Evidence map›Paper›PMID 41044472›Full record

SynthesisBMC cancer2025

Importance of PERK pathway modulation on colorectal cancer management: a systematic review.

Marzieh Nemati, Sanaz Dastghaib, Zahra Hosseinzadeh, Mina Molayem, Morvarid Siri, Bahareh Ebrahimi, Zohreh Bagheri

Abstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2025. 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

7 authors.

Marzieh NematiDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Sanaz DastghaibEndocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra HosseinzadehEndocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Mina MolayemShiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Morvarid SiriAutophagy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Bahareh EbrahimiShiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. ebrahimi_b@sums.ac.ir.
Zohreh BagheriDepartment of physiology, Shiraz University of Medical Sciences, Shiraz, Iran. bagheri.2045@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe protein kinase RNA-like endoplasmic reticulum kinase (PERK) branch of the Unfolded Protein Response (UPR) plays a complex and context-dependent role in the colorectal cancer (CRC). While some studies indicate that PERK activation suppresses tumor growth by inducing apoptosis and limiting proliferation, others suggest that it may promote tumor progression by supporting cancer cell survival under stress. This systematic review aims to clarify the dual role of PERK signaling in CRC and evaluate its potential as a therapeutic target.

methodsWe included full-text English-language studies investigating the role of PERK signaling in CRC using in vitro and/or animal models. Studies on non-CRC malignancies or unrelated mechanisms were excluded. Searches were conducted in PubMed, Web of Science (WOS), and Scopus using relevant keywords.

resultsA total of 395 articles were initially identified. After removing duplicates (n = 173), review articles (n = 11), and unrelated studies (n = 66), 45 studies met the inclusion criteria. Most of these (n = 36) used in vitro models, with the HCT-116 cell line being the most frequently used (n = 19). While most studies (n = 36) reported anti-tumorigenic effects associated with PERK activation, several identified conditions under which PERK signaling may support tumor progression. These conflicting findings may be attributed to differences in experimental models, PERK modulation strategies, and endoplasmic reticulum stress induction methods.

conclusionsThis review highlights the dual and context-dependent nature of PERK pathway activation in CRC. Although PERK often appears to exert tumor-suppressive effects, evidence also points to its tumor-promoting potential under certain conditions. A nuanced understanding of these roles is crucial for developing PERK-targeted therapies in CRC.

trial registrationThis systematic review has been registered in PROSPERO (International Prospective Register of Systematic Reviews) with the registration number CRD42023241342.

Indexed as

Colorectal NeoplasmseIF-2 KinaseSignal TransductionAnimalsApoptosisCell ProliferationEndoplasmic Reticulum StressHumansUnfolded Protein ResponseEIF2AK3 protein, humaneIF-2 KinaseColorectal cancerEndoplasmic reticulum stressProtein kinase RNA like endoplasmic reticulum kinaseUnfolded protein response

Identifiers

PMID41044472
PMCPMC12495646

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.