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	<title>epithelial-mesenchymal transition in HCC &#8211; Science</title>
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	<title>epithelial-mesenchymal transition in HCC &#8211; Science</title>
	<link>https://scienmag.com</link>
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		<title>SLIT2 Regulates Mitophagy, Suppresses Liver Cancer</title>
		<link>https://scienmag.com/slit2-regulates-mitophagy-suppresses-liver-cancer/</link>
		
		<dc:creator><![CDATA[SCIENMAG]]></dc:creator>
		<pubDate>Tue, 14 Oct 2025 09:37:04 +0000</pubDate>
				<category><![CDATA[Cancer]]></category>
		<category><![CDATA[cell signaling in liver tumors]]></category>
		<category><![CDATA[epithelial-mesenchymal transition in HCC]]></category>
		<category><![CDATA[immunofluorescence in cancer research]]></category>
		<category><![CDATA[liver cancer molecular pathways]]></category>
		<category><![CDATA[mitophagy and hepatocellular carcinoma]]></category>
		<category><![CDATA[NMIIA role in tumor progression]]></category>
		<category><![CDATA[oncogenic behaviors in liver cancer]]></category>
		<category><![CDATA[qPCR in tumor analysis]]></category>
		<category><![CDATA[research on liver cancer biomarkers]]></category>
		<category><![CDATA[SLIT2 regulation in liver cancer]]></category>
		<category><![CDATA[SLIT2 suppression of cancer]]></category>
		<category><![CDATA[therapeutic targets for hepatocellular carcinoma]]></category>
		<guid isPermaLink="false">https://scienmag.com/slit2-regulates-mitophagy-suppresses-liver-cancer/</guid>

					<description><![CDATA[In the relentless pursuit to unravel the molecular intricacies driving hepatocellular carcinoma (HCC), a devastating form of liver cancer marked by rapid progression and metastasis, scientists have homed in on a pivotal molecular axis involving SLIT2 and non-muscle myosin IIA (NMIIA). Recent research published in BMC Cancer elucidates how the bidirectional regulation between these two [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In the relentless pursuit to unravel the molecular intricacies driving hepatocellular carcinoma (HCC), a devastating form of liver cancer marked by rapid progression and metastasis, scientists have homed in on a pivotal molecular axis involving SLIT2 and non-muscle myosin IIA (NMIIA). Recent research published in BMC Cancer elucidates how the bidirectional regulation between these two molecules orchestrates critical cellular processes such as mitophagy and epithelial-mesenchymal transition (EMT), thereby modulating tumor dynamics and opening promising avenues for therapeutic intervention.</p>
<p>Hepatocellular carcinoma represents a formidable challenge in oncology due to its complex molecular landscape and poor prognosis. The study centers around SLIT2, a guidance cue protein traditionally implicated in axonal pathfinding within neural development, and NMIIA, a key component of the cytoskeletal machinery responsible for generating contractile forces within cells. Intriguingly, the relationship between SLIT2 and NMIIA emerges as a decisive factor influencing HCC progression, with SLIT2 acting as a suppressor and NMIIA facilitating oncogenic behaviors.</p>
<p>Using a combination of sophisticated molecular techniques, including immunofluorescence and quantitative polymerase chain reaction (qPCR), the researchers meticulously analyzed human HCC tissue samples. The data revealed a stark downregulation of SLIT2 expression juxtaposed with an upregulation of NMIIA in tumor tissues relative to normal liver samples. This inverse relationship hints at a possible antagonistic regulatory axis, pivotal to tumor behavior and patient outcome.</p>
<p>Corroborating these findings with insights gleaned from the expansive The Cancer Genome Atlas (TCGA) repository, SLIT2 expression was found to inversely correlate with both tumor stage and metastatic potential. This robust association not only strengthens the evidence for SLIT2 as a tumor suppressor but also highlights its potential utility as a prognostic biomarker in clinical settings.</p>
<p>Delving deeper into cellular function, the study employed overexpression models to delineate the roles of SLIT2 and NMIIA in HCC cell dynamics. SLIT2 overexpression yielded a marked reduction in cellular proliferation, migration, and invasive capabilities. This suggests that reinstating SLIT2 activity could counteract tumor progression. Conversely, enforced NMIIA expression exacerbated these oncogenic phenotypes, amplifying the aggressiveness of the cancer cells.</p>
