Evidence mapPaperPMID 41984841Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

WWOX maintains epidermal identity and suppresses EMT to prevent aggressive cutaneous squamous cell carcinoma.

Tirza Bidany-Mizrahi, Kian Maroun, Mara Mancini, Osama Hidmi, Ihab Ansari, Jonathan Monin, Tal Keidar Haran, Alexander Maly, Gerry Melino, Eleonora Candi and 1 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. 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. WWOX maintains epidermal identity and suppresses EMT to prevent aggressive cutaneous squamous cell carcinoma.Proceedings of the National Academy of Sciences of the United States of America · 2026
    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.

Tirza Bidany-MizrahiThe Concern Foundation Laboratories, The Lautenberg Center for Immunology and Cancer Research, Department of Immunology and Cancer Research, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.ORCID 0009-0002-7417-7645
Kian MarounThe Concern Foundation Laboratories, The Lautenberg Center for Immunology and Cancer Research, Department of Immunology and Cancer Research, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Mara ManciniDepartment of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Rome 00133, Italy.ORCID 0000-0001-5173-4854
Osama HidmiThe Concern Foundation Laboratories, The Lautenberg Center for Immunology and Cancer Research, Department of Immunology and Cancer Research, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.ORCID 0000-0001-8674-7532
Ihab AnsariDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, Hebrew University Medical School, Jerusalem 91120.
Jonathan MoninThe Concern Foundation Laboratories, The Lautenberg Center for Immunology and Cancer Research, Department of Immunology and Cancer Research, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Tal Keidar HaranDepartment of Pathology, Hadassah University Hospital, Jerusalem 91120, Israel.
Alexander MalyDepartment of Pathology, Hadassah University Hospital, Jerusalem 91120, Israel.
Gerry MelinoDepartment of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Rome 00133, Italy.ORCID 0000-0001-9428-5972
Eleonora CandiDepartment of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Rome 00133, Italy.ORCID 0000-0001-8332-4825
Rami I AqeilanThe Concern Foundation Laboratories, The Lautenberg Center for Immunology and Cancer Research, Department of Immunology and Cancer Research, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.ORCID 0000-0002-6034-023X

Funding

Associazione italiana per la Riccerca contro il Cancro (AICR) 27366Associazione italiana per la Riccerca contro il Cancro (AICR) 31044EC | European Research Council (ERC) 682118
6 · The paper itself

Abstract

Cutaneous squamous cell carcinoma (cSCC), the second most common skin cancer, remains a major health burden worldwide. The WW domain-containing oxidoreductase (WWOX) is frequently altered in cancer; however, its role in epidermal biology and skin carcinogenesis remains undefined. Here, we uncover an essential function for WWOX in safeguarding epithelial identity and restraining cSCC progression. Using conditional knockout mice, we demonstrate that WWOX loss accelerates p53-driven cSCC, resulting in early, highly penetrant, and poorly differentiated tumors. Transcriptomic profiling revealed that WWOX deficiency drives epithelial-to-mesenchymal transition (EMT) and transcriptional plasticity, hallmarks of aggressive disease. Mechanistically, proximity ligation assays together with biochemical and cellular analyses support a close association between WWOX and p63 and imply that WWOX contributes to p63 stabilization; loss of WWOX reduces p63 protein levels and diminishes its binding to epithelial target genes, thereby disrupting epidermal transcriptional programs. Human tissue microarrays confirmed a concordant reduction of WWOX and p63 in advanced cSCC, correlating with poor differentiation. Functional assays in human keratinocytes and cSCC cells further showed that WWOX depletion enhances EMT plasticity, invasiveness, and metastatic colonization. Together, these findings identify WWOX as a critical regulator of epidermal integrity and reveal a previously unrecognized WWOX-p63 axis that constrains EMT and tumor progression in cSCC.

Indexed as

Carcinoma, Squamous CellEpidermisEpithelial-Mesenchymal TransitionSkin NeoplasmsTumor Suppressor ProteinsWW Domain-Containing OxidoreductaseAnimalsCell Line, TumorCutaneous Squamous Cell CarcinomaGene Expression Regulation, NeoplasticHumansKeratinocytesMiceMice, KnockoutTrans-ActivatorsTranscription FactorsTP63 protein, humanTrans-ActivatorsTranscription FactorsTrp63 protein, mouseTumor Suppressor Protein p53Tumor Suppressor ProteinsWW Domain-Containing OxidoreductaseWWOX protein, humanWwox protein, mousecutaneous squamous cell carcinomaEMTknockoutp53p63

Identifiers

PMID41984841
PMCPMC13099603

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.