General Information of Drug Off-Target (DOT) (ID: OT90X9LN)

DOT Name Forkhead box protein O4 (FOXO4)
Synonyms Fork head domain transcription factor AFX1
Gene Name FOXO4
Related Disease
Arthritis ( )
Acute leukaemia ( )
Adult lymphoma ( )
Advanced cancer ( )
Aortic aneurysm ( )
Arteriosclerosis ( )
Atherosclerosis ( )
B-cell lymphoma ( )
B-cell neoplasm ( )
Bladder cancer ( )
Cardiovascular disease ( )
Clear cell renal carcinoma ( )
Colitis ( )
Colorectal carcinoma ( )
Epilepsy ( )
Gastric cancer ( )
Hepatitis B virus infection ( )
Hepatocellular carcinoma ( )
Huntington disease ( )
Inflammatory bowel disease ( )
Liver cancer ( )
Lymphoma ( )
Malignant soft tissue neoplasm ( )
Melanoma ( )
Neoplasm ( )
Non-small-cell lung cancer ( )
Osteoarthritis ( )
Paraplegia ( )
Pediatric lymphoma ( )
Prostate cancer ( )
Prostate carcinoma ( )
Rheumatoid arthritis ( )
Sarcoma ( )
Stomach cancer ( )
Systemic lupus erythematosus ( )
Triple negative breast cancer ( )
Urinary bladder cancer ( )
Urinary bladder neoplasm ( )
Carcinoma ( )
Female hypogonadism ( )
Gastric ulcer ( )
Metastatic malignant neoplasm ( )
Type-1/2 diabetes ( )
Abdominal aortic aneurysm ( )
Acute myelogenous leukaemia ( )
Myocardial infarction ( )
Nasopharyngeal carcinoma ( )
Spinocerebellar ataxia type 3 ( )
UniProt ID
FOXO4_HUMAN
3D Structure
Download
2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
PDB ID
1E17; 3L2C
Pfam ID
PF00250 ; PF16676
Sequence
MDPGNENSATEAAAIIDLDPDFEPQSRPRSCTWPLPRPEIANQPSEPPEVEPDLGEKVHT
EGRSEPILLPSRLPEPAGGPQPGILGAVTGPRKGGSRRNAWGNQSYAELISQAIESAPEK
RLTLAQIYEWMVRTVPYFKDKGDSNSSAGWKNSIRHNLSLHSKFIKVHNEATGKSSWWML
NPEGGKSGKAPRRRAASMDSSSKLLRGRSKAPKKKPSVLPAPPEGATPTSPVGHFAKWSG
SPCSRNREEADMWTTFRPRSSSNASSVSTRLSPLRPESEVLAEEIPASVSSYAGGVPPTL
NEGLELLDGLNLTSSHSLLSRSGLSGFSLQHPGVTGPLHTYSSSLFSPAEGPLSAGEGCF
SSSQALEALLTSDTPPPPADVLMTQVDPILSQAPTLLLLGGLPSSSKLATGVGLCPKPLE
APGPSSLVPTLSMIAPPPVMASAPIPKALGTPVLTPPTEAASQDRMPQDLDLDMYMENLE
CDMDNIISDLMDEGEGLDFNFEPDP
Function
Transcription factor involved in the regulation of the insulin signaling pathway. Binds to insulin-response elements (IREs) and can activate transcription of IGFBP1. Down-regulates expression of HIF1A and suppresses hypoxia-induced transcriptional activation of HIF1A-modulated genes. Also involved in negative regulation of the cell cycle. Involved in increased proteasome activity in embryonic stem cells (ESCs) by activating expression of PSMD11 in ESCs, leading to enhanced assembly of the 26S proteasome, followed by higher proteasome activity.
Tissue Specificity Heart, brain, placenta, lung, liver, skeletal muscle, kidney and pancreas. Isoform zeta is most abundant in the liver, kidney, and pancreas.
