20-Hydroxyecdysone Confers Antioxidant and Antineoplastic Properties in Human Non-Small Cell Lung Cancer Cells
Open accessAbstract
20-Hydroxyecdysone (20E) is an arthropod hormone which is synthesized by some plants as part of their defense mechanism. In humans, 20E has no hormonal activity but possesses a number of beneficial pharmacological properties including anabolic, adaptogenic, hypoglycemic, and antioxidant properties, as well as cardio-, hepato-, and neuroprotective features. Recent studies have shown that 20E may also possess antineoplastic activity. In the present study, we reveal the anticancer properties of 20E in Non-Small Cell Lung Cancer (NSCLC) cell lines. 20E displayed significant antioxidant capacities and induced the expression of antioxidative stress response genes. The RNA-seq analysis of 20E-treated lung cancer cells revealed the attenuation of genes involved in different metabolic processes. Indeed, 20E suppressed several enzymes of glycolysis and one-carbon metabolism, as well as their key transcriptional regulators—c-Myc and ATF4, respectively. Accordingly, using the SeaHorse energy profiling approach, we observed the inhibition of glycolysis and respiration mediated by 20E treatment. Furthermore, 20E sensibilized lung cancer cells to metabolic inhibitors and markedly suppressed the expression of Cancer Stem Cells (CSCs) markers. Thus, in addition to the known beneficial pharmacological activities of 20E, our data uncovered novel antineoplastic properties of 20E in NSCLC cells.
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TL;DR
20-Hydroxyecdysone (20E) reduces ROS, induces antioxidant-response genes, and suppresses glycolysis, respiration, one-carbon metabolism, and cancer stem cell markers in NSCLC cell lines. It also synergizes with metabolic inhibitors, suggesting potential antineoplastic adjuvant activity.
Key findings
- 20E suppressed intrinsic ROS in H460, H1299, and A549 cells: 0.1 µM reduced ROS by up to 20%, while other concentrations reduced ROS by 30–43%; after 24 h, ROS remained suppressed by 20–25%.
- RNA-seq of 20E-treated H460 cells found 619 down-regulated and 61 up-regulated genes; 20E suppressed glycolysis and one-carbon metabolism enzymes and regulators including HK2, LDHA, SHMT2, MTHFD2, c-Myc, and ATF4.
- Seahorse profiling showed 20E inhibited respiration more than glycolysis in H460 cells (respiration up to two-fold, glycolysis up to 30%); in H1299, respiration and glycolysis were suppressed by ~25% and ~20%, and in A549 by 30% and 25%, respectively. ATP levels were reduced up to 2.5-fold.
- 20E alone only slightly suppressed growth (10–15%), but showed synergy (CI < 1) with 2-DG, metformin, 3-BP, 5-FU, and gemcitabine, and significantly inhibited expression of CSC markers ALDH, CD44, Oct4, c-Kit, and Nestin.
Methods
- NSCLC cell lines A549, H1299, and H460 were treated with 20E across concentrations (0.01–100 µM) and assessed by ROS flow cytometry, RT-PCR, Qiagen RT2 Profiler oxidative stress array, RNA-seq, Western blot, Seahorse energy profiling, ATP assay, MTT, colony formation, cell cycle, annexin V, and spheroid CSC-marker assays.
- RNA-seq was performed on H460 cells treated with 10 µM 20E for 24 h; differential expression used DESeq2 with adjusted p < 0.05.
- Drug synergy was calculated from MTT results using CompuSyn; survival analysis used KM Plotter on a dataset of 1925 lung cancer patients. Statistical analysis used one-way ANOVA with Dunnett’s post hoc test.
Limitations
- The paper states that translation of the in vitro anticancer effects into the clinic remains uncertain and that further investigations are warranted.
- The paper notes a biphasic effect, with 100 µM 20E sometimes producing lesser effects than lower concentrations, and suggests pleiotropic/multiple targets rather than a single defined receptor mechanism.
- Evident from the text: the study is limited to NSCLC cell lines, with no in vivo tumor models; RNA-seq was performed only in H460 cells, and the patient survival analysis is correlative.
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0 of 119 cited sources checked · 0 supported · 0 flagged
- Findingown data
20E induces the expression of antioxidative stress response genes, including Gpx3, Gpx4, Gpx6, Gsr, Gss, Prdx1, Prdx5, Prdx6, Sod1, Sod2, Sod3, in H460 and H1299 cells.
“The RT-PCR analysis revealed a number of differentially expressed genes associated with antioxidant response.”
- Also stated in: § 3.1. 20E Down-Regulates ROS Levels and Induces the Expression of Antioxidative Response Genes · plain
“Interestingly, depending on the cell line used, 20E induced the expression of different anti-oxidative genes to different levels (Figure 2): glutathione peroxidases (Gpx3, Gpx4, Gpx6), glutathion redustase (Gsr), glutathion syntetase (Gss), peroredoxines (Prdx1, Prdx5, Prdx6), superoxidismutases (Sod1, Sod2, Sod3), and others (Figure 2, Table S3).”
Quote in the paperSubstantial claim - Also stated in: § 3.1. 20E Down-Regulates ROS Levels and Induces the Expression of Antioxidative Response Genes · plain
- Findingown data
After 24 h treatment, ROS levels were also suppressed by 20-25%.
“As seen from Figure S1, after a day of treatment ROS levels were also suppressed by 20–25%.”
Quote in the paperSubstantial claim - Findingown data
20E only slightly suppressed (from 10 to 15%) the growth of all NSCLC cell lines.
“The results demonstrated in Figure 3A–C and Table S2 imply that 20E only slightly suppressed (from 10 to 15%) the growth of all cell lines.”
Quote in the paperSubstantial claim - Findingown data
Cell cycle analysis showed no obvious changes with only 100 μM of 20E in decreased S-phase and increased G0/G1 in H1299 and A549 cells.
“According to the cell cycle analysis, no obvious changes were observed with only 100 µM of 20E in the decreased S-phase and increased G0/G1 in H1299 and A549 cells (Figures S2–S4).”
Quote in the paperNot a substantial claim - Findingown data
RNA-seq analysis of H460 cells treated with 10 μM 20E for 24 h showed 619 down-regulated and 61 up-regulated genes.
“All in all, we observed 619 down-regulated (Table S4) and 61 up-regulated (Table S5) genes.”
Quote in the paperSubstantial claim
- Findingown data
20E treatment at 0.1-100 μM for 1.5 h significantly suppressed intrinsic ROS levels in H460, H1299, and A549 NSCLC cells.
“Results shown in Figure 1 revealed a significant 20E-mediated antioxidative effect at all the concentrations tested.”
Quote in the paperSubstantial claim - Findingcitation
Among 20E-down-regulated genes in lung cancer cells, several are considered oncogenes, including Notch3, HSF1, mTOR, SOX12, KLF16, and others.
“Among the 20E-down-regulated genes in lung cancer cells, several of them are considered to be oncogenes, including Notch3 ([34]), HSF1 ([35]), mTOR ([36]), SOX12 ([37]), KLF16 (Kruppel-like factor 16, [38]), and others (Table S4).”
Quote in the paperSubstantial claim - Findingown data
Annexin-V test did not reveal any differences in the amount of either dead or apoptotic cells between 20E-treated and control cells.
“Moreover, the annexin-V test for apoptosis did not reveal any differences in the amount of either dead or apoptotic cells between 20E-treated and control cells (Figures S5–S7).”
Quote in the paperNot a substantial claim - Findingown data
With the exception of PSPH, high expression of genes coding for HK2, LDHA, PHGDH, PSAT1, SHMT2, MTHFD2, c-Myc, and ATF4 were strongly associated with a patient's shortened survival in 1925 lung cancer patients.
