Evidence map›Paper›PMID 39393543›Full record

ArticleGastroenterology2025

Leucine-Rich Alpha-2-Glycoprotein 1 Promotes Metastatic Colorectal Cancer Growth Through Human Epidermal Growth Factor Receptor 3 Signaling.

Moeez Rathore, Kimberly Curry, Wei Huang, Michel'le Wright, Daniel Martin, Jiyeon Baek, Derek Taylor, Masaru Miyagi, Wen Tang, Hao Feng and 13 more

Abstract read
In one paragraph

Article in Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

23 authors.

Moeez RathoreDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Kimberly CurryDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Wei HuangDepartment of Pharmacology, Case Western Reserve University, Cleveland, Ohio.
Michel'le WrightDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Daniel MartinDepartment of Biomedical Engineering, Cleveland Clinic Lerner Research Institute, Cleveland, Ohio.
Jiyeon BaekDepartment of Electrical, Computer, and Systems Engineering, Case Western Reserve University, Cleveland, Ohio.
Derek TaylorDepartment of Pharmacology, Case Western Reserve University, Cleveland, Ohio; Department of Biochemistry, Case Western Reserve University, Cleveland, Ohio.
Masaru MiyagiDepartment of Pharmacology, Case Western Reserve University, Cleveland, Ohio.
Wen TangDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.
Hao FengCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio; Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio.
Yamu LiDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio.
Zhenghe WangCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio; Department of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio.
Hallie GraorDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Joseph WillisCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio; Department of Pathology, Case Western Reserve University, Cleveland, Ohio.
Elizabeth BrysonDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Department of Pathology, Case Western Reserve University, Cleveland, Ohio.
Christina S BoutrosDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Omkar DesaiDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Bianca N IslamDepartment of Medicine, Case Western Reserve University, Cleveland, Ohio; Department of Medicine, Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Lee M EllisDepartment of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Stephen E MossInstitute of Ophthalmology, University College London, London, United Kingdom.
Jordan M WinterDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio; Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
John GreenwoodInstitute of Ophthalmology, University College London, London, United Kingdom.
Rui WangDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio; Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio; Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio. Electronic address: RXW517@case.edu.

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
Mechanisms of metabolic reprogramming by PIK3CA oncogenic mutationsR01CA196643 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Zhenghe Wang · 2016 to 2026
$3.1M
Role of Erbb3 kinase activity in colorectal tumorigenesis.R01CA256791 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WANG, ZHENGHE · 2021 to 2025
$2.5M
Role of PTPRT in colon cancer progression and metastasisR01CA260629 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WANG, ZHENGHE · 2022 to 2025
$2.2M
Mechanisms of PIK3CA helical domain mutations driving colorectal tumorigenesisR01CA264320 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WANG, ZHENGHE · 2021 to 2025
$2.0M
Role of LRG1 in colorectal cancer tumorigenesisR37CA278982 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Rui Wang · 2024 to 2026
$1.1M
Paracrine Role of Endothelial Cells in HER3-Mediated Colon Cancer Cell SurvivalR00CA225756 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WANG, RUI · 2020 to 2022
$670k
Paracrine Role of Endothelial Cells in HER3-Mediated Colon Cancer Cell SurvivalK99CA225756 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WANG, RUI · 2018 to 2019
$169k
NCI NIH HHS K99 CA225756NCI NIH HHS P30 CA043703NCI NIH HHS R00 CA225756NCI NIH HHS R01 CA196643NCI NIH HHS R01 CA256791NCI NIH HHS R01 CA260629NCI NIH HHS R01 CA264320NCI NIH HHS R37 CA278982Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND &

aimsTherapy failure in patients with metastatic colorectal cancer (mCRC, ∼80% occur in the liver) remains an overarching challenge. Preclinical studies demonstrated that human epidermal growth factor receptor 3 (HER3) promotes colorectal cancer (CRC) cell survival, but therapies blocking the neuregulin-induced canonical HER3 signaling have made little impact in the clinic. Recent studies suggest that the liver microenvironment promotes CRC growth by activating HER3 in a neuregulin-independent fashion, thus elucidation of these mechanisms may reveal new strategies for treating patients with mCRC.

methodsPatient-derived primary liver endothelial cells (ECs) were used to interrogate EC-CRC crosstalk. We conducted proteomic analysis to identify EC-secreted factor(s) that triggers noncanonical HER3 activation in CRC and determined the subsequent effects on mCRC using diverse murine mCRC models. In vitro studies with genetic and pharmacological interventions were used to map the noncanonical HER3 pathway.

resultsWe demonstrated that EC-secreted leucine-rich alpha-2-glycoprotein 1 (LRG1) directly binds and activates HER3 and promotes CRC growth distinct from neuregulin, the canonical HER3 ligand. Blocking host-derived LRG1 by gene knockout or a neutralizing antibody impaired mCRC outgrowth in the liver and prolonged mouse survival. We identified protein synthesis activated by the PI3K-PDK1-RSK-eIF4B axis as the biologically relevant signaling cascade downstream of the LRG1-HER3 interaction, which was not blocked by conventional HER3-specific antibodies that failed in prior clinical trials.

conclusionsLRG1 is a novel HER3 ligand and mediates liver-mCRC crosstalk. The LRG1-HER3 signaling axis is distinct from canonical HER3 signaling and represents a new therapeutic opportunity to treat patients with mCRC, and potentially other types of liver metastases.

Indexed as

Colorectal NeoplasmsGlycoproteinsLiver NeoplasmsReceptor, ErbB-3AnimalsCell Line, TumorCell ProliferationEndothelial CellsFemaleHumansLiverMiceProteomicsSignal TransductionTumor MicroenvironmentERBB3 protein, humanGlycoproteinsLRG1 protein, humanReceptor, ErbB-3GI CancerLiver MetastasesLiver MicroenvironmentParacrine

Identifiers

PMID39393543
PMCPMC11769768

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.