KEGG Pathway
Ras sig.ling pathway (hsa04014 )
FoxO sig.ling pathway (hsa04068 )
Shigellosis (hsa05131 )
Reactome Pathway
Constitutive Signaling by AKT1 E17K in Cancer (R-HSA-5674400 )
Ub-specific processing proteases (R-HSA-5689880 )
Regulation of localization of FOXO transcription factors (R-HSA-9614399 )
FOXO-mediated transcription of cell death genes (R-HSA-9614657 )
FOXO-mediated transcription of oxidative stress, metabolic and neuronal genes (R-HSA-9615017 )
Regulation of FOXO transcriptional activity by acetylation (R-HSA-9617629 )
FOXO-mediated transcription of cell cycle genes (R-HSA-9617828 )
Cardiogenesis (R-HSA-9733709 )
AKT phosphorylates targets in the nucleus (R-HSA-198693 )

Molecular Interaction Atlas (MIA) of This DOT

48 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Arthritis DIST1YEL Definitive Biomarker [1]
Acute leukaemia DISDQFDI Strong Genetic Variation [2]
Adult lymphoma DISK8IZR Strong Biomarker [3]
Advanced cancer DISAT1Z9 Strong Biomarker [4]
Aortic aneurysm DISQ5KRA Strong Altered Expression [5]
Arteriosclerosis DISK5QGC Strong Biomarker [6]
Atherosclerosis DISMN9J3 Strong Biomarker [6]
B-cell lymphoma DISIH1YQ Strong Biomarker [3]
B-cell neoplasm DISVY326 Strong Altered Expression [7]
Bladder cancer DISUHNM0 Strong Altered Expression [8]
Cardiovascular disease DIS2IQDX Strong Biomarker [9]
Clear cell renal carcinoma DISBXRFJ Strong Altered Expression [7]
Colitis DISAF7DD Strong Biomarker [10]
Colorectal carcinoma DIS5PYL0 Strong Biomarker [11]
Epilepsy DISBB28L Strong Biomarker [12]
Gastric cancer DISXGOUK Strong Biomarker [13]
Hepatitis B virus infection DISLQ2XY Strong Biomarker [14]
Hepatocellular carcinoma DIS0J828 Strong Biomarker [15]
Huntington disease DISQPLA4 Strong Altered Expression [16]
Inflammatory bowel disease DISGN23E Strong Altered Expression [10]
Liver cancer DISDE4BI Strong Biomarker [17]
Lymphoma DISN6V4S Strong Biomarker [3]
Malignant soft tissue neoplasm DISTC6NO Strong Biomarker [18]
Melanoma DIS1RRCY Strong Genetic Variation [19]
Neoplasm DISZKGEW Strong Biomarker [20]
Non-small-cell lung cancer DIS5Y6R9 Strong Altered Expression [21]
Osteoarthritis DIS05URM Strong Biomarker [22]
Paraplegia DISSKWBI Strong Biomarker [23]
Pediatric lymphoma DIS51BK2 Strong Biomarker [3]
Prostate cancer DISF190Y Strong Altered Expression [24]
Prostate carcinoma DISMJPLE Strong Altered Expression [24]
Rheumatoid arthritis DISTSB4J Strong Altered Expression [25]
Sarcoma DISZDG3U Strong Biomarker [18]
Stomach cancer DISKIJSX Strong Biomarker [13]
Systemic lupus erythematosus DISI1SZ7 Strong Altered Expression [26]
Triple negative breast cancer DISAMG6N Strong Altered Expression [27]
Urinary bladder cancer DISDV4T7 Strong Altered Expression [8]
Urinary bladder neoplasm DIS7HACE Strong Altered Expression [8]
Carcinoma DISH9F1N moderate Biomarker [28]
Female hypogonadism DISWASB4 moderate Genetic Variation [29]
Gastric ulcer DISBBGVO moderate Biomarker [30]
Metastatic malignant neoplasm DIS86UK6 moderate Biomarker [20]
Type-1/2 diabetes DISIUHAP moderate Altered Expression [31]
Abdominal aortic aneurysm DISD06OF Limited Biomarker [32]
Acute myelogenous leukaemia DISCSPTN Limited Altered Expression [33]
Myocardial infarction DIS655KI Limited Altered Expression [34]
Nasopharyngeal carcinoma DISAOTQ0 Limited Biomarker [35]
Spinocerebellar ataxia type 3 DISQBQID Limited Biomarker [36]
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⏷ Show the Full List of 48 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
