Evidence map›Paper›PMID 42686683›Full record

ArticleNature communications2026

p38β-mediated BiP phosphorylation drives stemness and chemoresistance by suppressing UPR activation in hepatocellular carcinoma.

Liang Xu, Ianto Bosheng Huang, Minghe Zhang, Yunong Xie, Bing Li, Linglin Liu, Long Hin Ng, Yimiao He, Yan Liu, Tin-Lok Wong and 6 more

Abstract read
In one paragraph

Article in Nature communications, 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

16 authors.

Liang Xu *School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Ianto Bosheng Huang *School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Minghe Zhang *School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Yunong XieSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Bing LiState Key Laboratory of Metabolic Dysregulation and Prevention and Treatment of Esophageal Cancer, Tianjian Laboratory of Advanced Biomedical Sciences, School of Convergence Medicine, Zhengzhou University, Zhengzhou, China.
Linglin LiuSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Long Hin NgSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Yimiao HeSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Yan LiuSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Tin-Lok WongSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-1147-7958
Xiaoyun LuInternational Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Discovery of Chinese Ministry of Education (MOE), Guangzhou City Key Laboratory of Precision Chemical Drug Development, Guangzhou City Key Laboratory of Precision Chemical Drug Development, School of Pharmacy, Jinan University, Guangzhou, China.ORCID http://orcid.org/0000-0001-7931-6873
Terence Kin-Wah LeeDepartment of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, China.ORCID http://orcid.org/0000-0003-0682-322X
Jing-Ping YunDepartment of Pathology, Sun Yat-Sen University Cancer Centre, Guangzhou, China.ORCID http://orcid.org/0000-0002-1001-0769
Lei JinState Key Laboratory of Metabolic Dysregulation and Prevention and Treatment of Esophageal Cancer, Tianjian Laboratory of Advanced Biomedical Sciences, School of Convergence Medicine, Zhengzhou University, Zhengzhou, China.ORCID http://orcid.org/0000-0001-7187-9671
Stephanie MaSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-2029-7943
Man TongSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China. carolmantong@cuhk.edu.hk.ORCID http://orcid.org/0000-0001-5725-0391

Funding

Research Grants Council, University Grants Committee (RGC, UGC) 17114021Research Grants Council, University Grants Committee (RGC, UGC) C5017-24GFResearch Grants Council, University Grants Committee (RGC, UGC) C7063-23EResearch Grants Council, University Grants Committee (RGC, UGC) RFS2122-7S05
6 · The paper itself

Abstract

Tumor-initiating cells (TICs) promote tumor initiation and therapy resistance, yet the kinase regulators that sustain TICs remain incompletely defined. Here, we identify the stress kinase p38β (MAPK11) supports TIC maintenance and drug resistance in hepatocellular carcinoma (HCC). Integrated analysis of chemotherapy-enriched HCC spheroids, and DepMap data prioritized p38β as a kinase linked to stemness and chemoresistance. High p38β expression correlates with poor prognosis and aggressive clinicopathological features in HCC patients. Mechanistically, p38β phosphorylates the endoplasmic reticulum (ER) chaperone BiP at threonine 648, enhancing its association with the unfolded protein response (UPR) sensors PERK and IRE1-α. This modification suppresses UPR activation and reduces unfolded protein accumulation, thereby preserving ER proteostasis under chemotherapeutic stress. Functionally, p38β-driven BiP phosphorylation sustains TIC phenotypes and cisplatin resistance in vitro and in vivo. BiP inhibition with HA15 restores UPR signaling and sensitizes patient-derived xenograft and organoid models to cisplatin, revealing a targetable p38β-BiP axis in HCC.

Indexed as

Carcinoma, HepatocellularDrug Resistance, NeoplasmHeat-Shock ProteinsLiver NeoplasmsMitogen-Activated Protein Kinase 11Neoplastic Stem CellsUnfolded Protein ResponseAnimalsAntineoplastic AgentsCell Line, TumorCisplatinEndoplasmic Reticulum Chaperone BiPFemaleHumansMaleMiceAntineoplastic AgentsCisplatinEndoplasmic Reticulum Chaperone BiPHeat-Shock ProteinsMitogen-Activated Protein Kinase 11Protein Serine-Threonine Kinases

Identifiers

PMID42686683
PMCPMC13538570

What OpenQuestion holds

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Registered trials

None linked

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.