Evidence map›Paper›PMID 41521078›Full record

ArticleJournal of cellular and molecular medicine2026

FoxO3a-Mediated Modulation of PD-L1 Expression and Inhibition by Dihydroartemisinin in Triple-Negative Breast Cancer.

Xingan Xing, Zhiwei Zhou, Mohd Farhan, Xia Zhao, Shuai Li, Bingxi Lei, Jiankang Fang, Wenshu Zhou, Wenhua Zheng

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2026. 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. The Therapeutic Potential of Dihydroartemisinin in Cancer Treatment.International journal of molecular sciences · 2026
    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

9 authors.

Xingan XingPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Zhiwei ZhouPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Mohd FarhanPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Xia ZhaoPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Shuai LiPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Bingxi LeiPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Jiankang FangPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Wenshu ZhouPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.
Wenhua ZhengPharmaceutical Science, Faculty of Health Sciences, University of Macau, Macau SAR, China.ORCID https://orcid.org/0000-0001-9014-0055

Funding

Guangdong, Hong Kong and Macao Joint Key Laboratory for New Drug Screening EF2023-00054-FHSNational Natural Science Foundation of China 32070969The Science and Technology Development Fund, Macau SAR 0038/2020/AMJThe Science and Technology Development Fund, Macau SAR 0104/2022/A2University of Macau MYRG-CRG2024-00019-FHSUniversity of Macau MYRG-GRG2023-00118-FHS-UMDFUniversity of Macau MYRG-GRG2025-00292-FHS
6 · The paper itself

Abstract

Tumour immunotherapy targeting PD-1/PD-L1 shows promise, but the regulatory mechanisms of PD-L1 and its small-molecule modulators remain unclear. This study investigated FoxO3a-mediated PD-L1 regulation and the PD-L1-inhibitory role of dihydroartemisinin (DA) in triple-negative breast cancer (TNBC). FoxO3a overexpression significantly increased PD-L1 expression and impaired T cell-mediated cytotoxicity, while knockdown exerted opposite effects in TNBC cells. Promoter motif analysis and dual-luciferase assays revealed FoxO3a binding to the s155 site on the PD-L1 promoter in MDA-MB-231 cells; mutation of s155 abolished this interaction. ChIP-PCR confirmed FoxO3a binding to the PD-L1 promoter at s155. Furthermore, DA, a clinical antimalarial, reduced PD-L1 and FoxO3a levels, sensitising TNBC cells to T cell killing in TNBC cells. Mechanistically, DA enhanced IRE1/IKK phosphorylation, promoting FoxO3a Ser644 phosphorylation and ubiquitination. Crucially, s155 was required for DA-induced PD-L1 suppression in MDA-MB-231 cells. These findings demonstrate PD-L1 as a direct transcriptional target of FoxO3a and identify DA as a potential TNBC therapeutic targeting the IRE1/IKK/FoxO3a/PD-L1 axis.

Indexed as

ArtemisininsB7-H1 AntigenForkhead Box Protein O3Gene Expression Regulation, NeoplasticTriple Negative Breast NeoplasmsCell Line, TumorFemaleHumansMDA-MB-231 CellsPhosphorylationPromoter Regions, GeneticArtemisininsartenimolB7-H1 AntigenCD274 protein, humanForkhead Box Protein O3FOXO3 protein, humandihydroartemisininFoxO3aimmunotherapyPD‐L1TNBCubiquitination

Identifiers

PMID41521078
PMCPMC12790935

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.