This DOT Affected the Drug Response of 1 Drug(s)
Drug Name Drug ID Highest Status Interaction REF
Resveratrol DM3RWXL Phase 3 Forkhead box protein O4 (FOXO4) decreases the response to substance of Resveratrol. [59]
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21 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Ciclosporin DMAZJFX Approved Ciclosporin decreases the expression of Forkhead box protein O4 (FOXO4). [37]
Tretinoin DM49DUI Approved Tretinoin increases the expression of Forkhead box protein O4 (FOXO4). [38]
Doxorubicin DMVP5YE Approved Doxorubicin decreases the expression of Forkhead box protein O4 (FOXO4). [39]
Cisplatin DMRHGI9 Approved Cisplatin decreases the expression of Forkhead box protein O4 (FOXO4). [41]
Estradiol DMUNTE3 Approved Estradiol decreases the expression of Forkhead box protein O4 (FOXO4). [42]
Calcitriol DM8ZVJ7 Approved Calcitriol increases the expression of Forkhead box protein O4 (FOXO4). [43]
Testosterone DM7HUNW Approved Testosterone decreases the expression of Forkhead box protein O4 (FOXO4). [43]
Decitabine DMQL8XJ Approved Decitabine affects the expression of Forkhead box protein O4 (FOXO4). [44]
Niclosamide DMJAGXQ Approved Niclosamide increases the expression of Forkhead box protein O4 (FOXO4). [45]
Sodium lauryl sulfate DMLJ634 Approved Sodium lauryl sulfate increases the expression of Forkhead box protein O4 (FOXO4). [46]
Malathion DMXZ84M Approved Malathion increases the expression of Forkhead box protein O4 (FOXO4). [47]
Urethane DM7NSI0 Phase 4 Urethane increases the expression of Forkhead box protein O4 (FOXO4). [48]
Tamibarotene DM3G74J Phase 3 Tamibarotene increases the expression of Forkhead box protein O4 (FOXO4). [38]
AT7519 DMCE08M Phase 1 AT7519 increases the expression of Forkhead box protein O4 (FOXO4). [51]
PMID28460551-Compound-2 DM4DOUB Patented PMID28460551-Compound-2 decreases the expression of Forkhead box protein O4 (FOXO4). [52]
THAPSIGARGIN DMDMQIE Preclinical THAPSIGARGIN decreases the expression of Forkhead box protein O4 (FOXO4). [53]
Bisphenol A DM2ZLD7 Investigative Bisphenol A increases the expression of Forkhead box protein O4 (FOXO4). [54]
Trichostatin A DM9C8NX Investigative Trichostatin A affects the expression of Forkhead box protein O4 (FOXO4). [55]
Deguelin DMXT7WG Investigative Deguelin decreases the expression of Forkhead box protein O4 (FOXO4). [56]
geraniol DMS3CBD Investigative geraniol increases the expression of Forkhead box protein O4 (FOXO4). [57]
Nitrobenzanthrone DMN6L70 Investigative Nitrobenzanthrone decreases the expression of Forkhead box protein O4 (FOXO4). [58]
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⏷ Show the Full List of 21 Drug(s)
3 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Cupric Sulfate DMP0NFQ Approved Cupric Sulfate increases the phosphorylation of Forkhead box protein O4 (FOXO4). [40]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene decreases the methylation of Forkhead box protein O4 (FOXO4). [49]
LY294002 DMY1AFS Phase 1 LY294002 decreases the phosphorylation of Forkhead box protein O4 (FOXO4). [50]
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References

1 Foxo4- and Stat3-dependent IL-10 production by progranulin in regulatory T cells restrains inflammatory arthritis.FASEB J. 2017 Apr;31(4):1354-1367. doi: 10.1096/fj.201601134R. Epub 2016 Dec 23.
2 Cloning and characterization of AFX, the gene that fuses to MLL in acute leukemias with a t(X;11)(q13;q23).Oncogene. 1997 Jan 16;14(2):195-202. doi: 10.1038/sj.onc.1200814.
