Evidence mapPaperPMID 41615212Full record

ArticleTurkish journal of pharmaceutical sciences2026

Overcoming Intrinsic and Acquired Temozolomide Resistance in Glioblastoma: Fisetin as a Potential Strategy to Enhance Sensitivity via ZEB1 Modulation.

Sena Ferah, Mine Çamlıbel, Melis Erçelik, Çağla Tekin, Gülçin Tezcan, Melisa Gürbüz, Ahmet Bekar, Hasan Kocaeli, Berrin Tunca

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Article in Turkish journal of pharmaceutical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Sena FerahBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0001-9076-1855
Mine ÇamlıbelBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0002-2635-0290
Melis ErçelikBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0003-0366-2424
Çağla TekinBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0002-2568-3667
Gülçin TezcanBursa Uludağ University Faculty of Dentistry, Department of Fundamental Sciences, Bursa, Türkiye.ORCID 0000-0002-5956-8755
Melisa GürbüzBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0003-3972-1289
Ahmet BekarBursa Uludağ University Faculty of Medicine, Department of Neurosurgery, Bursa, Türkiye.ORCID 0000-0002-2716-1985
Hasan KocaeliBursa Uludağ University Faculty of Medicine, Department of Neurosurgery, Bursa, Türkiye.ORCID 0000-0003-4140-5955
Berrin TuncaBursa Uludağ University Faculty of Medicine, Department of Medical Biology, Bursa, Türkiye.ORCID 0000-0002-1619-6680

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Glioblastoma (GB) is the most aggressive type of brain tumor in adults, and the chemical agent temozolomide (TMZ) is widely used for its treatment. However, TMZ resistance can lead to therapeutic failure. The aim of this study was to investigate the effect of the bioflavonoid fisetin on GB cell growth and on overcoming TMZ resistance in TMZ-sensitive, inherited-resistant, and acquired-resistant GB cells the effect of fisetin on TMZ efficacy evaluin primary GB cells. Materials and Methods: GB cell lines (T98G; intrinsic TMZ-resistant, A172; TMZ-sensitive, A172-R; acquired TMZ-resistant) and primary GB cells derived from patient samples were treated with effective doses of TMZ (ranging from 900 to 1000 μM), fisetin (ranging from 13.78 to 16.40 μM), or a combination of both. TMZ resistance was acquired in A172 cells through stepwise increases in TMZ concentration. Real-time cell proliferation was measured using the xCELLigence system. The migratory capacity of the cells was evaluated using a wound-healing assay. The RNA expression of the epithelial-to-mesenchymal transition (EMT)-inducing transcription factor E-box-binding homeobox 1 (ZEB1) was assessed by quantitative polymerase chain reaction. Cell assays were analyzed by analysis of variance, and ZEB1 expression was analyzed by t-test. Results: Fisetin substantially enhanced the effect of TMZ in all the cell lines included in the present study, as evidenced by significant decreases in cell proliferation and wound-healing, and in ZEB1 expression (p<0.0001). In addition, TMZ+fisetin reduced ZEB1 expression in primary GB tumors but not in butterfly GB cells. Conclusion: Fisetin alone was effective against GB; importantly, the TMZ+fisetin combination demonstrated greater efficacy than TMZ alone by enhancing sensitivity to TMZ through downregulation of ZEB1 in various resistant models, including patient-derived samples. Since ZEB1 is associated with EMT and drug resistance, fisetin may be a promising anticancer candidate to improve chemotherapeutic efficacy in resistant GB and to shed light on personalized treatments, pending further preclinical research.

Indexed as

epithelial-to-mesenchymal transitionfisetinGlioblastomatemozolomide resistanceZEB1

Identifiers

PMID41615212
PMCPMC12862176

What Socratic holds

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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.