Evidence map›Paper›PMID 42336821›Full record

ArticleCell death & disease2026

Nintedanib inhibits the VEGFR-ERK signaling pathway in human KRAS-mutated cancer cells.

Sivasundaram Karnan, Akinobu Ota, Muhammad Nazmul Hasan, Toshinori Hyodo, Nushrat Jahan, Hideki Murakami, Md Towhid Ahmed Shihan, Ichiro Hanamura, Lam Quang Vu, Miho Riku and 10 more

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. 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

20 authors.

Sivasundaram Karnan *Department of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan. skarnan@aichi-med-u.ac.jp.ORCID http://orcid.org/0000-0003-2165-7565
Akinobu Ota *Department of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan. aota@kinjo-u.ac.jp.ORCID http://orcid.org/0000-0002-6296-2921
Muhammad Nazmul Hasan *Department of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.ORCID http://orcid.org/0000-0003-2536-7557
Toshinori HyodoDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.
Nushrat JahanDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.
Hideki MurakamiDepartment of Pathology, Aichi Medical University School of Medicine, Nagakute, Japan.
Md Towhid Ahmed ShihanDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.
Ichiro HanamuraDivision of Hematology, Department of Internal Medicine, Aichi Medical University School of Medicine, Nagakute, Japan.ORCID http://orcid.org/0000-0002-6681-8927
Lam Quang VuDivision of Hematology, Department of Internal Medicine, Aichi Medical University School of Medicine, Nagakute, Japan.
Miho RikuDepartment of Pathology, Aichi Medical University School of Medicine, Nagakute, Japan.
Hideaki ItoDepartment of Pathology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yoshifumi KanekoDepartment of Pathology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yinzhi LinDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Md WahiduzzamanDepartment of Foundations of Medicine, NYU Grossman Long Island School of Medicine, Mineola, NY, USA.ORCID http://orcid.org/0000-0001-5915-8935
Md Lutfur RahmanDepartment of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.
Shingo InagumaDepartment of Pathology, Nagoya City University East Medical Center, Nagoya, Japan.
Takuya MatsuiDepartment of physiology, Aichi Medical University School of Medicine, Nagakute, Japan.
Hiroyuki KonishiDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.ORCID http://orcid.org/0000-0003-1131-4905
Shinobu TsuzukiDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.
Yoshitaka HosokawaDepartment of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Japan.

Funding

Ministry of Education, Culture, Sports, Science and Technology (MEXT) 19K09292, 22K08985, 25K12115 to SKMinistry of Education, Culture, Sports, Science and Technology (MEXT) 21K08426 to AO
6 · The paper itself

Abstract

KRAS mutations are significant drivers in various cancers, and existing drug discovery attempts targeting these mutations have largely been unsuccessful, emphasizing the need for more effective therapies. In this study, the screening library, which contains 1,374 chemical compounds, identified nintedanib, a VEGFR inhibitor, as exerting a potent and selective antiproliferative effect against KRAS-mutant cells, surpassing other VEGFR inhibitors. Nintedanib effectively suppressed tumor growth in xenografted mice with KRAS mutations and significantly inhibited phosphorylated VEGFR2 levels and its downstream signaling molecules pAKT and pERK in KRAS-mutant cells, suggesting that VEGFR2 inhibition affects the oncogenic AKT/ERK pathway. Moreover, in VEGFR2-knockout cells, inhibition of SOS1 protein reduced KRAS-GTP activity, which decreased the phosphorylation of ERK, AKT, and DRP1, thereby inducing apoptosis. Remarkably, KRAS

Indexed as

IndolesMAP Kinase Signaling SystemMutationPancreatic NeoplasmsProto-Oncogene Proteins p21(ras)Vascular Endothelial Growth Factor Receptor-2AnimalsApoptosisCell Line, TumorCell ProliferationExtracellular Signal-Regulated MAP KinasesHumansMiceMice, NudePhosphorylationSignal TransductionExtracellular Signal-Regulated MAP KinasesIndolesKRAS protein, humannintedanibProto-Oncogene Proteins p21(ras)Vascular Endothelial Growth Factor Receptor-2

Identifiers

PMID42336821
PMCPMC13547290

What OpenQuestion holds

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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.