Evidence map›Paper›PMID 42121893›Full record

ArticleCells2026

Punicic Acid in Ovarian Cancer: Anticancer Activity and Mechanistic Insights.

Jingjia Mo, Isabella Mendieta, Alexander J Adams, Katherine Wiest, Hannah Lee, Victoria Gorman, Rachel Koo, Santiago Garcia, Ethan Nguyen, Aaron Lee and 2 more

Abstract read
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Jingjia MoDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.ORCID 0009-0002-1586-9844
Isabella MendietaDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.ORCID 0009-0006-1610-106X
Alexander J AdamsDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Katherine WiestDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Hannah LeeDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.ORCID 0009-0009-4527-5861
Victoria GormanDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Rachel KooDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Santiago GarciaDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.ORCID 0009-0009-6762-7071
Ethan NguyenDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Aaron LeeDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Jihua FengDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.
Zhiqing HuangDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27701, USA.ORCID 0000-0002-6645-6700

Funding

Duke Cancer Institute Pilot Award Spring 2024Duke Medical Center Internal Research Fund (CHRF)NIA NIH HHS R03AG068685-01A1
6 · The paper itself

Abstract

Ovarian cancer (OC) remains the deadliest gynecological malignancy, with aged tumor microenvironments linked to poorer outcomes. Our prior work identified reduced levels of free fatty acids (FFAs) within tumor-surrounding adipose tissue of aged OC xenograft rats compared to younger counterparts. In this study, we investigated the therapeutic potential of one such FFA, punicic acid (PunA). We evaluated PunA's effects on OC and normal cell viability and compared its activity with that of its structural isomer, α-eleostearic acid (α-ESA). Both compounds decreased OC cell viability; however, α-ESA was cytotoxic to normal cells, whereas PunA selectively impaired OC cell viability while sparing normal cells. Additionally, PunA enhanced cisplatin efficacy, demonstrating its potential for use in combination therapy to reduce cisplatin dosage and toxicity without compromising antitumor activity. Mechanistically, PunA induced ferroptosis in OC cells while sparing normal cells by differently modulating lipid peroxidation, fatty acid oxidation, and mitochondrial function. Transcriptomic profiling further revealed coordinated gene expression changes associated with oxidative stress and ferroptosis in PunA-treated OC and normal cells. In a preliminary C57BL/6J-ID8 OC mouse model, PunA suppressed tumor growth. Collectively, these findings identify PunA as a promising therapeutic candidate for OC, acting through ferroptosis and mitochondrial dysfunction, and enhancing cisplatin efficacy while sparing normal cells.

Indexed as

Antineoplastic AgentsLinolenic AcidsOvarian NeoplasmsAnimalsCell Line, TumorCell SurvivalCisplatinFemaleFerroptosisGene Expression Regulation, NeoplasticHumansLipid PeroxidationMiceMitochondriaOxidative StressAntineoplastic AgentsCisplatineleostearic acidLinolenic Acidspunicic acidferroptosisfree fatty acidsmitochondrial dysfunctionovarian cancerpunicic acidtumor microenvironment

Identifiers

PMID42121893
PMCPMC13162863

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.