“The dataset consisted of 1925 lung cancer patients.”
- Also stated in: § 3.7. The Increased Expression of 20E-Suppresed Metabolic Genes Is Associated with the Shortened Survival of Lung Cancer Patients · boosted
“The analysis has shown that with the exception of PSPH, the high expression of genes coding for all of these enzymes and their transcriptional regulators were strongly associated with a patient’s shortened survival (Figure 9).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] 2021, Web-based survival analysis tool tailored for medical research (KMplot): Development and implementation, J. Med. Internet Res. source
Not checked in the free run.
- Also stated in: § 3.7. The Increased Expression of 20E-Suppresed Metabolic Genes Is Associated with the Shortened Survival of Lung Cancer Patients · boosted
- Findingown data
In H460 cells, 20E inhibited respiration more pronouncedly (up to two times) than glycolysis (up to 30%).
“In H460 cells, 20E inhibited respiration more pronouncedly (up to two times) than glycolysis (up to 30%) (Figure 7A–C,E).”
Quote in the paperNot a substantial claim - Findingown data
20E in all concentrations significantly reduced the level of ATP up to 2.5 times in H1299 and H460 cells treated with 0.1-100 μM 20E for 3 days.
“According to the results presented in Figure S10 and Table S2, 20E in all concentrations significantly reduced the level of ATP up to 2.5 times, which was consistent with SeaHorse, Real-time PCR, and Western-blot data on its impact on the glycolysis, respiration, and expression of glycolytic enzymes.”
Quote in the paperSubstantial claim - Findingown data
Real-time PCR data showed that even 0.01 μM 20E may be sufficient to down-regulate the expression of all enzymes and transcriptional regulators studied (HK2, LDHA, PSAT1, PSPH, PHGDH, SHMT2, MTHFD2, c-Myc, ATF4).
“The Real-time PCR data have shown that even 0.01 µM of 20E may be sufficient to down-regulate the expression of all enzymes and their transcriptional regulators studied (Figure 5, Table S2).”
Quote in the paperSubstantial claim - Findingown data
20E in combination with 2-DG, MF, 3-BP, 5-FU, and Gemc significantly inhibited cancer cells relative to metabolic inhibitors alone.
“However, 20E in combination with 2-DG, MF, 3-BP, 5-FU, and Gemc significantly inhibited cancer cells relative to metabolic inhibitors alone.”
Quote in the paperSubstantial claim - Findingown data
20E treatment at doses of 0.1-100 μM significantly inhibited the expression of all CSC markers studied (ALDH, CD44, Oct4, c-Kit, Nestin).
“Figure 10 demonstrates that 20E treatment at doses of 0.1–100 µM significantly inhibited the expression of all of the CSC markers studied.”
- Also stated in: § 3.8. 20E Suppressed the Expression of Genes Associated with Cancer Stem-like Cells · plain
“For this purpose, we chose several common markers associated with lung cancer CSCs: aldehyde dehydrogenase (ALDH), CD44, Octamer-binding transcription factor 4 (Oct4), KIT proto-oncogene, receptor tyrosine kinase (c-Kit), and Nestin [51,52,53,54].”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [51] Zheng, 2022, Lung cancer stem cell markers as therapeutic targets: An update on signaling pathways and therapies, Front. Oncol. source
Not checked in the free run.
- cites [52] Prabavathy, 2018, Lung cancer stem cells—Origin, characteristics and therapy, Stem Cell Investig. source
Not checked in the free run.
- cites [53] Levina, 2010, Elimination of human lung cancer stem cells through targeting of the stem cell factor–c-kit autocrine signaling loop, Cancer Res. source
Not checked in the free run.
- cites [54] Jaramillo-Rangel, G., Chávez-Briones, M.-d.-L., Ancer-Arellano, A., and Ortega-Martínez, M. (2021). Nestin-expressing cells in the lung: The bad and the good parts. Cells, 10. source
Not checked in the free run.
- Also stated in: § 3.8. 20E Suppressed the Expression of Genes Associated with Cancer Stem-like Cells · plain
- Findingown data
Several metabolic enzymes from various metabolic pathways may also be down-regulated according to the RNA-seq data.
“Additionally, several metabolic enzymes from various metabolic pathways may also be down-regulated according to the RNA-seq data (Figure 4B,C, Table S6).”
Quote in the paperNot a substantial claim - Findingown data
20E alone suppressed the proliferation of cancer cells to a maximum of 10% in both A549 and H460 cell lines.
“Figure 8 and Figure S11 and Table S2 show that 20E alone suppressed the proliferation of cancer cells to a maximum of 10% in both A549 and H460 cell lines.”
Quote in the paperNot a substantial claim - Findingown data
After 24 h of treatment, 20E increased the expression of genes coding for several key enzymes of antioxidant defense (GPX3, GPX4, GPX6, GSR, GSS, PRDX1, PRDX5, PRDX6, SOD1, SOD2, SOD3, and others).
“Indeed, we showed that after 24 h of treatment, 20E increased the expression of genes coding for several key enzymes of antioxidant defense—Glutathione Peroxidases (GPX3, GPX4, GPX6), Glutathion Redustase (GSR), Glutathion Syntetase (GSS), Peroredoxines (PRDX1, PRDX5, PRDX6), Superoxiddismutases (SOD1, SOD2, SOD3), and others.”
Quote in the paperSubstantial claim - Findingown data
20E displayed strong antioxidant activity at 0.1 μM in all three tumor cell lines tested, even after only 1.5 h of treatment.
“Our results demonstrated that 20E displayed a strong antioxidant activity in concentrations of 0.1 µM in all three tumor cell lines tested, even after only 1.5 h of treatment.”
Quote in the paperSubstantial claim - Findingown data
Spheroid cultures of H1299 and H460 treated with the same doses of 20E proved the data on CSC marker suppression.
“To verify these data, we established spheroids cultures of H1299 and H460 cell lines and treated them with the same doses of 20E. The results shown in Figure S12 and Table S2 proved these data.”
Quote in the paperSubstantial claim- Rests on an assumption: Spheroid culture creates more physiological conditions which favor CSCs.
- Findingown data
The negative effect of 20E at doses of 0.1 and 1 μM was especially pronounced.
“The negative effect of 20E at doses of 0.1 and 1 µM was especially pronounced.”
Quote in the paperNot a substantial claim - Findingown data
20E significantly suppressed the level of ROS in lung cancer cells.
“According to our results, 20E significantly suppressed the level of ROS in lung cancer cells”
Quote in the paperSubstantial claim - Findingown data
20E treatment down-regulated about 50 genes considered to be oncogenes in NSCLC.
“We observed the 20E-mediated down-regulation of about 50 genes considered to be oncogenes in NSCLC.”
Quote in the paperSubstantial claim - Findingown data
The paper's analysis of Kaplan-Meier plots from 1925 lung cancer patients confirmed the strong oncogenic role of HK2, LDHA, PHGDH, PSAT1, SHMT2, MTHFD2, c-Myc, and ATF4 in lung cancer.
“Our analysis of Kaplan–Meier plots derived from data on 1925 lung cancer patients clearly confirmed the strong oncogenic role of HK2, LDHA, PHGDH, PSAT1, SHMT2, MTHFD2, c-Myc, and ATF4 (CREB-2) in lung cancer.”
Quote in the paperNot a substantial claim- Rests on an assumption: Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.
- Findingown data
A vast number of metabolic genes were suppressed by 20E.
“Furthermore, a vast number of metabolic genes were also suppressed by 20E.”
Quote in the paperSubstantial claim - Findingown data
20E sensitizes NSCLC cell lines to some metabolic inhibitors.
