Evidence map›Paper›PMID 40399276›Full record

ArticleCell death & disease2025

CDX1 and CDX2 suppress colon cancer stemness by inhibiting β-catenin-facilitated formation of Pol II-DSIF-PAF1C complex.

Koji Aoki, Akari Nitta, Ayumi Igarashi

Abstract read
In one paragraph

Article in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

3 authors.

Koji AokiDepartment of Pharmacology, Faculty of Medicine, University of Fukui, Fukui, Japan. aokik@u-fukui.ac.jp.ORCID http://orcid.org/0000-0001-5854-7015
Akari NittaDepartment of Pharmacology, Faculty of Medicine, University of Fukui, Fukui, Japan.
Ayumi IgarashiDepartment of Pharmacology, Faculty of Medicine, University of Fukui, Fukui, Japan.

Funding

MEXT | Japan Science and Technology Agency (JST) 21K06946, 24650619, 24680091 and JPMJPR1181
6 · The paper itself

Abstract

Homeobox transcription factors CDX1 and CDX2 (hereafter, CDX1/2) play key roles in determining the identity of intestinal epithelial cells and regulating their stem cell functions. However, the role of CDX1/2 in regulating colon cancer stemness and the underlying mechanisms are unclear. Here, we show that complete loss of Cdx1 or concurrent loss of Cdx1/2 increased the stemness and malignancy of intestinal tumors. Consistently, CDX1/2 reduced the expression of cancer stemness-related genes, including LGR5. CDX1/2 bound to the downstream region of the LGR5 transcription start site (TSS), a region where β-catenin also binds. Despite increased H3 acetylation and an open chromatin structure, CDX1/2 reduced the occupancy of DRB sensitivity-inducing factor (DSIF), RNA polymerase II-associated factor 1 (PAF1), and RNA polymerase II (Pol II) complexes around the LGR5 TSS. Through their homeodomains, CDX1/2 inhibited the β-catenin-facilitated formation of active Pol II complexes containing DSIF and PAF1 complexes by preventing the interaction between β-catenin and these complexes, in an additive manner. Our findings suggest that CDX1/2 cooperatively suppressed colonic tumorigenesis and cancer stemness by antagonizing β-catenin via the DSIF and PAF1 complexes. Additionally, DSIF and PAF1 complexes acted as transcriptional platforms that integrated and funneled both tumor-suppressive and oncogenic signals into the expression of genes that control colon cancer stemness.

Indexed as

beta CateninCDX2 Transcription FactorColonic NeoplasmsHomeodomain ProteinsNeoplastic Stem CellsNuclear ProteinsRNA Polymerase IIAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansMiceReceptors, G-Protein-CoupledTranscription Factorsbeta CateninCDX1 protein, humanCDX2 protein, humanCDX2 Transcription FactorCTNNB1 protein, humanHomeodomain ProteinsLGR5 protein, humanNuclear ProteinsPAF1 protein, humanReceptors, G-Protein-CoupledRNA Polymerase IITranscription Factors

Identifiers

PMID40399276
PMCPMC12095478

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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.