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DRUG CLASS:

Connective tissue growth factor inhibitor

22d
Activation of platelet-derived growth factor receptors regulate connective tissue growth factor protein levels via the AKT pathway in malignant mesothelioma cells. (PubMed, J Biochem)
This reinforces the role of CTGF protein as a key regulator of MM malignancy. Additionally, PDGFR activation led to the phosphorylation of mTOR and 4E-BP1, critical regulators of protein synthesis downstream of AKT, suggesting that PDGFR controls CTGF protein expression through the regulation of CTGF mRNA translation.
Journal
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EIF4EBP1 (Eukaryotic translation initiation factor 4E binding protein 1) • CTGF (Connective tissue growth factor)
1m
Preclinical • Journal
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TGFB1 (Transforming Growth Factor Beta 1) • CTGF (Connective tissue growth factor) • SMAD3 (SMAD Family Member 3)
3ms
Trial completion • Combination therapy • Metastases
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gemcitabine • albumin-bound paclitaxel • oxaliplatin • irinotecan • leucovorin calcium • fluorouracil topical • pamrevlumab (FG-3019)
3ms
CTGF, FN1, IL-6, THBS1, and WISP1 genes and PI3K-Akt signaling pathway as prognostic and therapeutic targets in gastric cancer identified by gene network modeling. (PubMed, Discov Oncol)
A mutual interplay emerged, where PI3K-Akt signaling could upregulate certain genes, forming feedback loops and intensifying cancer phenotypes. The interconnected overexpression of genes and the PI3K-Akt pathway fosters gastric tumorigenesis, suggesting therapeutic potential. DrugBank analysis identified limited FDA-approved drugs, advocating for further exploration while targeting these hub genes could reshape GC treatment. The identified genes could be novel diagnostic/prognostic biomarkers or potential therapeutic targets for GC, but further clinical validation is required.
Journal
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TP53 (Tumor protein P53) • IL6 (Interleukin 6) • MMP2 (Matrix metallopeptidase 2) • CXCL5 (Chemokine (C-X-C motif) ligand 5) • TERC (Telomerase RNA Component) • CTGF (Connective tissue growth factor) • ADAMTS2 (ADAM Metallopeptidase With Thrombospondin Type 1 Motif 2)
4ms
LINC00513 promotes colorectal cancer malignant progression by binding with IGF2BP1 to enhance the stability of connective tissue growth factor mRNA. (PubMed, Epigenomics)
Furthermore, overexpression of IGF2BP1 or CTGF reversed the inhibitory effect of LINC00513 shRNA on CRC progression. LINC00513 promoted CRC cell malignant behaviors through IGF2BP1/CTGF.
Journal
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IGF2BP1 (Insulin Like Growth Factor 2 MRNA Binding Protein 1) • CTGF (Connective tissue growth factor)
4ms
Application of color doppler ultrasound and US shear wave elastography with connective tissue growth factor in the risk assessment of papillary thyroid carcinoma. (PubMed, BMC Med Imaging)
SWE and CTGF are of great value in the risk assessment of PTC. The degree of fibrosis of PTC is closely related to the prognosis. The hardness of PTC lesions and the expression level of CTGF are correlated with the main indexes of conventional ultrasound differentiating benign or malignant nodules. Irregular shape, aspect ratio ≥ 1, and increased TSH are independent factors of CTGF.
Journal
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CTGF (Connective tissue growth factor)
5ms
Circ_0000099/miR-223-3p/CTGF Regulates the Growth, Metastasis, and EMT Processes in TGF-β2-Stimulated Human Lens Epithelial Cells. (PubMed, Curr Eye Res)
Circ_0000099 can regulate CTGF expression by targeting miR-223-3p. Circ_0000099 silencing might relieve TGF-2-induced SRA01/04 cell injury by the miR-223-3p/CTGF axis, providing new avenues for the prevention and treatment of PCO.