“We showed that 20E sensitizes NSCLC cell lines to some of these metabolic inhibitors, which may be therapeutically relevant (Figure 11).”
Quote in the paperSubstantial claim- Rests on an assumption: Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.
- Findingown data
20E significantly attenuated the expression of CSC markers (ALDH, CD44, Oct4, c-kit, Nestin).
“We showed that 20E significantly attenuated the level of their expression, which may be an important biomarker for the efficacy of antineoplastic therapy.”
Quote in the paperSubstantial claim - Findingown data
The paper frequently observed lesser effects for 100 μM of 20E compared to lower 20E concentrations in different experiments.
“It is interesting to note that we have frequently observed lesser effects for 100 uM of 20E as compared to the lower 20E concentrations in different experiments.”
Quote in the paperNot a substantial claim - Premisecitation
20E may possess antineoplastic activity.
“Recent studies have shown that 20E may also possess antineoplastic activity.”
- Also stated in: § 1. Introduction · hedged
“Several studies have reported on the potential antitumor properties of 20E.”
Quote in the paperSubstantial claim0 of 8 sources checked- cites [12] Shuvalov, 2020, An arthropod hormone, ecdysterone, inhibits the growth of breast cancer cells via different mechanisms, Front. Pharmacol. source
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- Also stated in: § 1. Introduction · hedged
- Premisecitation
Elevated levels of intracellular ROS are known to be one of the reasons for genomic instability and carcinogenesis.
“Elevated levels of intracellular ROS are known to be one of the reasons for genomic instability and, hence, carcinogenesis [29].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [29] Kirtonia, 2020, The multifaceted role of reactive oxygen species in tumorigenesis, Cell. Mol. Life Sci. source
Not checked in the free run.
- Premisecitation
Presence of CSCs is always associated with an increased incidence of metastasis, resistance to therapy, and tumor recurrence.
“Their presence is always associated with an increased incidence of metastasis, resistance to therapy, and tumor recurrence [52].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [52] Prabavathy, 2018, Lung cancer stem cells—Origin, characteristics and therapy, Stem Cell Investig. source
Not checked in the free run.
- Interpretationown data
20E can sensitize NSCLC cell lines to metabolic inhibitors.
“These data mean that 20E can sensitize NSCLC cell lines to metabolic inhibitors.”
Quote in the paperSubstantial claim - Interpretationown data
20E has an oncosuppressive role in NSCLC cell lines.
“In the present research, we revealed the oncosuppressive role of 20E in NSCLC cell lines.”
Quote in the paperSubstantial claim - Interpretationown data
The antioxidant properties of 20E are not limited to direct scavenger activity.
“However, it seems that the antioxidant properties of 20E are not limited by only the direct scavenger activity.”
Quote in the paperSubstantial claim - Interpretationown data
20E's suppression of ROS may possibly decrease the oncogenic potential of lung cancer cells.
“which may possibly decrease their oncogenic potential.”
Quote in the paperSubstantial claim - Premisecitation
Cancer cells usually have an increased level of intrinsic ROS.
“Usually, cancer cells have an increased level of intrinsic ROS [56].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [56] Zaidieh, T., Smith, J.R., Ball, K.E., and An, Q. (2019). ROS as a novel indicator to predict anticancer drug efficacy. BMC Cancer, 19. source
Not checked in the free run.
- Interpretationown data
20E has novel antineoplastic properties in NSCLC cells.
“Thus, in addition to the known beneficial pharmacological activities of 20E, our data uncovered novel antineoplastic properties of 20E in NSCLC cells.”
Quote in the paperSubstantial claim - Premisecitation
Low and moderate increases in ROS may act as a signal transducer to activate cell proliferation, migration, invasion, and angiogenesis.
“The low and moderate increase in the levels of ROS may be a signal transducer for activate cell proliferation, migration, invasion, and angiogenesis”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [57] Nakamura, 2021, Reactive oxygen species in cancer: Current findings and future directions, Cancer Sci. source
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- Premisecitation
High expression of genes coding for these enzymes and their transcriptional regulators is strongly associated with shortened patient survival in different types of malignancies.
“The high expression of genes coding for all of these enzymes and their transcriptional regulators is strongly associated with a shortened patient survival in different types of malignancies [66,67,68,69,70,71,72,73,74].”
Quote in the paperNot a substantial claim0 of 9 sources checked- cites [66] Zhang, 2021, Overexpression of SHMT2 predicts a poor prognosis and promotes tumor cell growth in bladder cancer, Front. Genet. source
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- cites [67] Zhang, 2023, Identification of MTHFD2 as a prognostic biomarker and ferroptosis regulator in triple-negative breast cancer, Front. Oncol. source
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- cites [68] Zhu, 2016, High Expression of PHGDH Predicts Poor Prognosis in Non–Small Cell Lung Cancer, Transl. Oncol. source
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- cites [71] Wang, 2021, High ATF4 expression is associated with poor prognosis, amino acid metabolism, and autophagy in gastric cancer, Front. Oncol. source
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- cites [72] He, 2018, Association between c-Myc and colorectal cancer prognosis: A meta-analysis, Front. Physiol. source
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- Interpretationown data
20E's sensitization of NSCLC cell lines to metabolic inhibitors may be therapeutically relevant.
“which may be therapeutically relevant (Figure 11).”
Quote in the paperSubstantial claim- Rests on an assumption: Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.
- Premisecitation
For lung cancer, ALDH, CD44, Oct4, c-kit, and Nestin are among the most frequently observed CSCs markers that promote tumor development.
“For lung cancer, ALDH, CD44, Oct4, c-kit, and Nestin were shown to be some of the most frequently observed CSCs markers which promote tumor development [53,54,85,86,87].”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [53] Levina, 2010, Elimination of human lung cancer stem cells through targeting of the stem cell factor–c-kit autocrine signaling loop, Cancer Res. source
Not checked in the free run.
- cites [54] Jaramillo-Rangel, G., Chávez-Briones, M.-d.-L., Ancer-Arellano, A., and Ortega-Martínez, M. (2021). Nestin-expressing cells in the lung: The bad and the good parts. Cells, 10. source
Not checked in the free run.
- cites [85] Zhang, 2020, The role and specific mechanism of OCT4 in cancer stem cells: A review, Int. J. Stem Cells source
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- cites [86] Hu, 2018, CD44 promotes cell proliferation in non-small cell lung cancer, Oncol. Lett.
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- cites [87] Cardona, 2019, Cancer stem cell biomarkers in egfr-mutation–positive non–small-cell lung cancer, Clin. Lung Cancer source
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- Interpretationown data
20E's attenuation of CSC marker expression may be an important biomarker for the efficacy of antineoplastic therapy.
“which may be an important biomarker for the efficacy of antineoplastic therapy.”
Quote in the paperSubstantial claim- Rests on an assumption: CSCs represent a very important challenge for antineoplastic therapy.
- Premisecitation
The maximal plasma concentration (Cmax) after ingestion of 1400 mg of 20E was 710 ng/mL, approximately corresponding to 1.5 μM.
“According to observations of Dinan with colleagues [1], the maximal plasma concentration (Cmax) after the ingestion of 1400 mg of 20E was 710 ng/mL, which approximately corresponds to 1.5 µM.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Dinan, L., Dioh, W., Veillet, S., and Lafont, R. (2021). 20-Hydroxyecdysone, from plant extracts to clinical use: Therapeutic potential for the treatment of neuromuscular, cardio-metabolic and respiratory diseases. Biomedicines, 9. source
Not checked in the free run.
- Interpretationreasoning
20E possesses a biphasic effect (low-level stimulatory and high-level inhibitory).
“It seems that 20E possesses a bi-phasic (e.g., low-level stimulatory and high-level inhibitory) effect.”
