Evidence map›Paper›PMID 40616161›Full record

ArticleJournal of experimental & clinical cancer research : CR2025

Adipocytes-induced ANGPTL4/KLF4 axis drives glycolysis and metastasis in triple-negative breast cancer.

Dou Yin, Nana Fang, Yaling Zhu, Xiaoqing Bao, Juan Yang, Qingyu Zhang, Ruimeng Wang, Jiahui Huang, Qibing Wu, Fang Ma and 1 more

Abstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. KCTD15 Enhances Stem Cell-Like Properties and Promotes Triple-Negative Breast Cancer Progression Through KLF4/β-Catenin Signaling.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
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

11 authors.

Dou Yin *Department of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China.
Nana Fang *Department of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China.
Yaling Zhu *Department of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China.
Xiaoqing BaoDepartment of Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230001, China.
Juan YangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China.
Qingyu ZhangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China.
Ruimeng WangSecond Clinical Medical College, Anhui Medical University, Hefei, 230032, China.
Jiahui HuangSecond Clinical Medical College, Anhui Medical University, Hefei, 230032, China.
Qibing WuDepartment of Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230001, China. Wqb71vip@163.com.
Fang MaCenter for Scientific Research of Anhui Medical University, Hefei, 230032, China. 2017510006@ahmu.edu.cn.
Xiaohui WeiDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, 230032, China. weixiaohui@ahmu.edu.cn.

Funding

Key Program of Natural Scientific Research in Higher Education Institutions of Anhui Province 2023AH050554Key Program of Natural Scientific Research in Higher Education Institutions of Anhui Province 2023AH050555National Natural Science Foundation of China 82003811Scientific Research Foundation of Anhui Medical University XJ201917
6 · The paper itself

Abstract

backgroundThe adipocyte-rich tumor microenvironment (TME) is recognized as a key factor in promoting cancer progression. A distinct characteristic of peritumoral adipocytes is their reduced lipid content and the acquisition of a proinflammatory phenotype. However, the underlying mechanisms by which adipocytes rewire metabolism and boost tumor progression in triple-negative breast cancer (TNBC) remain poorly understood.

methodsWe utilized transcriptomic analysis, bioinformatic analysis, metabolic flux analysis, protein-protein docking, gene and protein expression profiling, in vivo metastasis analysis and breast cancer specimens to explore how adipocytes reprogram tumor metabolism and progression in TNBC.

resultsOur findings reveal that Angiopoietin-like 4 (ANGPTL4) exhibits significantly higher expression levels in adipocyte-rich tumor circumstance compared to the symbiotic environment lacking of adipocyte. Furthermore, ANGPTL4 expression in tumor cells is essential for adipocyte-driven glycolysis and metastasis. Interleukin 6 (IL-6), enriched in cancer-associated adipocytes, and lipolysis-derived free fatty acids (FFAs) released from adipocytes, amplify ANGPTL4-mediated glycolysis and metastasis through activation of STAT3 and PPARα pathways in TNBC cells. Additionally, ANGPTL4 interacts with transcription factor KLF4 and enhances KLF4 activity, which further drives glycolysis and metastasis, whereas KLF4 knockdown attenuates migration and glycolysis in TNBC cells. Importantly, Elevated ANGPTL4 and KLF4 expression was observed in metastatic breast cancer specimens compared to non-metastatic cases and was positively correlated with poor prognosis.

conclusionCollectively, our results uncover a complex metabolic interaction between adipocytes and TNBC cells that promotes tumor aggressiveness. ANGPTL4 emerges as a key mediator in this process, making it a promising therapeutic target to inhibit TNBC progression.

Indexed as

AdipocytesAngiopoietin-Like Protein 4Kruppel-Like Transcription FactorsTriple Negative Breast NeoplasmsAnimalsCell Line, TumorFemaleGene Expression Regulation, NeoplasticGlycolysisHumansKruppel-Like Factor 4MiceNeoplasm MetastasisTumor MicroenvironmentAngiopoietin-Like Protein 4ANGPTL4 protein, humanKLF4 protein, humanKlf4 protein, mouseKruppel-Like Factor 4Kruppel-Like Transcription FactorsAdipocytesANGPTL4KLF4LipolysisTriple-Negative Breast Cancer

Identifiers

PMID40616161
PMCPMC12231887

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.