Evidence map›Paper›PMID 41845370›Full record

ArticleJournal of translational medicine2026

The small molecule compound ETP-46321 suppresses gastric cancer progression by inducing SAT1-mediated ferroptosis and inhibiting the PI3K/AKT/mTOR pathway.

Qingao Wei, Tengkai Wang, Runcheng Zeng, Junling Zhen, Yufei Zang, Jiaoyang Lu, Wenlong Ma, Qian Wang

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

8 authors.

Qingao Wei *Department of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhua West Road, Jinan, Shandong, 250012, China.
Tengkai Wang *Cheeloo College of Medicine, Shandong University, No. 44 Wenhua West Road, Jinan, Shandong, 250012, China.
Runcheng ZengDepartment of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhua West Road, Jinan, Shandong, 250012, China.
Junling ZhenDepartment of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhua West Road, Jinan, Shandong, 250012, China.
Yufei ZangDepartment of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhua West Road, Jinan, Shandong, 250012, China.
Jiaoyang LuDepartment of Gastroenterology, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, Shandong, 250012, China.
Wenlong MaDepartment of Gastroenterology, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, Shandong, 250012, China.
Qian WangDepartment of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhua West Road, Jinan, Shandong, 250012, China. wang_qian@email.sdu.edu.cn.

Funding

the Industry-Academia-Research Cooperation Science and Technology Education Project of the Ministry of Education 230831502007010the National Major Research and Development Program 2024YFC27074the Qingdao Natural Science Foundation 24-4-4-zrjj-159-jch
6 · The paper itself

Abstract

backgroundGastric cancer (GC) remains a common malignant tumor of the digestive system, with persistently high incidence and mortality rates. Therefore, new and effective therapeutic strategies are urgently needed to improve its treatment.

methodsWe investigated the anti-GC effect and underlying mechanism of the small molecule compound ETP-46321. In vitro functional assays were performed to evaluate the effects of ETP-46321 on GC cell proliferation, migration, and apoptosis. RNA sequencing was employed to elucidate the potential molecular mechanism of ETP-46321 treatment. SAT1 knockdown was used to investigate its impact on the effect of ETP-46321 in GC cells, and overexpression of SAT1 was also utilized. Bioinformatics analysis was used to explore the related signaling pathways. IGF-1 intervention was used as a rescue experiment to explore the role of the PI3K/AKT signaling pathway in the anti-tumor effect of ETP-46321. Finally, organoid and nude mouse xenograft models were used to verify the anti-GC activity of ETP-46321.

resultsETP-46321 significantly inhibited the proliferation and migration of GC cells and induced cell apoptosis. Mechanistically, ETP-46321 could induce ferroptosis by upregulating SAT1. Knockdown of SAT1 reversed ETP-46321-mediated ferroptosis and restored cell proliferation and migration. Furthermore, ETP-46321 effectively inhibited the activity of the PI3K/AKT/mTOR signaling pathway, and this anti-cancer effect could be partially reversed by IGF-1, an activator of the PI3K/AKT/mTOR pathway. Both organoid and nude mouse xenograft models revealed the significant anti-GC activity of ETP-46321.

conclusionsThis study reveals a dual mechanism by which ETP-46321 exerts anti-GC effects by promoting SAT1-mediated ferroptosis and inhibiting the PI3K/AKT/mTOR signaling pathway. These findings provide important experimental evidence and theoretical support for the development of targeted GC therapies based on the mechanism of action of ETP-46321.

Indexed as

Disease ProgressionFerroptosisPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionStomach NeoplasmsTOR Serine-Threonine KinasesAnimalsApoptosisCell Line, TumorCell MovementCell ProliferationHumansMiceMice, Inbred BALB CMice, NudeMTOR protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesFerroptosisGastric cancerPI3K/AKT/mTOR pathwaySAT1Targeted therapy

Identifiers

PMID41845370
PMCPMC13107839

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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.