Quote in the paperNot a substantial claim - Premisecitation
The same phenomenon (lesser effects at high concentration) has been reported by other authors in different biological systems.
“The same phenomenon has been reported by other authors in different biological systems [88,89].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [88] Kurtti, 1983, The effects of 20-hydroxyecdysone and juvenile hormone III on tick cells, J. Parasitol. source
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- cites [89] Lafont, R., Raynal, S., Serova, M., Didry-Barca, B., Guibout, L., Latil, M., Dilda, P.J., Dioh, W., and Veillet, S. (2020). 20-Hydroxyecdysone activates the protective arm of the renin angiotensin system via Mas receptor. BioRxiv. source
Not checked in the free run.
- May combine two claims. 30
- Classified as probably not a substantial claim. 33
May combine two claims.
Findingown data0.1 μM 20E suppressed total ROS by up to 20%, whereas other concentrations had inhibitory effects of up to 30-43% of the original level.
“Thus, even 0.1 µM of 20E was able to suppress the total level of ROS by up to 20%, whereas other concentrations had inhibitory effects of up to 30–43% of the original level (Figure 1A–C, Table S2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data20E suppressed genes coding for ABC-transporters including ABCB6 and ABCC1, a cytokine TGF-β, MAPK signaling components, subunits of all respiratory chain complexes, and a number of amino acid importers.
“It is also important to note that 20E suppressed genes which code for ABC-transporters, including those conferring multidrug resistance ABCB6 and ABCC1 (MRP1), a cytokine TGF-β, MAPK signaling components, subunits of all respiratory chain complexes, and a number of amino acid importers (Figure 4A,B, Table S4).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data20E significantly suppressed both glycolysis and respiration intensities in all NSCLC cell lines.
“We observed a significant 20E-mediated suppression of both glycolysis and respiration intensities in all cell lines (Figure 7, Figures S8 and S9, Table S2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data20E-mediated suppression of colony formation was observed in parallel with no obvious impact on cell cycle and apoptosis.
“Moreover, we observed the 20E-mediated suppression of colony formation in parallel with no obvious impact on cell cycle and apoptosis (Figure 3).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe degree of 20E-mediated suppression of gene expression depends on the cell line; in most cases 20E in concentrations of 0.01 or 0.1 μM was sufficient to down-regulate the expression.
“It should be noted that the degree of 20E-mediated suppression of gene expression depends on the cell line; however, in most cases 20E in concentrations of 0.01 or 0.1 µM was sufficient to down-regulate the expression.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMaximal respiration capacity and ATP production rate calculated based on SeaHorse data were both compromised by 20E.
“The maximal respiration capacity and ATP production rate calculated based on SeaHorse data were also both compromised (Figure 7D,F).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn A549 cells, 20E suppressed respiration and glycolysis by 30% and 25%, respectively.
“For A549 cells, the values were 30% and 25%, respectively (Figure S9, Table S2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data20E displayed synergy with all compounds tested; CI values <1 reflect a significant synergistic interaction of 20E with 2-DG, MF, 3-BP, 5-FU, and gemcitabine.
“The quantitative analysis of drug interaction showed that 20E displayed synergy with all of the compounds tested. The Combinational Index (CI) values (Table 1) and CI plots in Figure 8 and Figure S11 reflect a significant synergistic interaction (CI < 1) of 20E with 2-DG, MF, 3-BP, 5-FU, and gemcitabine.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWestern-blot results confirmed Real-time PCR data; 20E significantly suppressed HK2, LDHA, SHMT2, MTHFD2, c-Myc, and ATF4.
“As seen from Figure 6, 20E significantly suppressed HK2, LDHA, SHMT2, MTHFD2, c-Myc, and ATF4.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn H1299 cells, 1 μM 20E suppressed respiration and glycolysis by approximately 25% and 20%, respectively.
“In H1299 cells, 20E in a concentration of 1 µM suppressed respiration and glycolysis by approximately 25% and 20%, respectively (Figure S8, Table S2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingreasoning20E inhibited glycolysis, respiration, and ATP content.
“In accordance with these data, 20E inhibited glycolysis, respiration, and ATP content.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data20E inhibited the expression of key glycolytic genes HK2 and LDHA, genes coding for serine biosynthesis enzymes (PSAT1, PHGDH, PSPH), folate cycle enzymes (SHMT2, MTHFD2), and their transcriptional regulators c-Myc and ATF4.
“Our further evaluation revealed that 20E inhibited the expression of key glycolytic genes HK2 and LDHA, as well as a number of genes coding for enzymes of serine biosynthesis (PSAT1, PHGDH, PSPH), folate cycle (SHMT2, MTHFD2), and their key transcriptional regulators—c-Myc and ATF4.”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenWhen 20E was used at 0.1 μM and higher, it had a clear impact on metabolism, sensitivity to metabolic inhibitors, and expression of CSC markers.
“Importantly, when 20E was used at a concentration of 0.1 µM and higher, it had a clear impact on metabolism, sensitivity to metabolic inhibitors, and the expression of CSC markers.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the paper's studies, 20E at a concentration of even 0.01 μM displayed a significant antioxidative effect and modulated the expression of metabolic genes.
“In our studies, 20E in a concentration of even 0.01 µM displayed a significant antioxidative effect, and therefore modulated the expression of metabolic genes.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation20E displays multiple beneficial pharmacological properties in humans, including anabolic, adaptogenic, hypoglycemic, antioxidant, anti-inflammatory, hepato- and cardioprotective, antihypertensive, anti-fibrotic, and anti-COVID properties.
“In humans, 20E has no hormonal activity but possesses a number of beneficial pharmacological properties including anabolic, adaptogenic, hypoglycemic, and antioxidant properties, as well as cardio-, hepato-, and neuroprotective features.”
- Also stated in: § 1. Introduction · plain
“20E displays anabolic, hypolipidemic, anti-diabetic, anti-inflammatory, hepato- and cardioprotective, antioxidant, antihypertensive, anti-fibrotic, and anti-COVID properties, among others [1,2,3,4].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [1] Dinan, L., Dioh, W., Veillet, S., and Lafont, R. (2021). 20-Hydroxyecdysone, from plant extracts to clinical use: Therapeutic potential for the treatment of neuromuscular, cardio-metabolic and respiratory diseases. Biomedicines, 9. source
Not checked in the free run.
- cites [2] Chlebek, 2011, Ecdysterone and its activity on some degenerative diseases, Nat. Prod. Commun.
Not checked in the free run.
- cites [3] Latil, 2021, Developing new drugs that activate the protective arm of the renin–angiotensin system as a potential treatment for respiratory failure in COVID-19 patients, Drug Discov. Today source
Not checked in the free run.
- cites [4] Isenmann, 2019, Ecdysteroids as non-conventional anabolic agent: Performance enhancement by ecdysterone supplementation in humans, Arch. Toxicol. source
Not checked in the free run.
- Also stated in: § 1. Introduction · plain
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation20E and its derivatives sensitize breast cancer cells to genotoxic stress, induce autophagy, and attenuate multiple drug resistance.
“We and others have shown that 20E and its derivates sensibilize breast cancer cells to genotoxic stress, induce autophagy, and attenuate multiple drug resistance [12,13,14,15,16,17,18,19].”
Quote in the paperNot a substantial claim0 of 8 sources checked- cites [12] Shuvalov, 2020, An arthropod hormone, ecdysterone, inhibits the growth of breast cancer cells via different mechanisms, Front. Pharmacol. source
Not checked in the free run.
- cites [13] Martins, 2012, Significant activity of ecdysteroids on the resistance to doxorubicin in mammalian cancer cells expressing the human ABCB1 transporter, J. Med. Chem. source
Not checked in the free run.