3 FOXO4 expression is related to stem cell-like properties and resistance to treatment in diffuse large B-cell lymphoma.Oncotarget. 2017 Jan 10;8(2):2466-2476. doi: 10.18632/oncotarget.13690.
4 Current perspective on the regulation of FOXO4 and its role in disease progression.Cell Mol Life Sci. 2020 Feb;77(4):651-663. doi: 10.1007/s00018-019-03297-w. Epub 2019 Sep 16.
5 Unspliced XBP1 Confers VSMC Homeostasis and Prevents Aortic Aneurysm Formation via FoxO4 Interaction.Circ Res. 2017 Dec 8;121(12):1331-1345. doi: 10.1161/CIRCRESAHA.117.311450. Epub 2017 Oct 31.
6 Adiponectin alleviates NLRP3-inflammasome-mediated pyroptosis of aortic endothelial cells by inhibiting FoxO4 in arteriosclerosis.Biochem Biophys Res Commun. 2019 Jun 18;514(1):266-272. doi: 10.1016/j.bbrc.2019.04.143. Epub 2019 Apr 25.
7 Overexpression of FOXO4 induces apoptosis of clear-cell renal carcinoma cells through downregulation of Bim.Mol Med Rep. 2016 Mar;13(3):2229-34. doi: 10.3892/mmr.2016.4789. Epub 2016 Jan 15.
8 Correlations of Foxo3 and Foxo4 expressions with clinicopathological features and prognosis of bladder cancer.Pathol Res Pract. 2017 Jul;213(7):766-772. doi: 10.1016/j.prp.2017.04.004. Epub 2017 Apr 20.
9 FoxO4 promotes myocardial ischemia-reperfusion injury: the role of oxidative stress-induced apoptosis.Am J Transl Res. 2018 Sep 15;10(9):2890-2900. eCollection 2018.
10 FoxO4 inhibits NF-kappaB and protects mice against colonic injury and inflammation.Gastroenterology. 2009 Oct;137(4):1403-14. doi: 10.1053/j.gastro.2009.06.049. Epub 2009 Jun 26.
11 Hsa_circRNA_103809 regulated the cell proliferation and migration in colorectal cancer via miR-532-3p / FOXO4 axis.Biochem Biophys Res Commun. 2018 Oct 28;505(2):346-352. doi: 10.1016/j.bbrc.2018.09.073. Epub 2018 Sep 22.
12 FOXO4 expression is associated with the occurrence and outcome of seizures: An RNA-sequencing analysis of low-grade gliomas.Seizure. 2017 Nov;52:41-45. doi: 10.1016/j.seizure.2017.09.012. Epub 2017 Sep 21.
13 The transcription factor FOXO4 is down-regulated and inhibits tumor proliferation and metastasis in gastric cancer.BMC Cancer. 2014 May 28;14:378. doi: 10.1186/1471-2407-14-378.
14 FoxO4 inhibits HBV core promoter activity through ERK-mediated downregulation of HNF4.Antiviral Res. 2019 Oct;170:104568. doi: 10.1016/j.antiviral.2019.104568. Epub 2019 Jul 25.
15 NCAPG Promotes The Proliferation Of Hepatocellular Carcinoma Through PI3K/AKT Signaling.Onco Targets Ther. 2019 Oct 16;12:8537-8552. doi: 10.2147/OTT.S217916. eCollection 2019.
16 FOXOs modulate proteasome activity in human-induced pluripotent stem cells of Huntington's disease and their derived neural cells.Hum Mol Genet. 2017 Nov 15;26(22):4416-4428. doi: 10.1093/hmg/ddx327.
17 Curcumin Induces p53-Null Hepatoma Cell Line Hep3B Apoptosis through the AKT-PTEN-FOXO4 Pathway.Evid Based Complement Alternat Med. 2017;2017:4063865. doi: 10.1155/2017/4063865. Epub 2017 Jul 9.
18 A novel CIC-FOXO4 gene fusion in undifferentiated small round cell sarcoma: a genetically distinct variant of Ewing-like sarcoma.Am J Surg Pathol. 2014 Nov;38(11):1571-6. doi: 10.1097/PAS.0000000000000286.
