Evidence map›Paper›PMID 40646610›Full record

ArticleJournal of translational medicine2025

Smoking promotes the progression of bladder cancer through FOXM1/CKAP2L axis.

Feixiang Wu, Shasha Wu, Yu Huang, Xiao Xiao, Haitao Yu, Xuesong Bai, Chunlin Zhang, Zhenwei Feng, Li Li, Yuhua Mei and 2 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Smoking promotes colorectal cancer via the CKAP2L/AREG axis.International journal of oncology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
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

12 authors.

Feixiang Wu *Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Shasha Wu *Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yu HuangDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xiao XiaoDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Haitao YuDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xuesong BaiDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chunlin ZhangDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Zhenwei FengDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Li LiDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yuhua MeiDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xinyuan LiDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. lixinyuan@sibcb.ac.cn.
Xin GouDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. gouxincq@163.com.ORCID 0000-0003-3062-209X

Funding

Chongqing Medical Youth Top Talent Project YXQN202431National Natural Science Foundation of China 82403698National Natural Science Foundation of China 82472779Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0525700Postdoctoral Fellowship Program of CPSF grant GZC20233348Qiande Excellent Young Talent Project 2025QDYQ-06
6 · The paper itself

Abstract

backgroundSmoking is a well-established risk factor for bladder cancer; however, the molecular mechanisms underlying this association remain unclear. This study aimed to elucidate the link between smoking and bladder cancer and identify the molecular mechanisms by which smoking promotes tumor progression.

methodsThe relationships between smoking and bladder cancer were assessed with cross-sectional analyses and Mendelian randomization (MR) analyses. Bioinformatics analyses were conducted to identify the key genes involved in smoking-induced bladder cancer progression. Following treatment of bladder cancer cells with cigarette smoke extract (CSE), the effects of CKAP2L on proliferation and metastasis were evaluated using in vitro proliferation, migration, and invasion assays, as well as an in vivo subcutaneous tumor model. FOXM1 binding to the CKAP2L promoter was determined by chromatin immunoprecipitation (ChIP) assay.

resultsBoth cross-sectional and MR analyses confirmed the positive relationship between smoking and bladder cancer. Functional experiments revealed that CSE treatment promoted the proliferation and metastasis of bladder cancer cells. CKAP2L was identified as a key gene by bioinformatics analyses, and its expression was upregulated by CSE treatment. Additionally, CKAP2L knockdown inhibited cell proliferation, migration, and invasion; arrested the cell cycle at the S and G2/M phases; and regulated the expression of related proteins. Overexpression of CKAP2L exhibited the opposite results. The ChIP‒qPCR assay confirmed significant binding of FOXM1 to the CKAP2L promoter.

conclusionSmoking promoted bladder cancer progression by upregulating CKAP2L and FOXM1, which drive tumor progression via cell cycle regulation. This identifies the FOXM1/CKAP2L axis as a mechanism by which smoking facilitates bladder cancer progression.

Indexed as

Disease ProgressionForkhead Box Protein M1Signal TransductionSmokingUrinary Bladder NeoplasmsAnimalsCell Line, TumorCell MovementCell ProliferationFemaleGene Expression Regulation, NeoplasticHumansMaleMice, NudeNeoplasm InvasivenessPromoter Regions, GeneticForkhead Box Protein M1FOXM1 protein, humanBladder cancerCKAP2LFOXM1Mendelian randomizationNHANESSmoking

Identifiers

PMID40646610
PMCPMC12254967

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.