Evidence map›Paper›PMID 42886399›Full record

ArticleMolecular biology reports2026

Dose-dependent CXCR4 inhibition in ovarian cancer cellular models reveals a paradoxical response characterized by subtype-specific oncogenic suppression and stress-induced adaptive rebound.

Ayman Alzu'bi, Ejlal Abu-El-Rub, Ghada Alomari, Yara Ghawanmeh, Rawan Almazari, Ali Hmedat, Raed M Al-Zoubi

Abstract read
PubMed Publisher
In one paragraph

Article in Molecular biology reports, 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

7 authors.

Ayman Alzu'biDepartment of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan. ayman.alzubi@yu.edu.jo.ORCID http://orcid.org/0000-0001-7848-7080
Ejlal Abu-El-RubDepartment of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan. ejlal.abuelrub@yu.edu.jo.ORCID http://orcid.org/0000-0001-9217-2560
Ghada AlomariDepartment of Biological Sciences, Faculty of Science, Yarmouk University, Irbid, 211-63, Jordan.ORCID http://orcid.org/0000-0003-1210-124X
Yara GhawanmehDepartment of Biological Sciences, Faculty of Science, Yarmouk University, Irbid, 211-63, Jordan.
Rawan AlmazariDepartment of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan.
Ali HmedatDepartment of Pharmaceutics and Pharmacological Technology, Faculty of Pharmacy, Yarmouk University, Irbid, 21163, Jordan.
Raed M Al-ZoubiSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-0548-429X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CXCL12/CXCR4 signaling axis drives ovarian cancer progression, metastasis, and chemoresistance, making it a key therapeutic target. However, the biological consequences of prolonged high-dose inhibition remain poorly characterized. This study investigated the dose-dependent molecular and functional effects of prolonged exposure to the selective CXCR4 antagonist USL311 in heterogeneous ovarian cancer models (ES2 and HAY cell lines).

methodsCells were treated with 50, 75, or 100 µM USL311 for 72 h. Western blot, immunofluorescence, cytotoxicity, and wound-healing assays evaluated signaling cascades, protein expressions, and functional outcomes.

resultsCXCR4 inhibition triggered highly discrete, lineage-specific molecular responses. ES2 cells exhibited a prominent biphasic pattern; 50 µM USL311 significantly suppressed CXCR4 and Cyclin D1 expression, but higher concentrations induced a paradoxical rebound expression driven by a HIF1α-dependent adaptive stress mechanism, despite p-AKT suppression and marked cytotoxicity. Conversely, HAY cells bypassed this cascade via a HIF1α-independent pathway, initiating a compensatory escape network marked by a structural rebound in p-AKT activation and significant upregulation of metastatic enzymes MMP2 and MMP9 under identical conditions.

conclusionCXCR4 inhibition induces highly complex, concentration- and cell-line-dependent biological responses. Moderate inhibition effectively suppressed oncogenic signaling pathways, whereas excessive inhibition triggered paradoxical compensatory responses that vary across ovarian cancer subtypes. These findings highlight the critical importance of therapeutic dose optimization and provide crucial mechanistic insights into the limitations of high-dose CXCR4-targeted therapy in ovarian cancer.

Indexed as

Ovarian NeoplasmsReceptors, CXCR4Cell Line, TumorCell ProliferationChemokine CXCL12Dose-Response Relationship, DrugFemaleGene Expression Regulation, NeoplasticHumansHypoxia-Inducible Factor 1, alpha SubunitProto-Oncogene Proteins c-aktSignal TransductionChemokine CXCL12CXCR4 protein, humanHypoxia-Inducible Factor 1, alpha SubunitProto-Oncogene Proteins c-aktReceptors, CXCR4AKT signalingBiphasic responseCellular subtypesCXCR4Cyclin D1ES2HAYHIF1αMetastasisOvarian cancerParadoxical reboundUSL311

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.