Evidence map›Paper›PMID 40442146›Full record

ArticleNature communications2025

Precision targeting of β-catenin induces tumor reprogramming and immunity in hepatocellular cancers.

Brandon M Lehrich, Evan R Delgado, Tyler M Yasaka, Silvia Liu, Catherine Cao, Yuqing Liu, Mohammad N Taheri, Xiangnan Guan, Hartmut Koeppen, Sucha Singh and 25 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
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  7. From Theory to Practice: Which Biomarkers Are Ready for Predicting Response in Advanced HCC?Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
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  13. Article
  14. Article
  15. Review
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  18. Article
  19. Navigating second-line therapy after immunotherapy in advanced HCC☆.JHEP reports : innovation in hepatology · 2026
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Brandon M LehrichOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Evan R DelgadoPittsburgh Liver Research Center, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Tyler M YasakaOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-8482-0369
Silvia LiuOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Catherine CaoOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Yuqing LiuOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Mohammad N TaheriPittsburgh Liver Research Center, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Xiangnan GuanTranslational Medicine, Genentech Inc., San Francisco, CA, USA.
Hartmut KoeppenTranslational Medicine, Genentech Inc., San Francisco, CA, USA.
Sucha SinghOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Vik MeadowsOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jia-Jun LiuOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Anya Singh-VarmaOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Yekaterina KrutsenkoOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Minakshi PoddarOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
T Kevin HitchensUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lesley M FoleyUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-7752-2139
Binyong LiangHepatic Surgery Center, Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Alex RialdiDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ravi P RaiOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Panari PatelOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Madeline RileyOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Aaron BellOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-6648-0834
Reben RaemanOrgan Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Tulin DadaliAlnylam Pharmaceuticals, Boston, MA, USA.
Jason J LukeUPMC Hillman Cancer Center and University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-1182-4908
Ernesto GuccioneDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-7764-5307
Mo R EbrahimkhaniPittsburgh Liver Research Center, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-5753-6779
Amaia LujambioDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-2798-1481
Xin ChenCancer Biology Program, University of Hawaii Cancer Center, Honolulu, HI, USA.ORCID http://orcid.org/0000-0002-9588-0164
Martin MaierAlnylam Pharmaceuticals, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4987-0184
Yulei WangTranslational Medicine, Genentech Inc., San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-9057-9786
Wendy BroomAlnylam Pharmaceuticals, Boston, MA, USA.
Junyan Tao *Organ Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. junyantao2010@gmail.com.ORCID http://orcid.org/0000-0002-5249-970X
Satdarshan P Monga *Organ Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. smonga@pitt.edu.ORCID http://orcid.org/0000-0002-8437-3378

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 1988 to 2026
$158.0M
Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Shuchang Silvia Liu · 2019 to 2026
$10.9M
NCI ET-CTN with Phase i Emphasis at UPCIUM1CA186690 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD, Farshid Dayyani · 2014 to 2026
$9.1M
Role of Wnt/Beta-Catenin Signaling in Liver DevelopmentR01DK062277 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Satdarshan Singh Monga · 2004 to 2026
$9.0M
Cellular Approaches to Tissue Engineering/RegenerationT32EB001026 · NIBIB · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DUNCAN, ANDREW W, MONGA, SATDARSHAN SINGH · 2003 to 2024
$5.5M
Targeting tumor metabolism and immune environment via beta-catenin: Towards precision medicine in HCCR01CA251155 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LUJAMBIO, AMAIA, MONGA, SATDARSHAN SINGH · 2020 to 2024
$3.1M
Investigating Multifactorial Beta-catenin Activation in Hepatocellular CancersR01CA250227 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Xin Chen, Satdarshan Singh Monga · 2021 to 2026
$3.0M
Investigating Immunosuppression in Beta-catenin-mutated Hepatocellular Carcinoma for Improved Precision Medicine TherapeuticsF30CA284540 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEHRICH, BRANDON · 2023 to 2025
$161k
NCI NIH HHS F30 CA284540NCI NIH HHS P30 CA047904NCI NIH HHS R01 CA250227NCI NIH HHS R01 CA251155NCI NIH HHS UM1 CA186690NIBIB NIH HHS T32 EB001026NIDDK NIH HHS P30 DK120531NIDDK NIH HHS R01 DK062277U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) F30CA284540U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30CA047904U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA250227U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA251155U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) UM1CA186690
6 · The paper itself

Abstract

First-line immune checkpoint inhibitor (ICI) combinations show responses in subsets of hepatocellular carcinoma (HCC) patients. Nearly half of HCCs are Wnt-active with mutations in CTNNB1 (encoding for β-catenin), AXIN1/2, or APC, and demonstrate heterogeneous and limited benefit to ICI due to an immune excluded tumor microenvironment. We show significant tumor responses in multiple β-catenin-mutated immunocompetent HCC models to a novel siRNA encapsulated in lipid nanoparticle targeting CTNNB1 (LNP-CTNNB1). Both single-cell and spatial transcriptomics reveal cellular and zonal reprogramming, along with activation of immune regulatory transcription factors IRF2 and POU2F1, re-engaged type I/II interferon signaling, and alterations in both innate and adaptive immunity upon β-catenin suppression with LNP-CTNNB1 at early- and advanced-stage disease. Moreover, ICI enhances response to LNP-CTNNB1 in advanced-stage disease by preventing T cell exhaustion and through formation of lymphoid aggregates (LA). In fact, expression of an LA-like gene signature prognosticates survival for patients receiving atezolizumab plus bevacizumab in the IMbrave150 phase III trial and inversely correlates with CTNNB1-mutatational status in this patient cohort. In conclusion, LNP-CTNNB1 is efficacious as monotherapy and in combination with ICI in CTNNB1-mutated HCCs through impacting tumor cell-intrinsic signaling and remodeling global immune surveillance, providing rationale for clinical investigations.

Indexed as

beta CateninCarcinoma, HepatocellularLiver NeoplasmsAnimalsAntibodies, Monoclonal, HumanizedBevacizumabCell Line, TumorCellular ReprogrammingFemaleHumansImmune Checkpoint InhibitorsMiceMutationNanoparticlesRNA, Small InterferingTumor MicroenvironmentAntibodies, Monoclonal, Humanizedatezolizumabbeta CateninBevacizumabCTNNB1 protein, humanImmune Checkpoint InhibitorsRNA, Small Interfering

Identifiers

PMID40442146
PMCPMC12122713

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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.