Evidence map›Paper›PMID 42285945›Full record

ArticleOncogenesis2026

Testican-1 activates Wnt/β-Catenin signaling to drive colorectal cancer progression.

Yi Li, Chuying Huang, Chu Zhang, Lian Feng, Huiyun Lin, Jiannan Yao, Shu Luo, Jinsen Shi, Yuping Yang, Zhiyun Cao and 1 more

Abstract read
In one paragraph

Article in Oncogenesis, 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

11 authors.

Yi Li *Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.ORCID http://orcid.org/0009-0002-7903-036X
Chuying Huang *Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Chu ZhangAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Lian FengAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Huiyun LinAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Jiannan YaoDepartment of Oncology, Beijing Chaoyang Hospital, Beijing, China.
Shu LuoAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Jinsen ShiAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Yuping YangAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Zhiyun CaoAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China. caozhiyun@ftjcm.edu.cn.
Nathaniel WeygantAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China. nweygant@gmail.com.ORCID http://orcid.org/0000-0001-7861-6532

Funding

Fujian University of Traditional Chinese Medicine X2020003-TalentFujian University of Traditional Chinese Medicine X2023002-Talent (Minjiang Scholar)National Natural Science Foundation of China (National Science Foundation of China) 82574627National Natural Science Foundation of China (National Science Foundation of China) 82575162Natural Science Foundation of Fujian Province (Fujian Provincial Natural Science Foundation) 2025J0943
6 · The paper itself

Abstract

Colorectal cancer (CRC) ranks second in cancer-related mortality worldwide. Its clinical intractability and chemoresistance pose significant challenges, often driven by cancer stem cells (CSCs). Wnt/β-catenin signaling is a lynchpin of CSC self-renewal, but targetable upstream drivers remain elusive. Using bioinformatics, we identified the proteoglycan SPOCK1 (encoding the protein Testican-1) as a Wnt-associated marker. High SPOCK1 gene expression predicted poor patient prognosis and reduced progression-free survival following first-line chemotherapy. In vitro assays demonstrated that Testican-1 levels modulated Wnt/β-catenin activity. Testican-1 downregulation inhibited β-catenin nuclear translocation and TCF/LEF-mediated transcription, leading to concurrent suppression of CRC proliferation and spheroid-forming potential. Conversely, Testican-1 overexpression promoted β-catenin nuclear translocation and TCF/LEF-mediated transcription, which enhanced CRC malignant properties. This Testican-1-driven pro-tumorigenic effect was reversed by the β-catenin/TCF/LEF inhibitor iCRT3, demonstrating Testican-1's dependence on Wnt transcriptional activation. We validated this functional role in vivo using a Testican-1-overexpressing xenograft model and ex vivo using patient-derived organoids (PDOs), both confirming increased growth and β-catenin nuclear localization. Furthermore, data-independent acquisition (DIA) mass spectrometry of Testican-1-overexpressing tumors showed enrichment in Wnt/β-catenin and pro-tumorigenic pathways, including c-Myc and oxidative phosphorylation. Notably, Testican-1 expression was associated with remodeling of the tumor microenvironment, characterized by desmoplastic features. In summary, our findings establish a novel Testican-1/Wnt/β-catenin axis driving CRC tumorigenesis and progression, positioning it as a promising therapeutic target to overcome Wnt-mediated progression and resistance.

Identifiers

PMID42285945
PMCPMC13487164

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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.