Evidence map›Paper›PMID 40654365›Full record

ArticleActa pharmaceutica Sinica. B2025

Psychological stress-activated NR3C1/NUPR1 axis promotes ovarian tumor metastasis.

Bin Liu, Wen-Zhe Deng, Wen-Hua Hu, Rong-Xi Lu, Qing-Yu Zhang, Chen-Feng Gao, Xiao-Jie Huang, Wei-Guo Liao, Jin Gao, Yang Liu and 6 more

Abstract read
In one paragraph

Article in Acta pharmaceutica Sinica. B, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

16 authors.

Bin LiuLaboratory of Hepatobiliary Surgery, Zhanjiang Key Laboratory of Hepatobiliary Related Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Wen-Zhe DengState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Wen-Hua HuPathology Diagnosis and Research Center, the Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Rong-Xi LuPathology Diagnosis and Research Center, the Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Qing-Yu ZhangLaboratory of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, the Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Chen-Feng GaoLaboratory of Hepatobiliary Surgery, Zhanjiang Key Laboratory of Hepatobiliary Related Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Xiao-Jie HuangLaboratory of Hepatobiliary Surgery, Zhanjiang Key Laboratory of Hepatobiliary Related Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Wei-Guo LiaoPathology Diagnosis and Research Center, the Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
Jin GaoCollege of Pharmacy, Jinan University, Guangzhou 510632, China.
Yang LiuState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Hiroshi KuriharaState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Yi-Fang LiState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Xu-Hui ZhangDepartment of Oncology, Guangdong Second Provincial General Hospital, the Affiliated Guangdong Second Provincial General Hospital of Jinan University, Guangzhou 510317, China.
Yan-Ping WuState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Lei LiangState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.
Rong-Rong HeState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Basic Research Center of Excellence for Natural Bioactive Molecules and Discovery of Innovative Drugs, Guangdong Engineering Research Center of Traditional Chinese Medicine & Disease Susceptibility, Guangdong Engineering Research Center of Traditional Chinese Medicine & Health Products, International Cooperative Laboratory of TCM Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Jinan University, Guangzhou 510632, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ovarian tumor (OT) is the most lethal form of gynecologic malignancy, with minimal improvements in patient outcomes over the past several decades. Metastasis is the leading cause of ovarian cancer-related deaths, yet the underlying mechanisms remain poorly understood. Psychological stress is known to activate the glucocorticoid receptor (NR3C1), a factor associated with poor prognosis in OT patients. However, the precise mechanisms linking NR3C1 signaling and metastasis have yet to be fully elucidated. In this study, we demonstrate that chronic restraint stress accelerates epithelial-mesenchymal transition (EMT) and metastasis in OT through an NR3C1-dependent mechanism involving nuclear protein 1 (NUPR1). Mechanistically, NR3C1 directly regulates the transcription of NUPR1, which in turn increases the expression of snail family transcriptional repressor 2 (SNAI2), a key driver of EMT. Clinically, elevated NR3C1 positively correlates with NUPR1 expression in OT patients, and both are positively associated with poorer prognosis. Overall, our study identified the NR3C1/NUPR1 axis as a critical regulatory pathway in psychological stress-induced OT metastasis, suggesting a potential therapeutic target for intervention in OT metastasis.

Indexed as

EMTNR3C1NUPR1Ovarian tumorPrognostic biomarkerPsychological stressSNAI2Therapeutic target

Identifiers

PMID40654365
PMCPMC12254817

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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.