Evidence map›Paper›PMID 41862446›Full record

ArticleCell death discovery2026

ATGL sensitizes hepatocellular carcinoma cells to genotoxic drugs by modulating p53 acetylation/phosphorylation status.

Serena Castelli, Angela De Cristofaro, Enrico Desideri, Emanuele Salvi, Fabio Ciccarone, Maria Rosa Ciriolo

Abstract read
In one paragraph

Article in Cell death discovery, 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

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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

6 authors.

Serena CastelliDepartment for the Promotion of Human Science and Quality of Life, San Raffaele Open University, Via di Val Cannuta, 247, 00166, Rome, Italy.ORCID http://orcid.org/0000-0001-5857-8049
Angela De CristofaroDepartment of Biology, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID http://orcid.org/0009-0000-7696-6192
Enrico DesideriDepartment of Life Sciences, Health and Health Professions, Link Campus University, Via del Casale di San Pio V, 44, 00165, Rome, Italy.ORCID http://orcid.org/0000-0002-1884-7491
Emanuele SalviDepartment of Biology, University of Rome Tor Vergata, 00133, Rome, Italy.
Fabio Ciccarone *IRCCS San Raffaele Roma, 00166, Rome, Italy.
Maria Rosa Ciriolo *IRCCS San Raffaele Roma, 00166, Rome, Italy. ciriolo@bio.uniroma2.it.ORCID http://orcid.org/0000-0002-7863-9029

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) IG 2023 ID 29207Ministero dell'Istruzione, dell'Università e della Ricerca (Ministry of Education, University and Research) MUR-PNRR M4C2I1.3 PE6 project PE00000019 Heal Italia No. E83C22004670001
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) accounts for approximately 90% of liver cancer cases. Few therapeutic options are available for HCC patients due to intrinsic drug resistance or the low efficacy of conventional chemotherapeutic drugs, including genotoxic agents. We previously demonstrated that adipose triglyceride lipase (ATGL) is downregulated in HCC and shows anti-neoplastic activity by affecting sensitivity to different therapeutic approaches. On the basis of this evidence, we assessed the contribution of ATGL activity to the modulation of the DNA damage response induced by genotoxic drugs. We modulated ATGL expression via overexpression and silencing in the presence of etoposide and doxorubicin, which are genotoxic drugs. The catalytic activity of ATGL was abrogated by a selective inhibitor (ATGListatin) or the overexpression of the ATGL catalytic mutant. To assess the DNA damage response, we evaluated the phosphorylation of H2AX histones and the post-translational modifications of p53. The sensitivity to genotoxic drugs was assessed by analyzing cell viability and molecular markers associated with cell cycle arrest and cell death. Our results demonstrate that ATGL enhances DNA damage in HCC cells in response to genotoxic stimuli. The underlying molecular mechanism involves ATGL-mediated activation of PPARα/p300 signaling. As a result, we observed an imbalance in p53 acetylation/phosphorylation status that restrains cell cycle arrest and DNA damage repair while promoting apoptotic cell death. In line with the in vitro findings, bioinformatic analyses revealed a strong correlation between ATGL and the PPARα/p300 axis and further demonstrated an enrichment of gene sets associated with cell cycle regulation and DNA damage response in ATGL-high HCC. In conclusion, ATGL levels can be used as a predictive marker of HCC sensitivity to genotoxic insults. The activation of this lipase, or downstream molecular signaling, may thus be exploited to increase the efficacy of chemotherapeutic treatments in HCC.

Identifiers

PMID41862446
PMCPMC13040076

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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.