<p>At the mechanistic level, NMIIA was found to modulate two interconnected cellular phenomena: EMT and mitophagy. EMT is a biological process where epithelial cells acquire mesenchymal properties, enhancing motility and invasiveness, fundamental steps in metastatic dissemination. Mitophagy, a selective autophagic degradation of mitochondria, serves as a quality control mechanism but, when dysregulated, may support cancer cell survival under metabolic stress.</p>
<p>The study uncovered that NMIIA facilitates EMT by promoting the phosphorylation of the myosin regulatory light chain (MRLC), thereby enhancing cellular contractility and motility. Additionally, NMIIA-driven mitophagy supports tumor cells by maintaining mitochondrial integrity and metabolic adaptation, further contributing to malignancy.</p>
<p>Intriguingly, SLIT2 overexpression disrupts this oncogenic cascade by inhibiting MRLC phosphorylation, effectively dampening NMIIA activity. This suppression leads to a reversal of EMT markers and a decrease in mitophagic activity, collectively impairing the tumor&#8217;s ability to progress and metastasize.</p>
<p>The interplay extends to cellular adhesion properties; while NMIIA enhances adhesion and colony-forming potential—traits essential for tumor establishment and expansion—SLIT2 diminishes these adhesive interactions. Such modulation of cell-matrix dynamics underscores the multifaceted influence of the SLIT2/NMIIA axis in tumor biology.</p>
<p>The translational relevance of these findings was further substantiated by in vivo experiments. Xenograft models with SLIT2 knockdown exhibited accelerated tumor growth, emphasizing the protective role of SLIT2 in restraining HCC development. These animal studies bolster the conceptual framework positioning SLIT2 as a critical tumor suppressor and the NMIIA pathway as a driver of malignancy.</p>
<p>This groundbreaking research not only underscores the profound impact of cytoskeletal and mitophagic regulation in cancer progression but also highlights the SLIT2/NMIIA axis as a novel therapeutic target. By restoring SLIT2 function or inhibiting NMIIA activity, future therapies could disrupt the malignant cellular circuitry, potentially curbing tumor growth and metastasis.</p>
<p>Given the intricate, dualistic nature of these molecular players, precision medicine approaches tailored to modulate the SLIT2/NMIIA axis could revolutionize HCC treatment paradigms. Furthermore, the study stimulates compelling questions regarding whether similar mechanisms operate in other cancer types, suggesting broader implications for oncology.</p>
<p>The findings spotlight the critical role of fine-tuned cytoskeletal dynamics and mitochondrial quality control in cancer biology. As NMIIA emerges as an enabler of metastatic traits through EMT and mitophagy, therapeutic strategies targeting this protein could halt the insidious spread of HCC.</p>
<p>Moreover, the discovery that SLIT2 undermines these aggressive traits aligns with its function as a molecular brake, offering hope that enhancing its expression or mimicking its activity could restore cellular homeostasis and stall cancer advancement.</p>
<p>This research exemplifies the power of integrating molecular biology with clinical data repositories like TCGA, allowing for the robust validation of laboratory findings within human disease contexts. Such interdisciplinarity accelerates the translation of bench discoveries into bedside applications.</p>
<p>Looking ahead, the challenge lies in developing pharmacological agents capable of modulating the SLIT2/NMIIA axis with specificity and efficacy. The complexity of intracellular signaling networks demands innovative drug design and delivery strategies.</p>
<p>Understanding the mechanistic intricacies governing mitophagy modulation by NMIIA further enriches the landscape of metabolic interventions in cancer, linking cytoskeletal function with organelle homeostasis and survival pathways.</p>
<p>In summary, this seminal work charts new territory in HCC research, identifying a crucial regulatory axis that orchestrates tumor behavior through cytoskeletal and mitochondrial pathways. The SLIT2/NMIIA axis stands out as a beacon for novel therapeutic development, potentially transforming outcomes for patients afflicted by this formidable cancer.</p>
<hr />
