immunohistochemistry. Results: Our results demonstrated that sulindac significantly inhibited cell proliferation, induced cellular stress and apoptosis, caused G1 phase cell cycle arrest, and reduced cell invasion, and suppressed Cox-2 and NF-κB pathways in the MES and OVCAR5 cell lines. Inhibition of cellular stress by N-acetylcysteine partially reversed the anti-proliferative and anti-invasive effects of sulindac. The combination of sulindac and paclitaxel produced synergistic effects in inhibiting cell growth in both paclitaxel sensitive and resistant MES cells. Treatment with sulindac for 4 weeks effectively reduced tumor growth, improved serum levels of inflammatory cytokines and chemokines, and reduced the expression of Cox-2 of ovarian tumors in KpB mice compared with untreated mice. Conclusions: These findings provide support for the development of clinical trials repurposing sulindac in the treatment of OC, possibly in combination with paclitaxel.

Indexed as

cell proliferationinvasionovarian cancerpaclitaxelsulindacsynergy

Identifiers

PMID40371356
PMCPMC12075207

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.