19 Activation of forkhead box O transcription factors by oncogenic BRAF promotes p21cip1-dependent senescence.Cancer Res. 2010 Nov 1;70(21):8526-36. doi: 10.1158/0008-5472.CAN-10-1563. Epub 2010 Oct 19.
20 Novel role of forkhead box O 4 transcription factor in cancer: Bringing out the good or the bad.Semin Cancer Biol. 2018 Jun;50:1-12. doi: 10.1016/j.semcancer.2018.04.007. Epub 2018 Apr 30.
21 MiR-150 promotes cellular metastasis in non-small cell lung cancer by targeting FOXO4.Sci Rep. 2016 Dec 15;6:39001. doi: 10.1038/srep39001.
22 Impaired Proteasomal Function in Human Osteoarthritic Chondrocytes Can Contribute to Decreased Levels of SOX9 and Aggrecan.Arthritis Rheumatol. 2018 Jul;70(7):1030-1041. doi: 10.1002/art.40456. Epub 2018 May 27.
23 Gene and protein expression associated with protein synthesis and breakdown in paraplegic skeletal muscle.Muscle Nerve. 2008 Apr;37(4):505-13. doi: 10.1002/mus.20976.
24 Loss of FOXO1 Cooperates with TMPRSS2-ERG Overexpression to Promote Prostate Tumorigenesis and Cell Invasion.Cancer Res. 2017 Dec 1;77(23):6524-6537. doi: 10.1158/0008-5472.CAN-17-0686. Epub 2017 Oct 6.
25 Rosmarinic acid reduces the resistance of gastric carcinoma cells to 5-fluorouracil by downregulating FOXO4-targeting miR-6785-5p.Biomed Pharmacother. 2019 Jan;109:2327-2334. doi: 10.1016/j.biopha.2018.10.061. Epub 2018 Nov 30.
26 Altered FOXO1 transcript levels in peripheral blood mononuclear cells of systemic lupus erythematosus and rheumatoid arthritis patients.Mol Med. 2007 Nov-Dec;13(11-12):561-6. doi: 10.2119/2007-00021.Kuo.
27 FOXO3a expression is associated with lymph node metastasis and poor disease-free survival in triple-negative breast cancer.J Clin Pathol. 2018 Sep;71(9):806-813. doi: 10.1136/jclinpath-2018-205052. Epub 2018 Mar 27.
28 Forkhead box O4 transcription factor in human neoplasms: Cannot afford to lose the novel suppressor.J Cell Physiol. 2019 Jun;234(6):8647-8658. doi: 10.1002/jcp.27853. Epub 2018 Dec 4.
29 Screening for mutations of the FOXO4 gene in premature ovarian failure patients.Reprod Biomed Online. 2012 Mar;24(3):339-41. doi: 10.1016/j.rbmo.2011.11.017. Epub 2011 Dec 2.
30 Effect of the IGF-1/PTEN/Akt/FoxO signaling pathway on the development and healing of water immersion and restraint stress-induced gastric ulcers in rats.Int J Mol Med. 2012 Sep;30(3):650-8. doi: 10.3892/ijmm.2012.1041. Epub 2012 Jun 20.
31 Alteration of forkhead box O (foxo4) acetylation mediates apoptosis of podocytes in diabetes mellitus.PLoS One. 2011;6(8):e23566. doi: 10.1371/journal.pone.0023566. Epub 2011 Aug 17.
32 Haemodynamic performance of AFX and Nellix endografts: a computational fluid dynamics study.Interact Cardiovasc Thorac Surg. 2018 May 1;26(5):826-833. doi: 10.1093/icvts/ivx414.
33 Identification of T-lymphocytic leukemia-initiating stem cells residing in a small subset of patients with acute myeloid leukemic disease.Blood. 2011 Jun 30;117(26):7112-20. doi: 10.1182/blood-2011-01-329078. Epub 2011 May 11.
34 Deletion of Neuropeptide Y Attenuates Cardiac Dysfunction and Apoptosis During Acute Myocardial Infarction.Front Pharmacol. 2019 Oct 24;10:1268. doi: 10.3389/fphar.2019.01268. eCollection 2019.
35 Correlation between the expression of miR150 and FOXO4 and the local recurrence and metastasis of nasopharyngeal carcinoma after intensive radiotherapy.J BUON. 2018 Nov-Dec;23(6):1671-1678.
