Evidence map›Paper›PMID 40936489›Full record

ReviewHistology and histopathology2026

Tumor promotion or suppression: Revisiting the role of EXT1 and Heparan sulfate.

Ayumi Niwa, Hiroyuki Tomita, Akira Hara

Abstract readReview
PubMed Publisher
In one paragraph

Review in Histology and histopathology, 2026. 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. 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.

Ayumi NiwaDepartment of Tumor Pathology, Gifu University Graduate School of Medicine, Gifu, Japan.
Hiroyuki TomitaDepartment of Tumor Pathology, Gifu University Graduate School of Medicine, Gifu, Japan. tomita.hiroyuki.y6@f.gifu-u.ac.jp.
Akira HaraDepartment of Tumor Pathology, Gifu University Graduate School of Medicine, Gifu, Japan.

Funding

JSPS KAKENHI to H.T., N.A., and N.A. JP23K28016JSPS KAKENHI to H.T., N.A., and N.A. JP24K22140JSPS KAKENHI to H.T., N.A., and N.A. JP24KJ0099JSPS KAKENHI to H.T., N.A., and N.A. JP25K18873JST FOREST Program to H.T JPMJFR220W
6 · The paper itself

Abstract

Heparan sulfate (HS), a linear sulfated polysaccharide attached to proteoglycans, modulates the availability and activity of growth factors and cytokines to regulate cell signaling, adhesion, and migration. Exostosin-1 (EXT1), a key glycosyltransferase for HS chain elongation, is increasingly implicated in cancer development and progression. Although originally identified as a tumor suppressor in hereditary multiple exostoses, EXT1 exhibits a complex, context-dependent role in cancer. The effects of EXT1 in cancer differ by cell and tumor type, exerting both tumor-suppressing and tumor-promoting effects. Notably, EXT1 also alters the tumor microenvironment via its expression in stromal fibroblasts and endothelial cells, further influencing tumor behavior. This review discusses the functions of HS and EXT1, emphasizing the roles of EXT1 in cancer and its microenvironment. A deeper understanding of these mechanisms may offer novel therapies targeting the HS biosynthetic pathway.

Indexed as

Heparan SulfateN-AcetylglucosaminyltransferasesNeoplasmsAnimalsExostosin 1HumansTumor MicroenvironmentExostosin 1Heparan SulfateN-Acetylglucosaminyltransferases

Identifiers

PMID40936489

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.