- cites [14] Martins, 2015, Ecdysteroids sensitize MDR and non-MDR cancer cell lines to doxorubicin, paclitaxel, and vincristine but tend to protect them from cisplatin, BioMed Res. Int. source
Not checked in the free run.
- cites [15] Konovalova, 2002, Ecdysterone modulates antitumor activity of cytostatics and biosynthesis of macromolecules in tumor-bearing mice, Biol. Bull. Russ. Acad. Sci. source
Not checked in the free run.
- cites [16] Lisiak, 2021, Proapoptotic and proautophagic activity of 20-hydroxyecdysone in breast cancer cells in vitro, Chem.-Biol. Interact. source
Not checked in the free run.
- cites [17] Martins, 2018, Nitrogen-containing ecdysteroid derivatives vs. multi-drug resistance in cancer: Preparation and antitumor activity of oximes, oxime ethers and a lactam, Eur. J. Med. Chem. source
Not checked in the free run.
- cites [18] Bortolozzi, 2020, Ecdysteroid derivatives that reverse P-glycoprotein-mediated drug resistance, J. Nat. Prod. source
Not checked in the free run.
- cites [19] Savchenko, 2021, In vitro adjuvant antitumor activity of various classes of semi-synthetic poststerone derivatives, Bioorganic Chem. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation20E displays low toxicity; the LD50 of 20E in mice is 9 g/kg of weight.
“The LD50 of 20E in mice is 9 g/kg of weight [5]”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [5] Ogawa, S., Nishimoto, N., and Matsuda, H. (1974). Invertebrate Endocrinology and Hormonal Heterophylly, Springer.
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationClinical investigations have shown that 20E demonstrates a safe profile.
“Clinical investigations have shown that this compound demonstrates a safe profile [1].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Dinan, L., Dioh, W., Veillet, S., and Lafont, R. (2021). 20-Hydroxyecdysone, from plant extracts to clinical use: Therapeutic potential for the treatment of neuromuscular, cardio-metabolic and respiratory diseases. Biomedicines, 9. source
Not checked in the free run.
May combine two claims.
Interpretationown data20E possesses either direct ROS scavenging activity, or impacts ROS indirectly via affecting signaling pathways leading to a quick antioxidant response.
“These data suggest that 20E possesses either direct ROS scavenging activity, or that it impacts ROS indirectly, via affecting the respective signaling pathways and thereby leading to a quick antioxidant response on the level of protein–protein interactions.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMetabolic rewiring, including different metabolic alterations, is considered to be one of the hallmarks of cancer.
“Metabolic rewiring, including different metabolic alterations, is considered to be one of the “hallmarks of cancer” [20].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Shuvalov, O., Daks, A., Fedorova, O., Petukhov, A., and Barlev, N. (2021). Linking metabolic reprogramming, plasticity and tumor progression. Cancers, 13. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThere are ongoing efforts to utilize metabolic reprogramming in NSCLC as a therapeutic opportunity.
“There are a lot of ongoing efforts to utilize the process of metabolic reprogramming in Non-Small Cell Lung Cancer (NSCLC) as a therapeutic opportunity [21,22,23,24].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [21] Mendes, C., and Serpa, J. (2019). Metabolic remodelling: An accomplice for new therapeutic strategies to fight lung cancer. Antioxidants, 8. source
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- cites [22] Li, 2022, Tumor metabolic reprogramming in lung cancer progression, Oncol. Lett. source
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- cites [23] Vanhove, 2019, The metabolic landscape of lung cancer: New insights in a disturbed glucose metabolism, Front. Oncol. source
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- cites [24] Dowling, 2021, Shining a light on metabolic vulnerabilities in non-small cell lung cancer, Biochim. Et Biophys. Acta (BBA) Rev. Cancer source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSeveral published reports have written about the ROS-scavenger and antioxidant properties of 20E in several in vitro and in vivo systems.
“Several published reports have written about the ROS-scavenger and antioxidant properties of 20E in several in vitro [30,31] and in vivo systems [32,33].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [30] Kuzmenko, 2001, New functions of 20-hydroxyecdysone in lipid peroxidation, J. Oleo Sci. source
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- cites [31] Cai, 2002, Antioxidative and free radical scavenging effects of ecdysteroids from Serratula strangulata, Can. J. Physiol. Pharmacol. source
Not checked in the free run.
- cites [32] Gholipour, 2022, Effects of the combination of high-intensity interval training and Ecdysterone on learning and memory abilities, antioxidant enzyme activities, and neuronal population in an Amyloid-beta-induced rat model of Alzheimer’s disease, Physiol. Behav. source
Not checked in the free run.
- cites [33] Yang, 2021, Ecdysterone attenuates the development of radiation-induced oral mucositis in rats at early stage, Radiat. Res. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationH460, A549, and H1299 cell lines are frequently used as widely accepted cell models in the context of the metabolic rewiring of NSCLC.
“H460, A549, and H1299 cell lines are frequently used as widely accepted cell models in the context of the metabolic rewiring of NSCLC [41,42,43].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [41] Parma, 2021, Metabolic impairment of non-small cell lung cancers by mitochondrial HSPD1 targeting, J. Exp. Clin. Cancer Res. source
Not checked in the free run.
- cites [42] Yu, 2022, Gankyrin modulated non-small cell lung cancer progression via glycolysis metabolism in a YAP1-dependent manner, Cell Death Discov. source
Not checked in the free run.
- cites [43] Zhang, 2020, FRK plays an oncogenic role in non-small cell lung cancer by enhancing the stemness phenotype via induction of metabolic reprogramming, Int. J. Cancer source
Not checked in the free run.
May combine two claims.
Interpretationown dataAccording to the data, 20E may potentially affect glycolysis, oxidative phosphorylation, the metabolism of amino acids, and the biosynthesis of fatty acids and nucleotides.
“According to the data obtained, 20E may potentially affect glycolysis, oxidative phosphorylation, the metabolism of amino acids, and the biosynthesis of fatty acids and nucleotides.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationCancer Stem Cells (CSCs) belong to a group of tumor cells with multidirectional differentiation capacity, high self-renewal potential, and tumorigenicity.
“Cancer Stem Cells (CSCs) belong to a group of tumor cells with a multidirectional differentiation capacity, high self-renewal potential, and tumorigenicity [51].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] Zheng, 2022, Lung cancer stem cell markers as therapeutic targets: An update on signaling pathways and therapies, Front. Oncol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIncreased glycolysis and one-carbon metabolism are known to be widely observed in various malignancies.
“As stated earlier, increased glycolysis and one-carbon metabolism are known to be widely observed in various malignancies [20].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Shuvalov, O., Daks, A., Fedorova, O., Petukhov, A., and Barlev, N. (2021). Linking metabolic reprogramming, plasticity and tumor progression. Cancers, 13. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA strong increase in ROS can induce damage to proteins, nucleic acids, lipids, membranes, and organelles, leading to cell death.
“whereas a strong increase in ROS can induce the damage of proteins, nucleic acids, lipids, membranes, and organelles, which leads to cell death [57].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [57] Nakamura, 2021, Reactive oxygen species in cancer: Current findings and future directions, Cancer Sci. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation20E increased the activity of SOD, CAT, GPx, and GRx in neurons of an amyloid-beta-induced rat model of Alzheimer's disease.
“Gholipour et al. [32], who demonstrated a 20E-mediated increase in the activity of superoxide dismutase (SOD), catalase (CAT), Glutathione Peroxidase (GPx), and Glutathione Reductase (GRx) in neurons of an amyloid-beta-induced rat model of Alzheimer’s disease.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Gholipour, 2022, Effects of the combination of high-intensity interval training and Ecdysterone on learning and memory abilities, antioxidant enzyme activities, and neuronal population in an Amyloid-beta-induced rat model of Alzheimer’s disease, Physiol. Behav. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation20E has previously been shown to possess antioxidant capacities in both in vitro systems and non-cancer cells.
