Evidence map›Paper›PMID 41808818›Full record

ArticleFrontiers in immunology2026

GCDCA promotes hepatocellular carcinoma progression through S1PR2/PI3K/AKT-mediated polarization of M2-type macrophages.

Mengmeng Xue, Wei Yu, Kuizhi Zhang, Yu Chen, Luyao Zhang, Hengyan Zhang, Simin Lu, Min Tao, Haixin Yan, Lixin Wei and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 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

13 authors.

Mengmeng Xue *School of Pharmacy, Anhui Medical University, Hefei, China.
Wei Yu *Clinical Research Unit, Changhai Hospital, Naval Medical University, Shanghai, China.
Kuizhi Zhang *School of Pharmacy, Anhui Medical University, Hefei, China.
Yu ChenSchool of Pharmacy, Anhui Medical University, Hefei, China.
Luyao ZhangClinical Research Unit, Changhai Hospital, Naval Medical University, Shanghai, China.
Hengyan ZhangClinical Research Unit, Changhai Hospital, Naval Medical University, Shanghai, China.
Simin LuClinical Research Unit, Changhai Hospital, Naval Medical University, Shanghai, China.
Min TaoSchool of Pharmacy, Anhui Medical University, Hefei, China.
Haixin YanDepartment of Urology, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Lixin WeiDepartment of Tumor Immunology and Gene Therapy Center, National Center for Liver Cancer, Naval Medical University, Shanghai, China.
Gang LvSenior Department of General Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Lu GaoDepartment of Tumor Immunology and Gene Therapy Center, National Center for Liver Cancer, Naval Medical University, Shanghai, China.
Li ZhangSchool of Pharmacy, Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Disorders in bile acid metabolism are recognized as crucial mechanisms in the occurrence and development of hepatocellular carcinoma (HCC), a leading cause of cancer-related deaths worldwide. HCC progression is intricately linked to immune regulation within the tumor microenvironment (TME), particularly involving tumor-associated macrophages (TAMs) that modulate proliferation, invasion, and immune escape. Although glycochenodeoxycholic acid (GCDCA), a primary bile acid, is suspected to influence HCC, the specific mechanisms by which it affects the TME to drive cancer progression remain unclear. Methods: This study investigated the role of GCDCA in HCC progression using a combination of approaches. Single-cell sequencing was employed to analyze the TME and identify a highly malignant subpopulation of cancer stem cells (CSCs). In vivo experiments were conducted using a primary liver cancer model to assess the effect of GCDCA intervention on tumor progression and stemness. Mechanistic exploration focused on the role of the S1PR2 receptor, utilizing both macrophage and tumor cell systems to examine the S1PR2/PI3K/AKT signaling pathway and its influence on macrophage polarization. Results: Single-cell sequencing revealed a distinct subpopulation of CSCs with high malignancy within the TME. Conclusion: This study demonstrates that GCDCA drives HCC progression by inducing M2-type macrophage polarization via the S1PR2/PI3K/AKT signaling pathway, which subsequently enhances tumor cell stemness. These findings elucidate a novel mechanism by which bile acids remodel the TME to promote liver cancer, highlighting potential therapeutic targets within this pathway.

Indexed as

Carcinoma, HepatocellularGlycochenodeoxycholic AcidLiver NeoplasmsMacrophagesPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSphingosine-1-Phosphate ReceptorsTumor-Associated MacrophagesAnimalsCell Line, TumorDisease ProgressionHumansMacrophage ActivationMiceNeoplastic Stem CellsSignal TransductionGlycochenodeoxycholic AcidPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktS1PR2 protein, humanSphingosine-1-Phosphate Receptorsglycochenodeoxycholic acidhepatocellular carcinomamacrophage polarizationS1PR2 receptorstemness

Identifiers

PMID41808818
PMCPMC12968304

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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.