Evidence map›Paper›PMID 41263059›Full record

ArticleAdvanced biology2025

FOXP3 Polymorphism and Upregulation of the CXCL12-CXCR4-SNAIL Axis with High Infiltration of M2TAM by STAT3/NFKB Pathways Influence the Survival of Cervical Cancer Patients.

George A Lira, Fábio M de Azevedo, Ingrid G S Lins, Janaína C O Crispim, Giovanna A Lira, Rômulo S Cavalcante, Ricardo Cobucci, Carolina O Mendes-Aguiar, Rafaela Torres Dantas Da Silva, Vinícius E da Silva and 2 more

Abstract read
In one paragraph

Article in Advanced biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

George A LiraCancer and Inflammation Research Laboratory, Department of Morphology, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.
Fábio M de AzevedoLeague Against Cancer from Rio Grande do Norte, Advanced Oncology Center, Natal, RN, 59075-740, Brazil.
Ingrid G S LinsLeague Against Cancer from Rio Grande do Norte, Advanced Oncology Center, Natal, RN, 59075-740, Brazil.
Janaína C O CrispimPost-Graduate Program in Technological Development and Innovation in Medicines, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.
Giovanna A LiraLeague Against Cancer from Rio Grande do Norte, Advanced Oncology Center, Natal, RN, 59075-740, Brazil.
Rômulo S CavalcanteTrairi Faculty of Health Sciences, Federal University of Rio Grande do Norte, Santa Cruz, RN, 59200-000, Brazil.
Ricardo CobucciGraduate Program of Biotechnology, Potiguar University (UnP), Natal, RN, 59056-000, Brazil.
Carolina O Mendes-AguiarLaboratory of Immunogenetics of Complex Diseases, Institute of Tropical Medicine of Rio Grande do Norte, UFRN, Natal, RN, 59072-970, Brazil.
Rafaela Torres Dantas Da SilvaCancer and Inflammation Research Laboratory, Department of Morphology, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.
Vinícius E da SilvaCancer and Inflammation Research Laboratory, Department of Morphology, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.
Ryan C Q AquinoCancer and Inflammation Research Laboratory, Department of Morphology, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.
Raimundo F Araújo JúniorCancer and Inflammation Research Laboratory, Department of Morphology, Federal University of Rio Grande do Norte, Natal, RN, 59072-970, Brazil.ORCID 0000-0003-2349-2354

Funding

National Council for Scientific and Technological Development (CNPq), Brazil 303750/2023-5
6 · The paper itself

Abstract

This study explores the interaction between immune and cancer cells in the tumor microenvironment (TME) of cervical carcinoma (CC), with emphasis on tumor-associated macrophages (M2-TAMs) and the STAT3-NF-κB signaling pathway. It investigates how Treg cell polymorphisms and TAM infiltration through these pathways influence overall survival (OS) in CC patients. This prospective study follows 100 CC patients from 2018 to 2023 using qRT-PCR and immunohistochemistry on tumor samples, and flow cytometry on blood samples to evaluate immunosuppressive cytokines and Treg cell polymorphisms. High stromal CD163+204+ TAM density, mediated by STAT3/NF-κB, correlates with biomarkers such as Ki-67, VEGFα, and FOXP3 (p < 0.001). XPO5 expression is associated with increased STAT3, SNAIL, and HPV 16/18 levels. FOXP3 T allele deletion and HLA-G polymorphism in the blood of patients correlate with higher STAT3 tumor expression and elevated IL-4 and IL-17 blood cytokines. The CXCL12-CXCR4 axis shows a strong association with STAT3, SNAIL in TME and blood cytokines, including IL-6 and IL-12. Elevated CXCL12, CXCR4, and SNAIL expression in TME significantly increases mortality risk. These findings underscore the role of M2TAM infiltration and immune modulation in tumor progression and clinical outcomes in CC.

Indexed as

Chemokine CXCL12Forkhead Transcription FactorsReceptors, CXCR4Tumor-Associated MacrophagesUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedNF-kappa BPolymorphism, GeneticProspective StudiesSignal TransductionSnail Family Transcription FactorsSTAT3 Transcription FactorChemokine CXCL12CXCL12 protein, humanCXCR4 protein, humanForkhead Transcription FactorsFOXP3 protein, humanNF-kappa BReceptors, CXCR4SNAI1 protein, humanSnail Family Transcription FactorsSTAT3 protein, humanSTAT3 Transcription Factorcytokinesimmune responseimmunotherapysurvivaltumor progression

Identifiers

PMID41263059
PMCPMC12712755

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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.