“As 20E has previously been shown to possess antioxidant capacities in both in vitro systems and non-cancer cells [30,31,32]”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [30] Kuzmenko, 2001, New functions of 20-hydroxyecdysone in lipid peroxidation, J. Oleo Sci. source
Not checked in the free run.
- cites [31] Cai, 2002, Antioxidative and free radical scavenging effects of ecdysteroids from Serratula strangulata, Can. J. Physiol. Pharmacol. source
Not checked in the free run.
- cites [32] Gholipour, 2022, Effects of the combination of high-intensity interval training and Ecdysterone on learning and memory abilities, antioxidant enzyme activities, and neuronal population in an Amyloid-beta-induced rat model of Alzheimer’s disease, Physiol. Behav. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation20E increased the amount of SOD in rat tongue after irradiation.
“It was also reported that 20E increased the amount of SOD in rat tongue after irradiation [33].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Yang, 2021, Ecdysterone attenuates the development of radiation-induced oral mucositis in rats at early stage, Radiat. Res. source
Not checked in the free run.
May combine two claims.
PremisecitationROS play a multifaceted, opposing role in cancer, favoring cancer onset at low doses and killing tumors at high doses.
“ROS are known to play a multifaced, opposing role in cancer, by favoring cancer onset at low doses on the one hand, and killing tumors at high doses on the other hand [29,55].”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationA number of natural compounds with strong antioxidant properties (quercetin, kaempferol, rutin, resveratrol) have well-established anticancer activity and are widely studied as potential antineoplastic therapeutics.
“A number of natural compounds with strong antioxidant properties (quercetin [59], kaempferol [60], rutin [61], resveratrol [62]) have a well-established anticancer activity and are widely studied as potential antineoplastic therapeutics [63].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [63] Slika, 2022, Therapeutic potential of flavonoids in cancer: ROS-mediated mechanisms, Biomed. Pharmacother. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDifferent oncogenes and oncosuppressors have a critical impact on these metabolic pathways.
“Different oncogenes and oncosupressors have a critical impact on these metabolic pathways [20,40,46,47,75,76].”
Quote in the paperNot a substantial claim0 of 6 sources checked- cites [20] Shuvalov, O., Daks, A., Fedorova, O., Petukhov, A., and Barlev, N. (2021). Linking metabolic reprogramming, plasticity and tumor progression. Cancers, 13. source
Not checked in the free run.
- cites [40] Rosenzweig, 2018, Beyond the Warburg effect: How do cancer cells regulate one-carbon metabolism?, Front. Cell Dev. Biol. source
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- cites [46] Pan, 2021, Serine, glycine and one-carbon metabolism in cancer, Int. J. Oncol. source
Not checked in the free run.
- cites [47] Li, 2021, ATF3 promotes the serine synthesis pathway and tumor growth under dietary serine restriction, Cell Rep. source
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- cites [75] Marbaniang, 2018, Dysregulation of glucose metabolism by oncogenes and tumor suppressors in cancer cells, Asian Pac. J. Cancer Prev. APJCP
Not checked in the free run.
- cites [76] Daks, 2021, p53-independent effects of Set7/9 lysine methyltransferase on metabolism of non-small cell lung cancer cells, Front. Oncol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationSerine biosynthesis mediated by PSAT1, PHGDH, and PSPH opens the gates to one-carbon metabolism, and the folate cycle mediates redistribution of one-carbon groups to acceptors.
“The serine biosynthesis mediated by three enzymes—PSAT1, PHGDH, and PSAT1—“opens the gates” to one-carbon metabolism, whereas its central part—the folate cycle—mediates the re-distribution of one-carbon groups to acceptors [46] (Figure 11).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Pan, 2021, Serine, glycine and one-carbon metabolism in cancer, Int. J. Oncol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOne-carbon metabolism supplies cancer cells with nucleotides, SAM, glutathione, some amino acids, etc.
“One-carbon metabolism supplies cancer cells with nucleotides, which limit cell divisions: SAM—the main donor of methyl groups; glutathione—an important factor of redox homeostasis; some amino acids; etc. [40,65].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [40] Rosenzweig, 2018, Beyond the Warburg effect: How do cancer cells regulate one-carbon metabolism?, Front. Cell Dev. Biol. source
Not checked in the free run.
- cites [65] Shuvalov, 2017, One-carbon metabolism and nucleotide biosynthesis as attractive targets for anticancer therapy, Oncotarget source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMetabolic rewiring is considered one of the hallmarks of cancer.
“Metabolic rewiring is considered one of the “hallmarks of cancer” [20].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Shuvalov, O., Daks, A., Fedorova, O., Petukhov, A., and Barlev, N. (2021). Linking metabolic reprogramming, plasticity and tumor progression. Cancers, 13. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEnhanced glycolysis implicates a myriad of molecular and functional processes to support cancer progression.
“Enhanced glycolysis implicates a myriad of molecular and functional processes to support cancer progression [64].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [64] 2018, Molecular intricacies of aerobic glycolysis in cancer: Current insights into the classic metabolic phenotype, Crit. Rev. Biochem. Mol. Biol. source
Not checked in the free run.
May combine two claims.
PremisecitationThe up-regulation of glycolysis and one-carbon metabolism, and increased expression of corresponding enzymes, are usually observed in various neoplasms and are associated with metastasis, resistance to therapy, and poor prognosis.
“The up-regulation of glycolysis and one-carbon metabolism, and the increased expression of genes coding for corresponding enzymes, are usually observed in various neoplasms and are associated with metastasis, resistance to therapy, and poor prognosis.”
Quote in the paperSubstantial claim0 of 9 sources checked- cites [66] Zhang, 2021, Overexpression of SHMT2 predicts a poor prognosis and promotes tumor cell growth in bladder cancer, Front. Genet. source
Not checked in the free run.
- cites [67] Zhang, 2023, Identification of MTHFD2 as a prognostic biomarker and ferroptosis regulator in triple-negative breast cancer, Front. Oncol. source
Not checked in the free run.
- cites [68] Zhu, 2016, High Expression of PHGDH Predicts Poor Prognosis in Non–Small Cell Lung Cancer, Transl. Oncol. source
Not checked in the free run.
- cites [69] Huang, M.-Y., Liu, X.-Y., Shao, Q., Zhang, X., Miao, L., Wu, X.-Y., Xu, Y.-X., Wang, F., Wang, H.-Y., and Zeng, L. (2022). Phosphoserine phosphatase as a prognostic biomarker in patients with gastric cancer and its potential association with immune cells. BMC Gastroenterol., 22. source
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- cites [70] Mingtao, 2022, An integrated pan-cancer analysis of PSAT1: A potential biomarker for survival and immunotherapy, Front. Genet. source
Not checked in the free run.
- cites [71] Wang, 2021, High ATF4 expression is associated with poor prognosis, amino acid metabolism, and autophagy in gastric cancer, Front. Oncol. source
Not checked in the free run.
- cites [72] He, 2018, Association between c-Myc and colorectal cancer prognosis: A meta-analysis, Front. Physiol. source
Not checked in the free run.
- cites [73] Li, 2022, A pan-cancer analysis of the role of hexokinase II (HK2) in human tumors, Sci. Rep. source
Not checked in the free run.
- cites [74] Yu, 2018, LDHA upregulation independently predicts poor survival in lung adenocarcinoma, but not in lung squamous cell carcinoma, Future Oncol. source
Not checked in the free run.
- Rests on an assumption: Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningOne-carbon metabolism links glycolysis with different biosynthetic processes.
