Evidence map›Paper›PMID 40371821›Full record

ArticleThe Journal of pathology2025

Cystathionine gamma-lyase-mediated hypoxia inducible factor 1-alpha expression drives clear cell ovarian cancer progression.

Amal M El-Naggar, Yuqin Li, Busra Turgu, Yuchen Ding, Longyijie Wei, Shary Yuting Chen, Genny Trigo-Gonzalez, Forouh Kalantari, Rodrigo Vallejos, Branden Lynch and 18 more

Abstract read
In one paragraph

Article in The Journal of pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  3. 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

28 authors.

Amal M El-NaggarDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0000-0002-3202-6171
Yuqin LiDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Busra TurguDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Yuchen DingDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Longyijie WeiDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Shary Yuting ChenDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Genny Trigo-GonzalezDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Forouh KalantariDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Rodrigo VallejosDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0009-0004-9642-7830
Branden LynchDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0009-0008-4564-8894
Janine SenzDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Amy LumDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
J Maxwell DouglasDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Clara SalamancaDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Shelby ThorntonMolecular and Advanced Pathology Core (MAPCore), University of British Columbia, Vancouver, BC, Canada.
Yimei QinMolecular and Advanced Pathology Core (MAPCore), University of British Columbia, Vancouver, BC, Canada.
Kiran ParmarBC Centre for Pelvic Pain and Endometriosis, BC Women's Hospital, Vancouver, BC, Canada.
Sandra E SpencerMichael Smith Genome Sciences Centre, BC Cancer Research Institute, Vancouver, BC, Canada.
Samuel LeungGenetic Pathology Evaluation Centre, Vancouver, BC, Canada.
Michelle M M WooDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Paul J YongBC Centre for Pelvic Pain and Endometriosis, BC Women's Hospital, Vancouver, BC, Canada.
Hai-Feng ZhangDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Christopher S HughesDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.
Gian Luca NegriMichael Smith Genome Sciences Centre, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0000-0001-7722-8888
Yemin WangDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0000-0002-2970-9510
Gregg B MorinMichael Smith Genome Sciences Centre, BC Cancer Research Institute, Vancouver, BC, Canada.
Poul H SorensenDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
David G HuntsmanDepartment of Molecular Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.ORCID 0000-0003-4934-3322

Funding

Canada Cancer Society Impact-705647Canada Research ChairsCanadian Institutes of Health Research (CIHR) Foundation MOP-154290Cancer Research Society Operating-875577Dr. Chew Wei Professorship-in Gynaecologic OncologyGynaecologic Cancer Initiative (GCI)/OVCARE CarraresiOvarian Cancer Canada : OvCAN1-Initiative-AWD-018135Terry Fox Research Institute NewFrontiersProgram-1082
6 · The paper itself

Abstract

Clear cell ovarian cancer (CCOC) is the second most common ovarian cancer subtype, accounting for 5%-11% of ovarian cancers in North America. Late-stage CCOC is associated with a worse prognosis compared to other ovarian cancer histotypes, a challenge that has seen limited progress in recent decades. CCOC typically originates within the toxic microenvironment of endometriotic ovarian cysts and is characterized by its intrinsic chemoresistance, a strong hypoxic signature, and abundant expression of cystathionine gamma-lyase (CTH). CTH is a key enzyme in the transsulfuration pathway and serves as a marker of ciliated cells derived from the Müllerian tract. CTH plays a pivotal role in de novo cysteine synthesis, which is essential for glutathione (GSH) production and redox homeostasis. Using an array of molecular tools and cancer models, including in vivo studies, we demonstrated that CTH expression was induced under various stress conditions, such as exposure to endometriotic cyst content and hypoxia. This induction enables cell survival and creates a differentiation state manifested by CCOC that potentiates tumor progression and metastasis. In addition to regulating redox homeostasis, CTH enhances hypoxia inducible factor 1-alpha (HIF1α) expression, independently of hydrogen sulfide (H

Indexed as

Adenocarcinoma, Clear CellCystathionine gamma-LyaseHypoxia-Inducible Factor 1, alpha SubunitOvarian NeoplasmsAnimalsCell Line, TumorDisease ProgressionFemaleGene Expression Regulation, NeoplasticHumansCystathionine gamma-LyaseHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitCCOCchemoresistantCTHendometriosisH2SHIF1αhypoxiametastatic progressionredox regulation

Identifiers

PMID40371821
PMCPMC12146814

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.