36 FOXO4-dependent upregulation of superoxide dismutase-2 in response to oxidative stress is impaired in spinocerebellar ataxia type 3.Hum Mol Genet. 2011 Aug 1;20(15):2928-41. doi: 10.1093/hmg/ddr197. Epub 2011 May 2.
37 Integrating multiple omics to unravel mechanisms of Cyclosporin A induced hepatotoxicity in vitro. Toxicol In Vitro. 2015 Apr;29(3):489-501.
38 Differential modulation of PI3-kinase/Akt pathway during all-trans retinoic acid- and Am80-induced HL-60 cell differentiation revealed by DNA microarray analysis. Biochem Pharmacol. 2004 Dec 1;68(11):2177-86.
39 Bringing in vitro analysis closer to in vivo: studying doxorubicin toxicity and associated mechanisms in 3D human microtissues with PBPK-based dose modelling. Toxicol Lett. 2018 Sep 15;294:184-192.
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41 Low doses of cisplatin induce gene alterations, cell cycle arrest, and apoptosis in human promyelocytic leukemia cells. Biomark Insights. 2016 Aug 24;11:113-21.
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46 CXCL14 downregulation in human keratinocytes is a potential biomarker for a novel in vitro skin sensitization test. Toxicol Appl Pharmacol. 2020 Jan 1;386:114828. doi: 10.1016/j.taap.2019.114828. Epub 2019 Nov 14.
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48 Ethyl carbamate induces cell death through its effects on multiple metabolic pathways. Chem Biol Interact. 2017 Nov 1;277:21-32.
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50 Benzo[a]pyrene induces pyroptotic and autophagic death through inhibiting PI3K/Akt signaling pathway in HL-7702 human normal liver cells. J Toxicol Sci. 2019;44(2):121-131.
51 CDK Blockade Using AT7519 Suppresses Acute Myeloid Leukemia Cell Survival through the Inhibition of Autophagy and Intensifies the Anti-leukemic Effect of Arsenic Trioxide. Iran J Pharm Res. 2019 Fall;18(Suppl1):119-131. doi: 10.22037/ijpr.2019.112560.13827.
52 Cell-based two-dimensional morphological assessment system to predict cancer drug-induced cardiotoxicity using human induced pluripotent stem cell-derived cardiomyocytes. Toxicol Appl Pharmacol. 2019 Nov 15;383:114761. doi: 10.1016/j.taap.2019.114761. Epub 2019 Sep 15.
53 Chemical stresses fail to mimic the unfolded protein response resulting from luminal load with unfolded polypeptides. J Biol Chem. 2018 Apr 13;293(15):5600-5612.
54 Comparison of transcriptome expression alterations by chronic exposure to low-dose bisphenol A in different subtypes of breast cancer cells. Toxicol Appl Pharmacol. 2019 Dec 15;385:114814. doi: 10.1016/j.taap.2019.114814. Epub 2019 Nov 9.
55 A trichostatin A expression signature identified by TempO-Seq targeted whole transcriptome profiling. PLoS One. 2017 May 25;12(5):e0178302. doi: 10.1371/journal.pone.0178302. eCollection 2017.
56 Neurotoxicity and underlying cellular changes of 21 mitochondrial respiratory chain inhibitors. Arch Toxicol. 2021 Feb;95(2):591-615. doi: 10.1007/s00204-020-02970-5. Epub 2021 Jan 29.
57 Geraniol suppresses prostate cancer growth through down-regulation of E2F8. Cancer Med. 2016 Oct;5(10):2899-2908.
58 3-Nitrobenzanthrone promotes malignant transformation in human lung epithelial cells through the epiregulin-signaling pathway. Cell Biol Toxicol. 2022 Oct;38(5):865-887. doi: 10.1007/s10565-021-09612-1. Epub 2021 May 25.
59 FOXO transcription factors and VEGF neutralizing antibody enhance antiangiogenic effects of resveratrol. Mol Cell Biochem. 2010 Apr;337(1-2):201-12. doi: 10.1007/s11010-009-0300-5. Epub 2009 Dec 11.