Journal
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TGFB1 (Transforming Growth Factor Beta 1) • MIR223 (MicroRNA 223) • CTGF (Connective tissue growth factor)
5ms
Transcriptional regulation of CYR61 and CTGF by LM98: a synthetic YAP-TEAD inhibitor that targets in-vitro vasculogenic mimicry in glioblastoma cells. (PubMed, Anticancer Drugs)
Pharmacological targeting of the Hippo pathway inhibits in-vitro vasculogenic mimicry. Unraveling the connections between the Hippo pathway and vasculogenic mimicry may pave the way for innovative therapeutic strategies.
Preclinical • Journal
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AXL (AXL Receptor Tyrosine Kinase) • YAP1 (Yes associated protein 1) • SNAI1 (Snail Family Transcriptional Repressor 1) • CCN1 (Cellular Communication Network Factor 1) • CTGF (Connective tissue growth factor) • TEAD1 (TEA Domain Transcription Factor 1) • FOXC2 (Forkhead Box C2)
5ms
MPT0E028, a novel pan-HDAC inhibitor, prevents pulmonary fibrosis through inhibition of TGF-β-induced CTGF expression in human lung fibroblasts: involvement of MKP-1 activation. (PubMed, Eur J Pharmacol)
Pretreatment with MPT0E028 reduced the fibrosis score and fibronectin, collagen, and α-SMA expression in bleomycin-induced pulmonary fibrosis mice. In conclusion, MPT0E028 induced MKP-1 acetylation and activation, which in turn inhibited TGF-β-stimulated JNK, p38, and ERK phosphorylation; SMAD3 and AP-1 activation; and subsequent CTGF expression in human lung fibroblasts. Thus, MPT0E028 may be a potential drug for treating pulmonary fibrosis.
Journal
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FN1 (Fibronectin 1) • TGFB1 (Transforming Growth Factor Beta 1) • CTGF (Connective tissue growth factor) • MAPK8 (Mitogen-activated protein kinase 8) • SMAD3 (SMAD Family Member 3)
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bleomycin
5ms
Serum levels of the N-terminal fragment of connective tissue growth factor is a novel biomarker for chronic pancreatitis. (PubMed, Pract Lab Med)
Several factors would be involved in the increase in serum N-terminal fragment CTGF level. In conclusion, serum N-terminal fragment CTGF level is a promising new biomarker for CP.
Journal
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CTGF (Connective tissue growth factor)
5ms
Phase 3 Trial of Pamrevlumab or Placebo in Combination With Systemic Corticosteroids in Participants With Ambulatory DMD (clinicaltrials.gov)
P3, N=73, Terminated, FibroGen | Trial completion date: May 2024 --> Dec 2023 | Active, not recruiting --> Terminated; Study did not meet its primary endpoint.
Trial completion date • Trial termination • Combination therapy
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pamrevlumab (FG-3019)
6ms
Connective Tissue Growth Factor: Regulation, Diseases, and Drug Discovery. (PubMed, Int J Mol Sci)
Summarizing the CTGF-targeting and -inhibitory drugs is also beneficial for the analysis of the efficacy, applications, and limitations of these drugs in different disease models. Therefore, we reviewed the CTGF structure, the regulatory mechanisms in various diseases, and drug development in order to provide more references for future drug discovery.
Review • Journal
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CTGF (Connective tissue growth factor)
7ms
Prognostic significance of connective tissue growth factor expression in stromal cells in patients with diffuse‑type gastric cancer. (PubMed, Oncol Lett)
In conclusion, low CTGF expression was associated with a significantly worse OS in patients with diffuse-type GC. These data indicated that CTGF, and its control by the Hippo pathway, may be considered potential treatment targets in diffuse-type GC.
