Evidence map›Paper›PMID 42225617›Full record

ArticleCell death & disease2026

Sunitinib enhances cuproptosis induced by copper ionophores via ROS-ATF3-SLC31A1 axis in thyroid Carcinoma.

Dan Zhao, Yunjun Wang, Qing Guan, Weibo Xu, Zhou Yang, Xiangze Li, Tian Liao, Yu Wang, Xiang Zhou, Jun Xiang

Abstract read
In one paragraph

Article in Cell death & disease, 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

10 authors.

Dan Zhao *Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Yunjun Wang *Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Qing Guan *Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Weibo XuDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Zhou YangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID http://orcid.org/0000-0003-3072-271X
Xiangze LiDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Tian LiaoDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Yu WangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. neck130@sina.com.
Xiang ZhouDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. xiangzhou@fudan.edu.cn.ORCID http://orcid.org/0000-0002-1172-7948
Jun XiangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. xiangjun@shca.org.cn.ORCID http://orcid.org/0009-0009-6110-8844

Funding

Science and Technology Commission of Shanghai Municipality (Shanghai Municipal Science and Technology Commission) 20Y11914300
6 · The paper itself

Abstract

The clinical management of advanced thyroid carcinoma presents substantial therapeutic challenges due to non-curative surgical outcomes and resistance to both radioiodine therapy and conventional chemotherapeutic agents. Emerging evidence implicates copper dysregulation in thyroid cancer pathogenesis, yet monotherapy with copper ionophores demonstrates constrained efficacy due to tumor-intrinsic adaptive resistance mechanisms. In this study, we investigated the therapeutic potential of combining Sunitinib with copper ionophore Elesclomol as a novel strategy against thyroid carcinoma. Mechanically, we identified that Sunitinib treatment induces ROS accumulation, activating the stress-responsive transcription factor ATF3, which directly binds and transactivates the copper transporter gene SLC31A1. Clinically, TCGA analysis reveals SLC31A1 as a vulnerability in advanced thyroid cancer, with expression significantly downregulated in metastatic lesions, a deficit rescued by Sunitinib. Overall, these results demonstrate that Sunitinib and copper ionophores can induce synergistic cytotoxic effect, shedding light on therapeutic strategy for advanced thyroid carcinomas.

Indexed as

Activating Transcription Factor 3Cation Transport ProteinsCopperCuproptosisIonophoresReactive Oxygen SpeciesSunitinibThyroid NeoplasmsCell Line, TumorCopper Transporter 1HumansActivating Transcription Factor 3ATF3 protein, humanCation Transport ProteinsCopperCopper Transporter 1IonophoresReactive Oxygen SpeciesSunitinib

Identifiers

PMID42225617
PMCPMC13434697

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.