<p><strong>Subject of Research</strong>: Molecular mechanisms regulating hepatocellular carcinoma progression through the SLIT2/NMIIA axis, impacting mitophagy and epithelial-mesenchymal transition.</p>
<p><strong>Article Title</strong>: SLIT2 modulates NMIIA to regulate mitophagy and suppress hepatocellular carcinoma progression.</p>
<p><strong>Article References</strong>:<br />
Qin, Y., Zhou, J., Li, S. <em>et al.</em> SLIT2 modulates NMIIA to regulate mitophagy and suppress hepatocellular carcinoma progression. <em>BMC Cancer</em> <strong>25</strong>, 1561 (2025). <a href="https://doi.org/10.1186/s12885-025-14951-x">https://doi.org/10.1186/s12885-025-14951-x</a></p>
<p><strong>Image Credits</strong>: Scienmag.com</p>
<p><strong>DOI</strong>: <a href="https://doi.org/10.1186/s12885-025-14951-x">https://doi.org/10.1186/s12885-025-14951-x</a></p>
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		<post-id xmlns="com-wordpress:feed-additions:1">90449</post-id>	</item>
		<item>
		<title>β-Catenin/TCF4 Pathway Drives DDX17-Mediated Epithelial-Mesenchymal Transition and Metastasis in Liver Cancer</title>
		<link>https://scienmag.com/%ce%b2-catenin-tcf4-pathway-drives-ddx17-mediated-epithelial-mesenchymal-transition-and-metastasis-in-liver-cancer/</link>
		
		<dc:creator><![CDATA[SCIENMAG]]></dc:creator>
		<pubDate>Thu, 18 Sep 2025 13:17:06 +0000</pubDate>
				<category><![CDATA[Cancer]]></category>
		<category><![CDATA[cancer cell motility and invasion]]></category>
		<category><![CDATA[clinical implications of HCC metastasis]]></category>
		<category><![CDATA[DDX17 role in hepatocellular carcinoma]]></category>
		<category><![CDATA[DEAD-box RNA helicases in cancer]]></category>
		<category><![CDATA[epithelial-mesenchymal transition in HCC]]></category>
		<category><![CDATA[feedback loops in oncogenesis]]></category>
		<category><![CDATA[liver cancer metastasis mechanisms]]></category>
		<category><![CDATA[molecular drivers of liver cancer progression]]></category>
		<category><![CDATA[orthotopic mouse models in cancer research]]></category>
		<category><![CDATA[targeted therapies for hepatocellular carcinoma]]></category>
		<category><![CDATA[tumor microenvironment and liver cancer]]></category>
		<category><![CDATA[β-Catenin signaling in liver cancer]]></category>
		<guid isPermaLink="false">https://scienmag.com/%ce%b2-catenin-tcf4-pathway-drives-ddx17-mediated-epithelial-mesenchymal-transition-and-metastasis-in-liver-cancer/</guid>

					<description><![CDATA[A groundbreaking study from the Research Center for Preclinical Medicine at Southwest Medical University unveils new insights into the molecular drivers behind hepatocellular carcinoma (HCC) metastasis, highlighting the critical role of the DEAD-box RNA helicase DDX17. HCC, notorious for high morbidity and mortality rates worldwide, especially suffers from the aggressive nature of its metastatic spread, [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>A groundbreaking study from the Research Center for Preclinical Medicine at Southwest Medical University unveils new insights into the molecular drivers behind hepatocellular carcinoma (HCC) metastasis, highlighting the critical role of the DEAD-box RNA helicase DDX17. HCC, notorious for high morbidity and mortality rates worldwide, especially suffers from the aggressive nature of its metastatic spread, which dramatically diminishes patient survival outcomes. This novel research delineates a previously uncharacterized feedback loop involving DDX17, β-catenin, and TCF4 that orchestrates epithelial-mesenchymal transition (EMT), a pivotal event enabling HCC cells to migrate, invade, and colonize distant tissues.</p>
<p>By analyzing tumor samples, the team first established that DDX17 expression is markedly elevated in HCC tissues compared to adjacent normal liver tissues, correlating positively with tumor aggressiveness, invasion potential, and advanced clinical staging. In vitro assays confirmed that artificially reducing DDX17 levels curtailed the motility and invasiveness of cultured HCC cells, while its overexpression amplified these malignant traits. This bidirectional experimental confirmation establishes DDX17 not just as a marker but as a functional instigator of metastatic behavior in liver cancer.</p>
<p>Pivoting to in vivo models, the researchers employed an orthotopic nude mouse model of HCC, where they demonstrated that DDX17 silencing substantially tempered metastatic dissemination in living organisms. These findings solidify the translational relevance of DDX17, emphasizing its indispensable role in driving HCC metastasis beyond cell culture systems, and moving closer to clinical applicability.</p>