Journal • Stroma
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CTGF (Connective tissue growth factor)
7ms
CCN2/CTGF expression does not correlate with fibrosis in myeloproliferative neoplasms, consistent with noncanonical TGF-β signaling driving myelofibrosis. (PubMed, Virchows Arch)
Remarkably, CCN2 expression did not correlate with fibrosis or other disease parameters such as platelet count or thrombovascular events, neither in this subgroup nor in the whole study group. This suggests that in BM of MPN patients other, CCN2-independent pathways (such as noncanonical TGF-β signaling) may be more important for the development of fibrosis.
Journal
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ABL1 (ABL proto-oncogene 1) • TGFB1 (Transforming Growth Factor Beta 1) • CTGF (Connective tissue growth factor)
9ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
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gemcitabine • albumin-bound paclitaxel • oxaliplatin • irinotecan • leucovorin calcium • fluorouracil topical • pamrevlumab (FG-3019)
9ms
Phase classification • Surgery
10ms
Characterization of gastric cancer-stimulated signaling pathways and function of CTGF in cancer-associated fibroblasts. (PubMed, Cell Commun Signal)
This study provides a characterization of the signaling pathways and effector genes involved in CAFs activation, and strategies that could effectively inhibit it in the context of GC. Video Abstract.
Journal
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CDH1 (Cadherin 1) • STAT3 (Signal Transducer And Activator Of Transcription 3) • TJP1 (Tight Junction Protein 1) • CTGF (Connective tissue growth factor)
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CDH1 expression
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dasatinib • saracatinib (AZD0530)
11ms
Zephyrus I: Evaluation of Efficacy and Safety of Pamrevlumab in Participants With Idiopathic Pulmonary Fibrosis (IPF) (clinicaltrials.gov)
P3, N=356, Terminated, FibroGen | Trial completion date: May 2024 --> Aug 2023 | Active, not recruiting --> Terminated; Study did not meet its primary endpoint.
Trial completion date • Trial termination
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pamrevlumab (FG-3019)
11ms
Regulation of Hippo-YAP/CTGF signaling by combining an HDAC inhibitor and 5-fluorouracil in gastric cancer cells. (PubMed, Toxicol Appl Pharmacol)
Histone deacetylase (HDAC) inhibitors diminish carcinogenesis, metastasis, and cancer cell proliferation by inducing death in cancer cells. Since combination treatment exhibits much higher anti-tumor potential than 5-FU alone, panobinostat effectively potentiates the anti-tumor efficacy of 5-FU. As a result, it is believed that panobinostat and 5-FU combination therapy will be useful as supplemental chemotherapy in the future.
Journal
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CDH1 (Cadherin 1) • VIM (Vimentin) • CASP9 (Caspase 9) • MMP9 (Matrix metallopeptidase 9) • CTGF (Connective tissue growth factor)
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5-fluorouracil • Farydak (panobinostat)
12ms
Unraveling Connective Tissue Growth Factor as a Therapeutic Target and Assessing Kahweol as a Potential Drug Candidate in Triple-Negative Breast Cancer Treatment. (PubMed, Int J Mol Sci)
In summary, our findings propose CTGF as a potential prognostic marker for guiding TNBC treatment and suggest kahweol as a promising antitumor compound capable of regulating CTGF expression to suppress cell motility in TNBC. These insights hold promise for the development of targeted therapies and improved clinical outcomes for TNBC patients.
