Evidence map›Paper›PMID 41675768›Full record

ReviewAnnals of medicine and surgery (2012)2026

Sex steroid receptors in colorectal cancer: implications for tumor progression, therapeutic opportunities, and sex-specific outcomes.

Shreya Singh Beniwal, Yash Janu, Kareema Cummings, Saif Syed, Rafael Everton Assunção Ribeiro da Costa, Prashasti Dahiya, Yujin Jeong, Alyanna Cabe Cacas, Chimuka Mwaanga, Jana Kotaich

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 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. HighTranslational cancer research · 2026
    Article
  2. Review
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

10 authors.

Shreya Singh BeniwalDepartment of Internal Medicine, Lady Hardinge Medical College, Connaught Place, New Delhi, India.
Yash JanuDepartment of Internal Medicine, Government Medical College, Kota, India.
Kareema CummingsDepartment of Internal Medicine, Millennium Heights Medical Complex, Castries, Saint Lucia.
Saif SyedDepartment of Internal Medicine, Royal College of Surgeons Ireland, Dublin, Ireland.
Rafael Everton Assunção Ribeiro da CostaDepartment of Internal Medicine, State University of Campinas, Campinas, São Paulo, Brazil.
Prashasti DahiyaDepartment of Internal Medicine, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Yujin JeongDepartment of Internal Medicine, Icahn School of Medicine at Mount Sinai/Elmhurst, Queens, New York, USA.
Alyanna Cabe CacasDepartment of Internal Medicine, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines.
Chimuka MwaangaDepartment of Internal Medicine, Texila American University Zambia, Lusaka, Zambia.
Jana KotaichDepartment of Internal Medicine, MEDICA Research Investigation, Hadath, Lebanon.ORCID https://orcid.org/0000-0002-7740-392X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) is a common malignancy with high incidence and mortality. Hormone signaling pathways, including estrogen, progesterone (P4), and androgen receptors (ARs), influence tumor development and progression and offer potential therapeutic opportunities. This study investigates the role of sex steroid receptors in CRC, explores therapeutic strategies, and considers sex-specific implications. Multiple cohort studies were analyzed based on gender, age, clinical stage, and tumor location. A structured literature search was conducted across PubMed, Web of Science, and Google Scholar, selecting studies with relevant sex-specific data and study designs. ERβ exhibits antitumor effects, with lower levels linked to tumors in females, while ERα and AR promote growth, particularly in postmenopausal women. Progesterone receptors (PGRs) are associated with poorer prognosis, though P4 treatment inhibits CRC cell proliferation. Malignant tissues show increased ERα and AR but decreased ERβ and PGR. ER isoforms' mRNA is lower in malignant females, and AR expression is higher in males. Women more often develop proximal colon tumors (reduced ERβ) and men develop distal tumors, reflecting nuanced gene transcription modulation by ERα, ERβ, and G-protein coupled estrogen receptor (GPER). The mechanism of P4's protective effect remains unclear. Variability in cell lines, hormone concentrations, receptor expression, and hormone replacement therapy outcomes complicates interpretation, as do interactions between cytokines and estrogen signaling in the tumor microenvironment. Future strategies include combined ERβ and PGR activation, sequential estrogen-P4 therapy for early stage CRC, and simultaneous therapy for advanced cases. Research should clarify sex hormone roles, advance prognostic markers, explore selective estrogen receptor modulators, target ERβ pharmacologically, and investigate gut microbiome influences for tailored interventions.

Indexed as

androgen receptorcolorectal cancerestrogen-progesterone therapyestrogen receptor betaprogesterone receptorsex steroid receptorstumor progression

Identifiers

PMID41675768
PMCPMC12889288

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.