Evidence map›Paper›PMID 41689001›Full record

ArticleCancer cell international2026

Squalene synthase induces ERα expression via cholesterol supplementation to confer statin resistance in lung cancer cells.

Yi-Fang Yang, Yu-Chan Chang, Ming-Hsien Chan, Min-Hsi Lin, Chih-Jen Yang, Ming-Shyan Huang, Yi-Hua Jan, Michael Hsiao

Abstract read
In one paragraph

Article in Cancer cell international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yi-Fang YangDepartment of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0001-7425-3156
Yu-Chan ChangDepartment of Biomedical Imaging and Radiological Science, National Yang Ming Chiao Tung University, Taipei, Taiwan.ORCID http://orcid.org/0000-0003-0474-9935
Ming-Hsien ChanDepartment of Biomedical Imaging and Radiological Science, National Yang Ming Chiao Tung University, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-5633-8911
Min-Hsi LinDivision of Chest Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0002-3622-0609
Chih-Jen YangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Ming-Shyan HuangSchool of Medicine, I-Shou University, Kaohsiung, Taiwan.
Yi-Hua JanDepartment of Molecular Medicine, Koo Foundation Sun Yat-Sen Cancer Center, 125 Lih-Der Road, Pei-Tou District, Taipei City, 12259, Taiwan. isaacjan@kfsyscc.org.ORCID http://orcid.org/0000-0001-7344-7602
Michael HsiaoGenomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Taipei, 115201, Taiwan. mhsiao@gate.sinica.edu.tw.ORCID http://orcid.org/0000-0001-8529-9213

Funding

Kaohsiung Veterans General Hospital KSVGH110-144,KSVGH111-148,KSVGH112-150National Science and Technology Council NSTC 110-2314-B-075B-009 -MY3, 113-2314-B-075B-002, and 114-2314-B-075B-014 -MY3VGH, TSGH, AS Joint Research Program AS-VTA-111-15VGH, TSGH, AS Joint Research Program VTA111-A-3-2,VTA113-A-3-3
6 · The paper itself

Abstract

backgroundSterol regulatory element-binding proteins (SREBPs) are master regulators of cholesterol and lipid biosynthesis - pathways increasingly linked to cancer progression. Statins, which inhibit HMG-CoA reductase to lower cholesterol, have shown potential in reducing cancer recurrence. However, their efficacy in lung cancer remains uncertain, and predictive biomarkers for statin responsiveness are still lacking.

methodsWe examined the relationship between cholesterol biosynthesis and estrogen receptor alpha (ERα) signaling and assessed the therapeutic potential of targeting this axis in lung cancer models.

resultsOverexpression of farnesyl-diphosphate farnesyltransferase 1 (FDFT1), also known as squalene synthase (SQS), significantly increased the IC50 of lovastatin in lung cancer cell lines, indicating a role in mediating statin resistance. Gene expression profiling revealed enrichment of estrogen receptor alpha (ERα) signaling in SQS-overexpressing cells. Immunohistochemical analysis of 125 NSCLC patient samples showed a positive correlation between SQS and ERα protein expression, and their co-expression was significantly associated with poorer disease-free survival. Mechanistically, SQS upregulated ERα at the protein level via cholesterol replenishment, without altering ESR1 mRNA levels, suggesting a post-transcriptional regulatory mechanism.

conclusionSQS promotes statin resistance in lung cancer by stabilizing ERα through cholesterol replenishment. Its co-expression with ERα predicts poor prognosis, highlighting the SQS–ERα axis as a potential therapeutic target and biomarker for stratifying patients likely to benefit from statin–antiestrogen combination therapy.

Indexed as

Cholesterol biosynthesisEstrogen receptor αSqualene synthaseStatin

Identifiers

PMID41689001
PMCPMC13005447

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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.