Evidence map›Paper›PMID 41681959›Full record

ReviewCancers2026

SLPI in Prostate Cancer.

Dario Rosini, Irene Cosi, Pierpaolo De Iaco, Arcangelo Sebastianelli, Gioia Di Stefano, Sergio Serni, Gabriella Nesi, Rosario Notaro, Maria De Angioletti

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Dario RosiniLaboratory of Cancer Genetics, Core Research Laboratory, Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), 50139 Florence, Italy.ORCID 0009-0008-1408-4504
Irene CosiLaboratory of Cancer Genetics, Core Research Laboratory, Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), 50139 Florence, Italy.
Pierpaolo De IacoLaboratory of Cancer Genetics, Core Research Laboratory, Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), 50139 Florence, Italy.
Arcangelo SebastianelliDepartment of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy.ORCID 0000-0002-4073-8339
Gioia Di StefanoHistopathology and Molecular Diagnostic, Careggi University Hospital, 50139 Florence, Italy.ORCID 0000-0002-4685-4437
Sergio SerniDepartment of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy.ORCID 0000-0002-8699-985X
Gabriella NesiHistopathology and Molecular Diagnostic, Careggi University Hospital, 50139 Florence, Italy.ORCID 0000-0002-2614-944X
Rosario NotaroLaboratory of Cancer Genetics, Core Research Laboratory, Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), 50139 Florence, Italy.ORCID 0000-0002-9087-9404
Maria De AngiolettiLaboratory of Cancer Genetics, Core Research Laboratory, Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), 50139 Florence, Italy.ORCID 0000-0002-2686-6457

Funding

Regione Toscana SLPI_PC
6 · The paper itself

Abstract

Secretory Leukocyte Protease Inhibitor (SLPI) is a conserved serine protease inhibitor expressed on mucosal surfaces, which has multiple functions including anti-protease, anti-microbial and anti-inflammatory properties. SLPI plays critical roles in tissue homeostasis and pathology. Through its anti-protease ability, SLPI safeguards tissues from excessive damage caused by proteolytic enzymes released during inflammation and contributes to extracellular matrix remodeling, thereby influencing the cellular and tumor microenvironment. Furthermore, SLPI expression is implicated in shaping the immune landscape that facilitates tumor progression, and in driving epithelial-mesenchymal transition (EMT). Consequently, it is not surprising that SLPI plays a complex and context-dependent role across various malignancies. It is overexpressed in most cancers such as colorectal, gastric, pancreatic, and breast carcinomas, and this overexpression often correlates with a more advanced and aggressive disease. Conversely, its levels are reduced in head and neck squamous cell carcinoma and hepatocellular carcinoma, where elevated expression may be associated with a more favorable prognosis. This diverse behavior underscores that SLPI function in cancer is tissue-specific and dependent on the functional or pathological state. In prostate cancer, SLPI expression exhibits a bimodal behavior: levels are reduced in the early stages of the disease compared to normal tissues but become significantly upregulated in more advanced and aggressive stages of disease, with significantly higher levels observed in patients with castration-resistant prostate cancer. Elevated SLPI levels in prostate cancer correlate with a reduced prostate-specific antigen (PSA) progression-free survival. In this review, we outline the current evidence regarding the multifaceted functions of SLPI and its expanding role in cancer, focusing primarily on the recently described molecular mechanisms and clinical significance of SLPI in prostate carcinoma.

Indexed as

androgenandrogen receptorbiomarkerETS transcription factorsETV1ETV4prostate cancersecretory leukocyte protease inhibitorSLPItransgenic mouse model

Identifiers

PMID41681959
PMCPMC12896472

What OpenQuestion holds

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LicenceCC BY
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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.