Evidence map›Paper›PMID 41484205›Full record

ArticleEMBO molecular medicine2026

Modelling EWS::FLI1 protein fluctuations reveal determinants of tumor plasticity in Ewing sarcoma.

Veveeyan Suresh, Christoph Hafemeister, Andri Konstantinou, Sarah Grissenberger, Caterina Sturtzel, Martha M Zylka, Florencia Cidre-Aranaz, Andrea Wenninger-Weinzierl, Karla Queiroz, Dorota Kurek and 6 more

Abstract read
In one paragraph

Article in EMBO molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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.

Veveeyan Suresh *St. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.ORCID 0000-0003-3318-8030
Christoph Hafemeister *St. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.ORCID 0000-0001-6365-8254
Andri KonstantinouResearch Institute of Molecular Pathology, Vienna Biocenter, Vienna, 1030, Austria.ORCID 0009-0007-2875-3636
Sarah GrissenbergerSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.
Caterina SturtzelSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.
Martha M ZylkaSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.ORCID 0009-0007-9125-5170
Florencia Cidre-AranazHopp-Children's Cancer Center (KiTZ), Heidelberg, 69120, Germany.ORCID 0000-0002-0246-7179
Andrea Wenninger-WeinzierlSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.
Karla QueirozMimetas, DH Oegstgeest, Oegstgeest, 2342, The Netherlands.
Dorota KurekMimetas, DH Oegstgeest, Oegstgeest, 2342, The Netherlands.
Martin DistelSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.ORCID 0000-0001-5942-0817
Anna ObenaufResearch Institute of Molecular Pathology, Vienna Biocenter, Vienna, 1030, Austria.ORCID 0000-0002-9556-5914
Thomas G P GrünewaldHopp-Children's Cancer Center (KiTZ), Heidelberg, 69120, Germany.ORCID 0000-0003-0920-7377
Florian HalbritterSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria.ORCID 0000-0003-2452-4784
Heinrich KovarSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria. heinrich.kovar@ccri.at.ORCID 0000-0001-6873-9109
Valerie FockSt. Anna Children's Cancer Research Institute (CCRI), Vienna, 1090, Austria. valerie.fock@outlook.com.ORCID 0000-0002-7812-4340

Funding

Alex's Lemonade Stand Foundation for Childhood Cancer (ALSF) 20-17258Austrian Science Fund (FWF) P34341-BAustrian Science Fund (FWF) P35353-BEuropean Commission (EC) 956285The National Growth Fund NGFOP2201
6 · The paper itself

Abstract

Tumor cell plasticity drives metastasis and therapy resistance, yet its regulation by oncoprotein dosage dynamics remains poorly understood. In Ewing sarcoma (EwS), variations in EWS::FLI1 (EF) fusion oncoprotein activity have been associated with epithelial-mesenchymal plasticity (EMP). Using degron technology, we precisely modulated endogenous EF in EwS cells and linked phenotypic states to distinct oncoprotein dosages. Strikingly, modest EF depletion promoted a pro-metastatic phenotype that diminished upon near-complete EF loss, revealing a paradoxical effect of submaximal EF inhibition. Nascent RNA-sequencing uncovered distinct gene clusters with heterogenous transcriptional responses to graded EF loss. Genes most sensitive to subtle EF depletion harbored GGAA microsatellites within EF-bound enhancers, while chromatin profiling uncovered candidate cofactors regulating EF-repressed EMP programs. Transient EF depletion followed by rapid restoration, modelling oncoprotein fluctuations, caused persistent dysregulation of genes functionally linked to enhanced extravasation and metastatic burden in preclinical models. This study highlights the therapeutic challenge of incomplete EF elimination, serving a paradigm in which oncoprotein dosage dynamics act as non-genetic drivers of disease progression and reveal novel vulnerabilities of advanced disease.

Indexed as

Cell PlasticityOncogene Proteins, FusionProto-Oncogene Protein c-fli-1RNA-Binding Protein EWSSarcoma, EwingAnimalsBone NeoplasmsCell Line, TumorEpithelial-Mesenchymal TransitionGene Expression Regulation, NeoplasticHumansMiceEWS-FLI fusion proteinOncogene Proteins, FusionProto-Oncogene Protein c-fli-1RNA-Binding Protein EWSEpithelial Mesenchymal PlasticityEwing SarcomaEWS::FLI1MetastasisOncogene Fluctuation

Identifiers

PMID41484205
PMCPMC12905378

What OpenQuestion holds

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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.