Evidence map›Paper›PMID 40619518›Full record

ArticleScientific reports2025

Rosmarinic acid potentiates gefitinib in lung adenocarcinoma by modulating interactions between cancer cells and cancer-associated fibroblasts.

Duo Li, Yiying Lv, Leihao Hu, Anqi Sun, Lingling Sun

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Duo LiThe First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yiying LvThe First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Leihao HuThe First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Anqi SunSDU-ANU Joint Science College of Shandong University, Weihai, Shandong, China.
Lingling SunCancer Centre, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China. sunlingling5094@gzucm.edu.cn.

Funding

Guangzhou Municipal Science and Technology Project 2023A03J0300National Natural Science Foundation of China 82474237Natural Science Foundation of Guangdong Province 2020A1515011176
6 · The paper itself

Abstract

While cancer-associated fibroblasts (CAFs) significantly influence tumor progression, their temporal dynamics remain poorly understood. We investigated time-dependent interactions between non-small cell lung cancer (NSCLC) cells and CAFs, and evaluated rosmarinic acid (RA)'s potential to modulate these interactions. HCC827 lung adenocarcinoma cells and MRC-5 fibroblasts were co-cultured in vitro. CAF activation markers (α-SMA, FAP) and epithelial-mesenchymal transition (EMT) were assessed through morphological and molecular analyses. Xenograft models with different tumor-to-fibroblast ratios (1:1, 1:2) evaluated tumor growth dynamics and RA's therapeutic effects combined with gefitinib. Time-course analysis revealed a biphasic pattern in tumor-CAF interactions. CAF activation markers reached peak levels by day 6, followed by maximal EMT marker expression in NSCLC cells at day 8. In xenograft models, higher CAF proportions initially inhibited tumor growth but accelerated tumor progression. RA treatment significantly attenuated CAF activation markers and reversed EMT-related changes in cancer cells, leading to reduced tumor growth in CAF-enriched xenografts. The combination of RA with gefitinib demonstrated enhanced anti-tumor effects compared to gefitinib alone. CAFs exhibit temporally biphasic roles in NSCLC progression characterized by initial suppression followed by promotion of tumor microenvironment deterioration. RA effectively modulates these tumor-stromal interactions, enhances gefitinib efficacy, and delays the development of drug resistance.

Indexed as

Adenocarcinoma of LungCancer-Associated FibroblastsCinnamatesDepsidesGefitinibLung NeoplasmsAnimalsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCell CommunicationCell Line, TumorCell ProliferationDrug SynergismEpithelial-Mesenchymal TransitionHumansMiceAntineoplastic AgentsCinnamatesDepsidesGefitinibRosmarinic AcidCancer-associated fibroblastsEpithelial-mesenchymal transitionLung adenocarcinomaRosmarinic acidTemporal dynamics

Identifiers

PMID40619518
PMCPMC12230168

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.