<p>At the molecular level, the study intricately explores how DDX17 influences EMT, a key program wherein epithelial tumor cells acquire mesenchymal properties, gaining enhanced motility which underpins metastatic competence. The research reveals that DDX17 facilitates the downregulation of epithelial markers such as E-cadherin while concomitantly upregulating mesenchymal markers including N-cadherin, Snail, and Vimentin. This phenotypic switch aligns with enhanced migratory and invasive capabilities traditionally associated with EMT processes.</p>
<p>Diving deeper into the mechanistic pathways, the study sheds light on the transcriptional regulation governing DDX17. The transcription factor TCF4, known for partnering with β-catenin in canonical Wnt signaling, was found to bind directly to the DDX17 promoter region, augmenting its transcriptional activity. This direct regulatory input designates TCF4 as a critical upstream activator of DDX17 expression in HCC cells, positioning it within a tightly controlled oncogenic axis.</p>
<p>Crucially, DDX17 itself was shown to promote the nuclear translocation of β-catenin, a multifunctional protein with dual roles in cell adhesion and gene transcription regulation. This translocation relies on the integrity of DDX17’s helicase domain, suggesting that its enzymatic activity is vital for modulating β-catenin localization. Once in the nucleus, β-catenin partners with TCF4 to further stimulate DDX17 gene expression, thus completing a positive feedback loop that sustains and amplifies the metastatic phenotype.</p>
<p>This β-catenin/TCF4/DDX17 loop represents an intricate regulatory circuitry that not only perpetuates DDX17 overexpression but also reinforces EMT, resulting in enhanced migration and invasion capabilities of HCC cells. Importantly, disruption of any component within this loop significantly attenuates the invasive potential of cancer cells, underscoring its functional indispensability.</p>
<p>Such a feedback mechanism highlights a vulnerable node in HCC metastatic cascade that could be exploited therapeutically. Targeting the helicase activity of DDX17 or its interaction interfaces within this loop presents a promising strategy to arrest or slow down HCC progression, potentially improving patient prognoses where current treatments are inadequate.</p>
<p>In their statements, Dr. Junjiang Fu remarked, “Our study reveals a novel DDX17-driven pathway in HCC metastasis, highlighting its potential as a therapeutic target to halt malignant progression.” Dr. Chaoxiang Lv further emphasized that “The β-catenin/TCF4/DDX17 feedback loop provides a mechanistic foundation for understanding HCC dissemination and opens avenues for targeted intervention,” signaling the translational impact of their findings.</p>
<p>These findings resonate strongly within the cancer research community, as they integrate RNA helicase biology with canonical Wnt signaling and EMT regulation, weaving together disparate molecular threads into a unified model of HCC metastasis. By bridging these pathways, the research not only advances fundamental understanding but also pioneers prospects for innovative drug development.</p>
<p>As hepatocellular carcinoma remains a formidable clinical challenge, uncovering molecular vulnerabilities like the DDX17-driven feedback loop represents a beacon of hope. Moving forward, effort will likely focus on developing inhibitors or modulators of this cascade, alongside biomarker development for identifying high-risk patients who may benefit most from such targeted therapies.</p>
<p>The study, published in the esteemed journal MedComm – Oncology, exemplifies the synergy between molecular biology and translational medicine, setting a new paradigm for tackling liver cancer metastasis through the lens of DDX17’s oncogenic functions.</p>
<hr />
<p><strong>Subject of Research</strong>: Molecular mechanisms underpinning DDX17-driven hepatocellular carcinoma metastasis.</p>
<p><strong>Article Title</strong>: β-Catenin/TCF4 Is Required for DDX17-Induced Epithelial–Mesenchymal Transition and Metastasis in Hepatocellular Carcinoma</p>
<p><strong>News Publication Date</strong>: 14-Sep-2025</p>
<p><strong>Web References</strong>: <a href="http://dx.doi.org/10.1002/mog2.70039">DOI: 10.1002/mog2.70039</a></p>
<p><strong>Image Credits</strong>: Junjiang Fu and Chaoxiang Lv</p>