“Thus, it links glycolysis (the process of glucose assimilation) with different biosynthetic processes.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisecitation20E is a non-toxic substance for which pharmacokinetic studies have been carried out in both rodents and humans.
“20E is a non-toxic substance for which pharmacokinetic studies have been carried out in both rodents and humans [8,9].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [8] Wu, 2011, Research on relationship between tissue quantitative distribution of 3H-Achyranthes bidentata ecdysterone and channel-tropism of herbal drugs in mice, Zhongguo Zhong Yao Za Zhi=Zhongguo Zhongyao Zazhi=China J. Chin. Mater. Med.
Not checked in the free run.
- cites [9] Dinan, 2021, Ecdysteroid metabolism in mammals: The fate of ingested 20-hydroxyecdysone in mice and rats, J. Steroid Biochem. Mol. Biol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMolecular markers of CSCs are used for diagnosis and have therapeutic value because they are implicated in oncogenesis.
“Molecular markers of CSCs are not only used for diagnosis, but also have a therapeutic value because they are implicated in oncogenesis [84].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [84] Ayob, 2018, Cancer stem cells as key drivers of tumour progression, J. Biomed. Sci. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation20E and its derivatives modulate the resistance of cancer cells to genotoxic drugs and mitigate multidrug resistance.
“Furthermore, it has been shown previously that 20E and its derivates modulate the resistance of cancer cells to genotoxic drugs and mitigate multidrug resistance [12,13,14,15,16,17,18,19].”
Quote in the paperNot a substantial claim0 of 8 sources checked- cites [12] Shuvalov, 2020, An arthropod hormone, ecdysterone, inhibits the growth of breast cancer cells via different mechanisms, Front. Pharmacol. source
Not checked in the free run.
- cites [13] Martins, 2012, Significant activity of ecdysteroids on the resistance to doxorubicin in mammalian cancer cells expressing the human ABCB1 transporter, J. Med. Chem. source
Not checked in the free run.
- cites [14] Martins, 2015, Ecdysteroids sensitize MDR and non-MDR cancer cell lines to doxorubicin, paclitaxel, and vincristine but tend to protect them from cisplatin, BioMed Res. Int. source
Not checked in the free run.
- cites [15] Konovalova, 2002, Ecdysterone modulates antitumor activity of cytostatics and biosynthesis of macromolecules in tumor-bearing mice, Biol. Bull. Russ. Acad. Sci. source
Not checked in the free run.
- cites [16] Lisiak, 2021, Proapoptotic and proautophagic activity of 20-hydroxyecdysone in breast cancer cells in vitro, Chem.-Biol. Interact. source
Not checked in the free run.
- cites [17] Martins, 2018, Nitrogen-containing ecdysteroid derivatives vs. multi-drug resistance in cancer: Preparation and antitumor activity of oximes, oxime ethers and a lactam, Eur. J. Med. Chem. source
Not checked in the free run.
- cites [18] Bortolozzi, 2020, Ecdysteroid derivatives that reverse P-glycoprotein-mediated drug resistance, J. Nat. Prod. source
Not checked in the free run.
- cites [19] Savchenko, 2021, In vitro adjuvant antitumor activity of various classes of semi-synthetic poststerone derivatives, Bioorganic Chem. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA number of glycolytic and OxPHOS inhibitors are currently being investigated in preclinical and clinical studies.
“A number of glycolytic and OxPHOS inhibitors are currently being investigated in preclinical and clinical studies [20,77].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [20] Shuvalov, O., Daks, A., Fedorova, O., Petukhov, A., and Barlev, N. (2021). Linking metabolic reprogramming, plasticity and tumor progression. Cancers, 13. source
Not checked in the free run.
- cites [77] Sheng, 2016, Glycolysis inhibitors for anticancer therapy: A review of recent patents, Recent Pat. Anti-Cancer Drug Discov. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation2-DG, 3BP, and metformin sensitize cancer cells to different chemotherapeutic agents and irradiation.
“2-DG, 3BP, and metformin sensitize cancer cells to different chemotherapeutic agents and irradiation [78,79].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [78] Huang, Y., Sun, G., Sun, X., Li, F., Zhao, L., Zhong, R., and Peng, Y. (2020). The potential of lonidamine in combination with chemotherapy and physical therapy in cancer treatment. Cancers, 12. source
Not checked in the free run.
- cites [79] Fan, T., Sun, G., Sun, X., Zhao, L., Zhong, R., and Peng, Y. (2019). Tumor energy metabolism and potential of 3-bromopyruvate as an inhibitor of aerobic glycolysis: Implications in tumor treatment. Cancers, 11. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationInhibition of energy and one-carbon metabolism in tumor cells usually sensitizes them to common therapeutics and radiotherapy.
“In turn, the inhibition of the energy and one-carbon metabolism in tumor cells usually sensitizes them to common therapeutics and radiotherapy [81].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [81] Liu, 2021, The mechanism of Warburg effect-induced chemoresistance in cancer, Front. Oncol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe mitochondrial isoforms of folate cycle enzymes SHMT2 and MTHFD2 are very important targets for drug development in cancer therapy.
“The mitochondrial isoforms of folate cycle enzymes serine hydroxymethyl transferase and methylene-tetrahydrofolate reductase (SHMT2 and MTHFD2) are very important targets for drug development in cancer therapy [80].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [80] Cuthbertson, 2021, A review of small-molecule inhibitors of one-carbon enzymes: SHMT2 and MTHFD2 in the spotlight, ACS Pharmacol. Transl. Sci. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTranscription factors c-Myc and ATF4 are two master-regulators of glycolysis, respiration, and one-carbon metabolism.
“Transcription factors c-Myc and ATF4 are two master-regulators of glycolysis, respiration, and one-carbon metabolism [44,45,46,49].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [44] Goetzman, 2018, The role for Myc in coordinating glycolysis, oxidative phosphorylation, glutaminolysis, and fatty acid metabolism in normal and neoplastic tissues, Front. Endocrinol. source
Not checked in the free run.
- cites [45] Cargill, 2021, Targeting MYC-enhanced glycolysis for the treatment of small cell lung cancer, Cancer Metab. source
Not checked in the free run.
- cites [46] Pan, 2021, Serine, glycine and one-carbon metabolism in cancer, Int. J. Oncol. source
Not checked in the free run.
- cites [49] Sorge, 2020, ATF4-induced warburg metabolism drives over-proliferation in Drosophila, Cell Rep. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationCSCs are a subpopulation of tumor cells with capacity for sustained self-renewal that can drive tumor initiation, relapses, metastasis, and resistance to therapy.
“CSCs are a subpopulation of tumor cells with the capacity for sustained self-renewal that, in turn, can not only drive tumor initiation but can also cause relapses, metastasis, and resistance to therapy [82,83].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [82] Walcher, 2020, Cancer stem cells—Origins and biomarkers: Perspectives for targeted personalized therapies, Front. Immunol. source
Not checked in the free run.
- cites [83] Chang, 2016, Cancer stem cells: Role in tumor growth, recurrence, metastasis, and treatment resistance, Medicine source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn muscle cells, 20E interacts with both MAS1 and estrogen receptor (ER), which both affect 20E-modulated protein synthesis and myostatin expression.
“For example, it is already established that in muscle cells, 20E interacts with both MAS1 and estrogen receptor (ER), which both affect the 20E-modulated protein synthesis and myostatin expression [10].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] Lafont, 2022, 20-Hydroxyecdysone activates the protective arm of the RAAS via the MAS receptor, J. Mol. Endocrinol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAccording to literature, 20E possesses anti-oxidant, hepato- and cardioprotective, anti-inflammatory, hypolipidemic, hypoglycemic, and other pharmacological activities.
