Evidence map›Paper›PMID 41781391›Full record

ArticleNature communications2026

A hormetic transcriptional program coregulates invasion, proliferation and dormancy to define metastatic potential.

Raúl Jiménez-Castaño, Nitin Narwade, Gema Moreno-Bueno, Berta Sánchez-Laorden, Joan Galcerán, Khalil Kass Youssef, M Angela Nieto

Abstract read
In one paragraph

Article in Nature communications, 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. Review
  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

7 authors.

Raúl Jiménez-CastañoInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain.ORCID http://orcid.org/0000-0003-4449-9010
Nitin NarwadeInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain.
Gema Moreno-BuenoInstituto de Investigaciones Biomédicas "Sols-Morreale" CSIC-UAM, Madrid, Spain.ORCID http://orcid.org/0000-0002-5030-6687
Berta Sánchez-LaordenInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain.ORCID http://orcid.org/0000-0002-6499-6332
Joan GalceránInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain.ORCID http://orcid.org/0000-0002-5247-2726
Khalil Kass YoussefInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain.ORCID http://orcid.org/0000-0002-4572-3160
M Angela NietoInstituto de Neurociencias (CSIC-UMH), Sant Joan d'Alacant, Spain. anieto@umh.es.ORCID http://orcid.org/0000-0002-3538-840X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastasis remains the leading cause of cancer mortality, yet the factors that determine metastatic competence and the timing of its acquisition are not well understood. Using human breast cancer cohorts and multi-omics in preclinical models, here we show that cells exit the primary tumor with pre-set metastatic potential. Integrating spatial transcriptomics with single-cell gene expression and chromatin profiles, we identify the transcription factor Prrx1 as a master regulator of dissemination: beyond its known role in invasion, it represses proliferation by acting on cyclins and cell-cycle inhibitors (Ccnd1/2, Cdkn2a/b/c) and activates a dormancy program (Gas6, Mme, Ogn). Intermediate Prrx1 levels optimize the trade-off between invasion and proliferation/dormancy, producing a hormetic (nonlinear) relationship between Prrx1 expression and metastatic burden. Combined invasion and proliferation signatures strongly stratify breast cancer prognosis, underscoring the clinical relevance of this phenotypic interplay. These findings indicate that metastatic competence emerges from the integration of Prrx1 co-regulated molecular programs, explaining why some invasive cells enter dormancy while others resume growth.

Indexed as

Breast NeoplasmsCell ProliferationGene Expression Regulation, NeoplasticHomeodomain ProteinsAnimalsCell Line, TumorFemaleHumansMiceNeoplasm InvasivenessNeoplasm MetastasisTranscription, GeneticHomeodomain ProteinsPRRX1 protein, human

Identifiers

PMID41781391
PMCPMC13077004

What OpenQuestion holds

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Registered trials

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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.