Evidence map›Paper›PMID 40038210›Full record

ArticleDigestive diseases and sciences2025

NFAT2 Induces Tumor Cell Proliferation and Metastasis by Acting as a Transcriptional Co-activator of the TGF-β1/SMAD Signaling Pathway and Inducing the Epithelial-Mesenchymal Transition in Liver Cancer.

Yuqi Liu, Wenhui Mo, Weijie Sun, Jianqing Chen, Jiaojiao Chen, Yueyue Li, Dengyu Han, Weiqi Dai, Ruling Zhang

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Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yuqi Liu *School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, People's Republic of China.
Wenhui Mo *Department of Gastroenterology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, No. 999, Shiguang Road, Yangpu District, Shanghai, People's Republic of China.
Weijie Sun *Department of Medical Oncology, First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, People's Republic of China.
Jianqing ChenDepartment of Gastroenterology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, No. 999, Shiguang Road, Yangpu District, Shanghai, People's Republic of China.
Jiaojiao ChenDepartment of Gastroenterology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, No. 999, Shiguang Road, Yangpu District, Shanghai, People's Republic of China.
Yueyue LiDepartment of Gastroenterology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, No. 999, Shiguang Road, Yangpu District, Shanghai, People's Republic of China.
Dengyu HanSchool of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, People's Republic of China.
Weiqi Dai *Department of Gastroenterology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, No. 999, Shiguang Road, Yangpu District, Shanghai, People's Republic of China.
Ruling Zhang *Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274, Zhijiangzhong Road, Jingan District, Shanghai, People's Republic of China. zhangruling_mtw@aliyun.com.

Funding

Foundation of Shanghai Municipal Health Commission No. 201740156General Project of Yangpu District Science and Technology Commission No. YPM202117National Nature Science Foundation of China No. 81772591National Nature Science Foundation of China No. 81970554National Nature Science Foundation of China No.82002539National Nature Science Foundation of China No. 82100638
6 · The paper itself

Abstract

backgroundThe role of NFAT2 in liver cancer is conflicting, with evidence suggesting both oncogenic and tumor-suppressive effects. A clear understanding of its expression, function, regulation, and mechanism of action in liver cancer remains critical.

objectivesTo examine the expression levels, biological functions, regulatory mechanisms, and downstream pathways of NFAT2 in liver cancer and its metastasis.

methodsThe expression of NFAT2 was analyzed in liver cancer patients and correlated with clinical outcomes. Functional assays, including proliferation, migration, invasion, and xenograft models, were employed to assess the effects of NFAT2 upregulation and downregulation. Molecular analyses were conducted to identify key pathways and protein interactions underpinning NFAT2's effects. The therapeutic potential of NFAT2 inhibition in combination with sorafenib was also evaluated.

resultsNFAT2 overexpression was associated with poor prognosis and shorter disease-free survival in liver cancer patients. Upregulation of NFAT2 promoted hepatoma cell proliferation, migration, and invasion, while its downregulation impaired these pro-oncogenic effects. Mechanistically, NFAT2 enhanced the epithelial-to-mesenchymal transition (EMT) by increasing mesenchymal marker expression (N-cadherin, vimentin, MMP9) and decreasing invasion inhibitors (E-cadherin, ZO-1). It physically interacted with SMAD3 and p300, thereby activating the TGF-β1/SMAD pathway to drive tumor progression. NFAT2 knockdown or inhibition re-sensitized tumor cells to sorafenib, indicating its promising therapeutic potential.

conclusionNFAT2 acts as a transcriptional co-activator of the TGF-β1/SMAD signaling pathway, promoting liver cancer progression and metastasis. Its inhibition could serve as a novel therapeutic strategy for the treatment of advanced liver cancer, particularly in combination with sorafenib.

Indexed as

Carcinoma, HepatocellularCell ProliferationEpithelial-Mesenchymal TransitionLiver NeoplasmsNFATC Transcription FactorsSmad ProteinsTransforming Growth Factor beta1AnimalsCell Line, TumorCell MovementFemaleGene Expression Regulation, NeoplasticHumansMaleMiceMice, NudeNFATC2 protein, humanNFATC Transcription FactorsSmad ProteinsSorafenibTGFB1 protein, humanTransforming Growth Factor beta1Epithelial–mesenchymal transitionLiver cancerNFAT2p300SMAD3

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Registered trials

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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 Socratic graph.