Journal
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CTGF (Connective tissue growth factor)
12ms
H. pylori-induced NF-κB-PIEZO1-YAP1-CTGF axis drives gastric cancer progression and cancer-associated fibroblast-mediated tumour microenvironment remodelling. (PubMed, Clin Transl Med)
This study elucidates a novel driving PIEZO1-YAP1-CTGF force, which opens a novel therapeutic avenue to block the transformation from precancerous lesions to GC. H. pylori-NF-κB activates the PIEZO1-YAP1-CTGF axis to remodel the GC microenvironment by promoting CAF infiltration. Targeting PIEZO1-YAP1-CTGF plus chemotherapy might serve as a potential therapeutic option to block GC progression and peritoneal metastasis.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • YAP1 (Yes associated protein 1) • CCN1 (Cellular Communication Network Factor 1) • CTGF (Connective tissue growth factor)
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5-fluorouracil
1year
FGCL-3019-095: Zephyrus II: Efficacy and Safety Study of Pamrevlumab in Participants With Idiopathic Pulmonary Fibrosis (IPF) (clinicaltrials.gov)
P3, N=372, Terminated, FibroGen | Trial completion date: Apr 2025 --> Sep 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Mar 2024 --> Sep 2023; Sponsor Decision
Trial completion date • Trial termination • Trial primary completion date
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pamrevlumab (FG-3019)
1year
Study to Evaluate Efficacy of OLX10010 in Reducing Recurrence of Hypertrophic Scarring After Scar Revision Surgery (clinicaltrials.gov)
P2a, N=22, Completed, Olix Pharmaceuticals, Inc. | Active, not recruiting --> Completed | Trial primary completion date: Jun 2022 --> Jan 2023
Trial completion • Trial primary completion date • Surgery
1year
Trial completion
1year
A Novel Role of Connective Tissue Growth Factor in the Regulation of the Epithelial Phenotype. (PubMed, Cancers (Basel))
We identified CTGF is an important regulator of the epithelial phenotype, and its loss is associated with the early cellular modifications required for EMT. We describe a novel role for CTGF, regulating cytoskeleton and the extracellular matrix interactions necessary for the conservation of epithelial structure and function. These findings provide a new window into understanding the early stages of mesenchymal transformation.
Journal
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CTGF (Connective tissue growth factor)
1year
MISSION: Trial of Pamrevlumab (FG-3019), in Non-Ambulatory Participants With Duchenne Muscular Dystrophy (DMD) (clinicaltrials.gov)
P2, N=21, Terminated, FibroGen | Active, not recruiting --> Terminated; Sponsor Decision
Trial termination
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pamrevlumab (FG-3019)
1year
SPARC accelerates biliary tract cancer progression through CTGF-mediated tumor-stroma interactions: SPARC as a prognostic marker of survival after neoadjuvant therapy. (PubMed, J Cancer Res Clin Oncol)
CTGF was associated with tumor-stroma crosstalk in BTC. CTGF activated stromal SPARC expression, which promoted tumor progression, particularly at the invasion front. SPARC expression at the invasion front after NAC-RT may serve as a prognosis predictor.
Journal • Stroma
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SPARC (Secreted Protein Acidic And Cysteine Rich) • PPFIBP2 (PPFIA Binding Protein 2) • CTGF (Connective tissue growth factor)
over1year
Exosomal circTGFBR2 promotes hepatocellular carcinoma progression via enhancing ATG5 mediated protective autophagy. (PubMed, Cell Death Dis)
Mechanistically, circTGFBR2 delivered into HCC cells via exosomes serves as a competing endogenous RNA by binding miR-205-5p to facilitate ATG5 expression and enhance autophagy in HCC cells, resulting in resistance to starvation. Thus, we revealed that circTGFBR2 is a novel tumor promoter circRNA in hepatocytic exosomes and promotes HCC progression by enhancing ATG5-mediated protective autophagy via the circTGFBR2/miR-205-5p/ATG5 axis, which may be a potential therapeutic target for HCC.
Journal
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TGFBR2 (Transforming Growth Factor Beta Receptor 2) • ATG5 (Autophagy Related 5) • MIR205 (MicroRNA 205)
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ATG5 expression
over1year
Journal • Stroma
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CXCR4 (Chemokine (C-X-C motif) receptor 4) • CXCL12 (C-X-C Motif Chemokine Ligand 12) • CTGF (Connective tissue growth factor)
over1year
E2F1-mediated ectopic expression of PP1A promotes breast cancer progression via activation of YAP1. (PubMed, Int J Biochem Cell Biol)
Our findings reveal the function of the LINC02754/E2F1/PP1A/YAP1 axis in hormone receptor-positive breast cancer and provide new insight into hormone receptor-positive breast cancer progression. AVAILABILITY OF SUPPORTING DATA: All data included in this study are available upon request by contact with the corresponding author.