<p><strong>Keywords</strong>: DDX17, hepatocellular carcinoma, metastasis, epithelial-mesenchymal transition, β-catenin, TCF4, feedback loop, RNA helicase, tumor invasion, molecular mechanisms</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">79747</post-id>	</item>
		<item>
		<title>S100a4 Drives Liver Cancer Metastasis via NMIIa</title>
		<link>https://scienmag.com/s100a4-drives-liver-cancer-metastasis-via-nmiia/</link>
		
		<dc:creator><![CDATA[SCIENMAG]]></dc:creator>
		<pubDate>Fri, 04 Jul 2025 18:48:47 +0000</pubDate>
				<category><![CDATA[Cancer]]></category>
		<category><![CDATA[advanced-stage hepatocellular carcinoma prognosis]]></category>
		<category><![CDATA[cancer progression molecular pathways]]></category>
		<category><![CDATA[elevated S100A4 expression and tumor aggression]]></category>
		<category><![CDATA[epithelial-mesenchymal transition in HCC]]></category>
		<category><![CDATA[genetic modification in cancer research]]></category>
		<category><![CDATA[hepatocellular carcinoma metastasis mechanisms]]></category>
		<category><![CDATA[invasive behavior of HCC cells]]></category>
		<category><![CDATA[lymphatic spread in liver cancer]]></category>
		<category><![CDATA[non-muscle myosin IIA role in cancer]]></category>
		<category><![CDATA[S100A4 and liver cancer metastasis]]></category>
		<category><![CDATA[targeted therapies for liver cancer metastasis]]></category>
		<category><![CDATA[The Cancer Genome Atlas findings]]></category>
		<guid isPermaLink="false">https://scienmag.com/s100a4-drives-liver-cancer-metastasis-via-nmiia/</guid>

					<description><![CDATA[In a groundbreaking study poised to reshape our understanding of liver cancer metastasis, researchers have unveiled the pivotal role of the protein S100A4 in transforming non-metastatic hepatocellular carcinoma (HCC) cells into highly invasive and metastatic variants. This transformative process is intricately driven by the binding of S100A4 to non-muscle myosin IIA (NMIIA), uncovering a novel [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a groundbreaking study poised to reshape our understanding of liver cancer metastasis, researchers have unveiled the pivotal role of the protein S100A4 in transforming non-metastatic hepatocellular carcinoma (HCC) cells into highly invasive and metastatic variants. This transformative process is intricately driven by the binding of S100A4 to non-muscle myosin IIA (NMIIA), uncovering a novel molecular axis that mediates cancer progression through intricate epithelial-mesenchymal transition (EMT) mechanisms.</p>
<p>Hepatocellular carcinoma stands as one of the most lethal malignancies worldwide, marked by aggressive progression and a notorious proclivity for metastasis. Despite advances in treatment, the prognosis for advanced-stage HCC patients remains grim, largely due to our incomplete understanding of the molecular pathways that govern metastatic dissemination. The research team, analyzing comprehensive data from The Cancer Genome Atlas (TCGA) alongside clinical liver cancer specimens, identified an alarming pattern: elevated S100A4 expression correlates with more aggressive tumor stages and lymphatic spread, highlighting its central role in exacerbating disease severity.</p>
<p>Diving deeper, the researchers engineered HCC cell lines to stably overexpress S100A4, enabling a systematic examination of its cellular effects. Cells genetically modified to produce high levels of S100A4 displayed pronounced migratory and invasive behaviors in vitro, as demonstrated by wound healing and Transwell invasion assays. These phenotypic changes signal a crucial shift in cellular dynamics, indicative of EMT—a process where epithelial cells lose their adhesive properties and acquire mesenchymal characteristics, thereby facilitating tissue invasion and metastasis.</p>
<p>The study further illuminated the sophisticated crosstalk mediated via exosomes, nanoscale extracellular vesicles that orchestrate intercellular communication within the tumor microenvironment. Exosomes secreted by S100A4-high HCC cells were enriched with S100A4 protein, and their uptake by adjacent non-metastatic HCC cells significantly boosted the latter’s migratory and invasive capacities. This exosome-mediated propagation of metastatic traits underscores an underappreciated pathway by which aggressive cancer cells recruit and transform their less malignant neighbors, fueling tumor heterogeneity and expansion.</p>
