Evidence map›Paper›PMID 40472740›Full record

ArticleNeoplasia (New York, N.Y.)2025

EGFRvIII-driven microenvironmental fibroblast activation and transformation accelerate oral cancer progression via lipocalin-2/STAT3 axis.

Hsuan-Yu Peng, Kwang-Yu Chang, Wei-Min Chang, Chia-Yu Wu, Hsin-Lun Lee, Yung-Chieh Chang, Ko-Jiunn Liu, Shine-Gwo Shiah, Ching-Chuan Kuo, Jang-Yang Chang

Abstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

10 authors.

Hsuan-Yu PengTMU Research Center of Cancer Translational Medicine, Taipei Medical University Hospital, College of Medicine, Taipei Medical University, Taipei, 110301 Taiwan, ROC.
Kwang-Yu ChangNational Institute of Cancer Research, National Health Research Institutes, Tainan, 70456, Taiwan, ROC; Division of Hematology/Oncology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC.
Wei-Min ChangSchool of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, 110301, Taiwan, ROC; Research Center of Oral Translational Medicine, College of Oral Medicine, Taipei Medical University, Taipei, 110301, Taiwan, ROC.
Chia-Yu WuDivision of Oral and Maxillofacial Surgery, Department of Dentistry, Taipei Medical University Hospital, Taipei, 110301, Taiwan, ROC; School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, 110301, Taiwan, ROC.
Hsin-Lun LeeDepartment of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, 110301, Taiwan, ROC; Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, 110301, Taiwan, ROC; Department of Radiation Oncology, Taipei Medical University Hospital, Taipei, 110301, Taiwan, ROC; TMU Proton Center, Taipei Medical University, Taipei, 110301, Taiwan, ROC.
Yung-Chieh ChangTMU Research Center of Cancer Translational Medicine, Taipei Medical University Hospital, College of Medicine, Taipei Medical University, Taipei, 110301 Taiwan, ROC.
Ko-Jiunn LiuNational Institute of Cancer Research, National Health Research Institutes, No. 35 Keyan Road, Zhunan Town, Miaoli County, 35053, Taiwan, ROC.
Shine-Gwo ShiahNational Institute of Cancer Research, National Health Research Institutes, No. 35 Keyan Road, Zhunan Town, Miaoli County, 35053, Taiwan, ROC.
Ching-Chuan KuoInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli County, 35053, Taiwan, ROC; Graduate Institute of Biomedical Sciences, China Medical University, Taichung, 404, Taiwan, ROC.
Jang-Yang ChangTMU Research Center of Cancer Translational Medicine, Taipei Medical University Hospital, College of Medicine, Taipei Medical University, Taipei, 110301 Taiwan, ROC; Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli County, 35053, Taiwan, ROC. Electronic address: jychang@tmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral squamous cell carcinoma (OSCC) is an aggressive malignancy frequently characterized by dysregulated epidermal growth factor receptor (EGFR) signaling. Among EGFR mutation, EGFRvIII, an extracellular domain truncated form without exons 2-7, exhibits ligand-independent and constitutive EGFR activation. Although EGFRvIII functions as an oncogene in glioblastoma, its role in OSCC remains unclear. Here, we demonstrate that EGFRvIII is highly prevalent in OSCC, with approximately 70 % of OSCC tumor samples revealing high EGFRvIII expression. EGFRvIII enhances metastatic and proliferative potential, while its knockdown significantly reduces these malignant phenotypes. Beyond its direct oncogenic effects, EGFRvIII actively remodels the tumor microenvironment (TME) by recruiting and activating fibroblasts. In both xenograft models and co-culture systems, OSCC cells expressing EGFRvIII stimulated the expression of fibroblast activation markers-including α-smooth muscle actin (α-SMA), platelet-derived growth factor receptors (PDGFRA/PDGFRB), and collagen-thereby promoting a tumor-supportive stroma. Moreover, RNA sequencing and cytokine array analyses revealed that EGFRvIII induces lipocalin-2 (LCN2) expression and secretion. Elevated LCN2 in the conditioned medium from OSCC-EGFRvIII cells further stimulates fibroblast activation via the STAT3 signaling pathway, as pharmacological inhibition of STAT3 attenuates LCN2-driven fibroblast activation. Furthermore, exposure to environmental carcinogens such as nicotine-derived nitrosamine ketone (NNK) and arecoline enhances EGFRvIII expression and downstream signaling, exacerbating tumor aggressiveness. These findings reveal a positive feedback loop in which EGFRvIII fosters OSCC progression by stimulating LCN2-STAT3-mediated fibroblast activation. Targeting EGFRvIII and its downstream effectors may therefore represent a promising strategy to mitigate OSCC progression and improve therapeutic outcomes.

Indexed as

Cell Transformation, NeoplasticErbB ReceptorsFibroblastsLipocalin-2Mouth NeoplasmsSTAT3 Transcription FactorTumor MicroenvironmentAnimalsCancer-Associated FibroblastsCell Line, TumorDisease ProgressionHumansMiceSignal Transductionepidermal growth factor receptor VIIIErbB ReceptorsLCN2 protein, humanLipocalin-2STAT3 protein, humanSTAT3 Transcription FactorEGFRvIIIFibroblast activationLipocalin-2Oral squamous cell carcinomaSTAT3 signalingTumor microenvironment

Identifiers

PMID40472740
PMCPMC12171556

What Socratic holds

Textmetadata
LicenceCC BY
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.