“According to the literature published to date, 20E possesses anti-oxidant, hepato- and cardioprotective, anti-inflammatory, hypolipidemic, hypoglycemic, and other pharmacological activities [1].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Dinan, L., Dioh, W., Veillet, S., and Lafont, R. (2021). 20-Hydroxyecdysone, from plant extracts to clinical use: Therapeutic potential for the treatment of neuromuscular, cardio-metabolic and respiratory diseases. Biomedicines, 9. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation20E has been evaluated in clinical trials to treat several disorders, including severe consequences of COVID-19 (NCT04472728).
“It has been evaluated in clinical trials to treat several disorders, including the severe consequences of COVID-19 (NCT04472728).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites NCT04472728
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLow 20E concentration enhanced the growth of insect cells and protein synthesis in mice myotubes, whereas high concentration inhibited these processes.
“For instance, it was reported that low 20E concentration enhanced the growth of insect cells [88] and protein synthesis in mice myotubes [89], whereas a high concentration inhibited these processes.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [88] Kurtti, 1983, The effects of 20-hydroxyecdysone and juvenile hormone III on tick cells, J. Parasitol. source
Not checked in the free run.
- cites [89] Lafont, R., Raynal, S., Serova, M., Didry-Barca, B., Guibout, L., Latil, M., Dilda, P.J., Dioh, W., and Veillet, S. (2020). 20-Hydroxyecdysone activates the protective arm of the renin angiotensin system via Mas receptor. BioRxiv. source
Not checked in the free run.
The paper relies on this without support.
Targeting both glycolysis and respiration can be an effective strategy to eliminate CSCs.
“As the targeting of both glycolysis and respiration can be an effective strategy to eliminate CSCs, the 20E-induced down-regulation of these processes may theoretically suppress the CSCs’ population.”
The paper relies on this without support.
Spheroid culture creates more physiological conditions which favor CSCs.
“Secondly, to create more physiological conditions which favor CSCs, we established the growth of spheroids using ultra-low adhesion 10 cm cell culture dishes.”
The paper relies on this without support.
CSCs represent a very important challenge for antineoplastic therapy.
“As CSCs represent a very important challenge for antineoplastic therapy”
The paper relies on this without support.
Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.
“Increased glycolysis and one-carbon metabolism are two principal metabolic alterations in neoplasia.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous studies revealed 20E-dependent inhibition of glycolysis and respiration in breast carcinoma and non-small cell lung cancer cell lines.
“In contrast to myoblasts and fibroblasts, we have previously revealed the 20E-dependent inhibition of glycolysis and respiration in breast carcinoma and non-small cell lung cancer cell lines [41,42].”
From 20-Hydroxyecdysone Boosts Energy Production and Biosynthetic Processes in Non-Transformed Mouse Cells (2024) · cites this paper as [42]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
ATP assay treatment duration differs between Methods and Results
MajorThe Methods specify 48 hours of 20E treatment before the ATP assay, whereas the Results say the cells were treated for three days.
“treated with different concentrations of 20E for 48 h”
“treated with 0.1–100 µM of 20E for 3 days by using an ATP assay kit (Sigma)”
Serine-biosynthesis enzyme list repeats PSAT1 in place of PSPH
MinorThe Discussion names PSAT1 twice in its list of three serine-biosynthesis enzymes, whereas the Results identify the three as PSAT1, PSPH, and PHGDH.
“The serine biosynthesis mediated by three enzymes—PSAT1, PHGDH, and PSAT1—”
“all three steps of serine biosynthesis—PSAT1, PSPH, and PHGDH”
ATP assay kit supplier differs between Methods and Results
MinorThe Methods identify the ATP assay kit as an AbCam product, while the Results identify it as a Sigma product.
“an ATP Assay Kit (AbCam, ab83355, Waltham, Boston, MA, USA)”
“an ATP assay kit (Sigma)”
Spheroid treatment doses differ between Methods and Results
MinorThe Results say spheroid cultures received the same doses as the preceding experiment (0.1-100 μM), but the Methods specify only 1 μM for spheroids.
“To verify these data, we established spheroids cultures of H1299 and H460 cell lines and treated them with the same doses of 20E.”
“After 72 h, 20E to a final concentration of 1 µM or DMSO (Control) was added for 48 h”
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Self-citationHuang, M.-Y., Liu, X.-Y., Shao, Q., Zhang, X., Miao, L., Wu, X.-Y., Xu, Y.-X., Wang, F., Wang, H.-Y., Zeng, L., et al. (2022) · BMC Gastroenterology · doi:10.1186/s12876-021-02073-0 · Cited by 15 · see citing works
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20-Hydroxyecdysone activates the protective arm of the renin angiotensin system via Mas receptor
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“The same phenomenon has been reported by other authors in different biological systems [88,89].”
BackgroundIn vitro adjuvant antitumor activity of various classes of semi-synthetic poststerone derivatives
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Ecdysterone Attenuates the Development of Radiation-Induced Oral Mucositis in Rats at Early Stage
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Flagged first, then by citations
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Phytochemicals Target Multiple Metabolic Pathways in Cancer
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“That is why this secondary plant product is often also called adaptogenic, next to anabolic [103–105].”
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Self-citationMDM2 up-regulates the energy metabolism in NSCLC in a p53-independent manner
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Self-citationNatural products harboring Michael receptors: A focus on targeting cancer stem cells
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Multidisciplinary examples of applications: Papers using the MAL-PD/BD/CI/BI theory/method
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The Effect of 20-Hydroxyecdysone on the Functioning of Isolated Mouse Skeletal Muscle Mitochondria
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Self-citationDevelopment and Study of an Extemporaneous Form of 20-Hydroxyecdysone
Erimbetov, K. T., Zemlyanoy, R. A., Obvintseva, O. V., & Федорова, А. В. (2025) · Journal Biomed · doi:10.33647/2074-5982-21-3-97-102
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Self-citationPharmacokinetic and Safety Profiles of Phytoecdysteroids in Mammals
Dinan, L. N., & Lafont, R. (2026) · Springer eBooks · doi:10.1007/978-981-95-8423-9_7
Zhang, J., Wei, C., Wang, D., He, R., Xiao, X., Xu, J., & Lu, J. (2026) · Frontiers in Bioscience-Landmark · doi:10.31083/fbl52978
- Authors
- Shuvalov, O., Kirdeeva, Y., Fefilova, E., Netsvetay, S., Zorin, M., Vlasova, Y., Fedorova, O., Daks, A., Parfenyev, S., & Barlev, N.
- Affiliations
- Russian Academy of Sciences (RU)
- Federal Almazov North-West Medical Research Centre (RU)
- Corresponding author
- Shuvalov, Oleg
- Barlev, Nickolai
- ORCID
- Venue
- Metabolites
- Publisher
- MDPI AG
- Published
- 2023-05-15
- Volume
- 13
- Issue
- 5
- Pages
- 656
- ISSN
- 2218-1989 (ISSN-L)
- PMC
- PMC10223942
- OpenAlex
- W4376611238
- Semantic Scholar
- 5273c43adcbe1b061cb48284cc1bd8db67f9edd8
- Cited by
- 21
- References
- 91
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 4
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Metabolites (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Nazarbayev University Repository (Nazarbayev University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Recruitment of the Leading Scientists into the Russian Institutions of Higher Education (075-15-2021-600)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer and biochemical research
- Keywords
- 20-hydroxyecdysone, non-small cell lung cancer, antioxidant activity, anticancer activity, oxidative stress response genes, glycolysis inhibition, one-carbon metabolism, c-Myc, ATF4, cancer stem cells, metabolic reprogramming, respiration inhibition, metabolic inhibitors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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