Evidence map›Paper›PMID 41126177›Full record

ArticleCancer cell international2025

Cell-cycle-related transcriptional factor DLX4: a novel prognostic biomarker and potential therapeutic target in colorectal cancer.

Jingsong Cheng, Chengxi Zhang, Yiman Luo, Yihan Chen, Nanting Chen, Yuanyuan Wan, Xinyu Huang, Ziheng Zheng, Qingyao Yin, Xue Chen and 3 more

Abstract read
In one paragraph

Article in Cancer cell international, 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

13 authors.

Jingsong Cheng *Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Chengxi Zhang *Department of Gastrointestinal Surgery, Chongqing Hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Chongqing, China.
Yiman Luo *Department of Pathology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Yihan Chen *The Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Nanting ChenThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Yuanyuan WanThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Xinyu HuangSchool of Software Engineering, Fudan University, Shanghai, China.
Ziheng ZhengThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Qingyao YinThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Xue ChenThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Jing HuaDepartment of Rehabilitation, Yangzhou Polytechnic College, Yangzhou, Jiangsu, China.
Yang LiThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China. 3401014825@qq.com.
Rongzhong HuangThe Second Clinical College, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China. rzhuang@hospital.cqmu.edu.cn.

Funding

National Natural Science Foundation of China 81960095
6 · The paper itself

Abstract

Distal - less homeobox 4 (DLX4) is a transcription factor vital for embryonic development and shows pro - oncogenic properties in some hematological and solid tumors. In colorectal cancer (CRC), its molecular function and contributions to tumorigenesis remain to be explored. Using bulk, single - cell and spatial transcriptomics, we assessed DLX4’s clinicopathological significance and its impact on the tumor immune microenvironment (TIME). Our results show DLX4 is highly expressed in CRC, correlating with poor prognosis in multi - center cohorts and is also related to a cytotoxic T lymphocyte (CTL) dysfunction - related immunosuppressive microenvironment. Transcriptomic and proteomic analyses identified DLX4 - associated cell signaling. In vitro, we confirmed DLX4 promotes cell proliferation, cell - cycle transitions and suppresses apoptosis. Furthermore, we found its key transcriptional target ZC3HC1 via ChIP – seq analysis, ChIP - qPCR and luciferase assay. Notably, DLX4 has strong potential for liquid - liquid phase separation and likely forms condensates when binding to ZC3HC1’s promoter, a crucial cell - cycle regulator. Overall, DLX4 is a novel prognostic biomarker and suggests potential CRC therapeutic strategies, making significant contributions to the understanding and potential treatment of CRC at the molecular level.

Indexed as

Cell cycleColorectal cancerDLX4Liquid-liquid phase separationPrognostic biomarkerTranscriptional factorZC3HC1

Identifiers

PMID41126177
PMCPMC12542520

What OpenQuestion holds

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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.