Journal
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YAP1 (Yes associated protein 1) • CTGF (Connective tissue growth factor) • E2F1 (E2F transcription factor 1)
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HR positive
over1year
Mesothelioma cancer cells are glutamine addicted and glutamine restriction reduces YAP1 signaling to attenuate tumor formation. (PubMed, Mol Carcinog)
We show that glutamine restriction, by removing glutamine from the medium or treatment with inhibitors that attenuate glutamine uptake (V-9302) or conversion to glutamate (CB-839), markedly reduces mesothelioma cell proliferation, spheroid formation, invasion, and migration...These changes are observed in both cells and tumors. These findings indicate that mesothelioma is a glutamine addicted cancer, show that glutamine depletion attenuates YAP1/TEAD signaling and tumor growth, and suggest that glutamine restriction may be useful as a mesothelioma treatment strategy.
Journal
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CCND1 (Cyclin D1) • YAP1 (Yes associated protein 1) • SLC1A5 (Solute Carrier Family 1 Member 5) • COL3A1 (Collagen Type III Alpha 1 Chain) • CTGF (Connective tissue growth factor)
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telaglenastat (CB-839)
over1year
Design and methodology of LAPIS, an ongoing, phase III trial of neoadjuvant pamrevlumab (pam) with chemotherapy (CT) in patients (pts) with unresectable, locally advanced pancreatic cancer (LAPC) (AACR 2023)
Pts were randomized 1:1 to pam+investigator’s choice CT (gemcitabine 1,000 mg/m2+nab-paclitaxel 125 mg/m2; or either FOLFIRINOX [5-fluoruracil 400 mg/m2+folinic acid/leucovorin 400 mg/m2; 5-fluoruracil 2,400 mg/m2; irinotecan 180 mg/m2; oxaliplatin 85 mg/m2; or mFOLFIRINOX [folinic acid/leucovorin 400 mg/m2; 5-fluoruracil 2,400 mg/m2; irinotecan 180 mg/m2; oxaliplatin 85 mg/m2]), or CT+PBO, then stratified by unreconstructable disease (yes/no) and geographic region...LAPIS enrollment is complete (N=284). Study completion is estimated for early 2024.
Clinical • P3 data • Metastases
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CTGF (Connective tissue growth factor)
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gemcitabine • 5-fluorouracil • albumin-bound paclitaxel • oxaliplatin • irinotecan • leucovorin calcium • pamrevlumab (FG-3019)
over1year
Involvement and possible role of transglutaminases 1 and 2 in mediating fibrotic signalling, collagen cross-linking and cell proliferation in neonatal rat ventricular fibroblasts. (PubMed, PLoS One)
Transcript levels of collagen 1A1, fibronectin 1, matrix metalloproteinase-2, cyclin E2, and BCL-2-associated X protein/B-cell lymphoma 2 ratio were strongly correlated with TG1 mRNA expression, whereas TG2 expression correlated strongly with CTGF mRNA abundance. These findings support a functional and signalling role for TG1 and TG2 from fibroblasts in regulating key processes underlying myocardial ECM homeostasis and dysregulation, suggesting that these isoforms could be potential and promising targets for the development of cardiac fibrosis therapies.