<p>At the molecular level, the conspicuous downregulation of E-cadherin—an epithelial marker essential for cell-cell adhesion—alongside the upregulation of mesenchymal markers such as Twist1, N-cadherin, and Vimentin, points to a hallmark EMT switch driven by S100A4 overexpression. This reprogramming of gene expression profiles effectively dismantles cellular barriers, liberating cancer cells to disseminate throughout the body. Crucially, this process hinges on S100A4’s physical interaction with NMIIA, a cytoskeletal motor protein implicated in cellular contractility and motility.</p>
<p>Utilizing sophisticated protein interaction assays, the investigators demonstrated that S100A4 binds directly to NMIIA, forming a complex that orchestrates downstream molecular changes essential for EMT induction. Silencing NMIIA expression effectively blunted the EMT-associated changes induced by S100A4, incapacitating the migratory and invasive prowess of HCC cells. This discovery spotlights NMIIA as not just a structural component but a functional collaborator in metastasis, opening new vistas for therapeutic targeting.</p>
<p>The implications of these findings extend far beyond academic curiosity. By establishing S100A4 as a master regulator of EMT and metastasis in HCC, the study elevates this protein as a highly promising biomarker for predicting disease progression and patient prognosis. Its elevated presence in tumor-derived exosomes also raises the potential for non-invasive liquid biopsy approaches, enabling early detection and real-time monitoring of metastatic risk.</p>
<p>Furthermore, the elucidation of the S100A4-NMIIA axis provides an attractive molecular target for novel interventions. Therapeutic strategies aimed at disrupting this interaction or modulating S100A4 expression could inhibit EMT initiation, stymying metastatic spread and improving survival outcomes. This paradigm shift pivots on attacking the metastatic machinery at its molecular core, rather than merely addressing tumor growth.</p>
<p>The robustness of the study stems from its integrative approach, combining large-scale genomic analyses with meticulous mechanistic experiments. The consistency between patient-derived data and cellular models strengthens the translational relevance of the findings, ensuring that insights resonate within clinical oncology frameworks. Importantly, the study elucidates the contribution of exosome-mediated signaling, emphasizing the complex tumor microenvironment interactions that enable metastasis.</p>
<p>Given the pressing global burden of HCC, these revelations inject renewed optimism into the quest for more effective diagnostic and therapeutic strategies. Future research is poised to explore the therapeutic modulation of S100A4 and NMIIA, assess their roles across heterogeneous tumor landscapes, and unravel their interactions with other metastasis-related pathways. A nuanced understanding of how these proteins coordinate EMT and cellular dissemination will be instrumental in crafting precision medicine approaches.</p>
<p>In conclusion, the study compellingly positions S100A4 as a critical driver of metastatic transformation in liver cancer, acting through NMIIA binding to orchestrate EMT and enhance tumor invasiveness. This signaling nexus, amplified via exosomes, not only advances our grasp of HCC biology but also charts a course toward innovative biomarkers and therapeutic targets. As research unfolds, targeting the S100A4-NMIIA axis holds promise to transform the clinical management of hepatocellular carcinoma, potentially reducing metastasis and improving patient survival.</p>
<hr />
<p><strong>Subject of Research</strong>: The study investigates the role of the metastasis-associated protein S100A4 in promoting metastatic transformation and epithelial-mesenchymal transition (EMT) in hepatocellular carcinoma (HCC) through its interaction with non-muscle myosin IIA (NMIIA) and exosome-mediated signaling.</p>
<p><strong>Article Title</strong>: S100a4 promotes metastatic transformation in non-metastatic liver cancer cells through NMIIa binding: mechanistic insights</p>
<p><strong>Article References</strong>:<br />
Qin, Y., Wang, C., Xu, S. et al. S100a4 promotes metastatic transformation in non-metastatic liver cancer cells through NMIIa binding: mechanistic insights. BMC Cancer 25, 1144 (2025). https://doi.org/10.1186/s12885-025-14502-4</p>
<p><strong>Image Credits</strong>: Scienmag.com</p>
<p><strong>DOI</strong>: https://doi.org/10.1186/s12885-025-14502-4</p>
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