Preclinical • Journal • IO biomarker
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CCND1 (Cyclin D1) • MMP2 (Matrix metallopeptidase 2) • BAX (BCL2-associated X protein) • FN1 (Fibronectin 1) • TGFB1 (Transforming Growth Factor Beta 1) • CCNE2 (Cyclin E2) • CTGF (Connective tissue growth factor) • NECTIN1 (Nectin Cell Adhesion Molecule 1)
|
CCND1 expression
over1year
ADAM metallopeptidase domain 12 facilitates colorectal cancer progression by inhibiting Hippo signaling pathway activity. (PubMed, Mol Cancer Res)
YAP1 inhibitor administration counteracted ADAM12's function in promoting CRC cell growth, migration, invasion and increasing CTGF, Cyr61 and Birc5 expression. Implications: Our study indicates that ADAM12 facilitates CRC progression through suppressing Hippo pathway activity, and that ADAM12 is the candidate therapeutic target and prognostic biomarker for CRC patients.
Journal
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BIRC5 (Baculoviral IAP repeat containing 5) • YAP1 (Yes associated protein 1) • LATS1 (Large Tumor Suppressor Kinase 1) • ADAM12 (ADAM Metallopeptidase Domain 12) • CCN1 (Cellular Communication Network Factor 1) • CTGF (Connective tissue growth factor)
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BIRC5 expression
over1year
From outside to inside and back again: the lysophosphatidic acid-CCN axis in signal transduction. (PubMed, J Cell Commun Signal)
In some model systems, CCN1 and CCN2 play key roles in LPA/S1P-induced cell migration and proliferation. In this way, an extracellular signal (LPA or S1P) can activate GPCR-mediated intracellular signaling to induce the production of extracellular modulators (CCN1 and CCN2) that in turn initiate another round of intracellular signaling.
Journal
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CCN1 (Cellular Communication Network Factor 1) • CTGF (Connective tissue growth factor)
almost2years
Enhanced glaucomatous damage accompanied by glial response in a new multifactorial mouse model. (PubMed, Front Immunol)
In this new model, an additive degeneration could be noted in optic nerves as well as in the number of RGCs. These results suggest a potential additive role of high IOP and immune factors in glaucoma development, which will aid for understanding this multifactorial disease more precisely in the future.
Preclinical • Journal
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CTGF (Connective tissue growth factor)
almost2years
Long non-coding RNA PVT1 promotes the proliferation, migration and EMT process of ovarian cancer cells by regulating CTGF. (PubMed, Oncol Lett)
Furthermore, co-culture with rhCTGF reversed the si-PVT1-induced changes in the expression of EMT-associated proteins. In conclusion, lncRNA PVT1 promotes the proliferation, migration, invasiveness and EMT process of ovarian cancer cells, and CTGF contributes to the effect of lncRNA PVT1.
Journal
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CDH1 (Cadherin 1) • VIM (Vimentin) • PVT1 (Pvt1 Oncogene) • CTGF (Connective tissue growth factor)
|
CDH1 expression • VIM expression
almost2years
Verteporfin-loaded microparticles for radiosensitization of preclinical lung and breast metastatic spine cancer. (PubMed, J Neurosurg Spine)
This is the first study to demonstrate that verteporfin-mediated inhibition of YAP leads to diminished tumorigenicity in lung and breast spinal metastatic cancer cells. Targeting of YAP with verteporfin offers promising results that could be translated to human clinical trials.
Preclinical • Journal • Metastases
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CCND1 (Cyclin D1) • MCL1 (Myeloid cell leukemia 1) • TOP2A (DNA topoisomerase 2-alpha) • YAP1 (Yes associated protein 1) • CTGF (Connective tissue growth factor) • FOSL2 (FOS Like 2) • KIF23 (Kinesin Family Member 23)
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MCL1 expression
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Visudyne (verteporfin)
almost2years
Small-Molecule Cyanamide Pan-TEAD·YAP1 Covalent Antagonists. (PubMed, J Med Chem)
Inhibition of TEAD binding to YAP1 in mammalian cells was also observed. Several compounds inhibited the cell viability of sarcoma, hepatocellular carcinoma, glioblastoma, and breast cancer cells with single-digit micromolar IC values.
Journal
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YAP1 (Yes associated protein 1) • CTGF (Connective tissue growth factor)