Notch3/4 Knockdown Inhibits Colon Adenocarcinoma Progression by Suppressing Tumor Cell Activity and Orchestrating

Wei Liu1, Guhang Tang1, Ningfu Li1

  • 1Department of Oncology, The Affiliated Dazu's Hospital of Chongqing Medical University, Chongqing, China.

Cancer Medicine
|July 15, 2026
PubMed
Abstract

Insights

Targeting Notch3 and Notch4 receptors suppressed colon adenocarcinoma (COAD) progression by altering the tumor immune microenvironment. A novel compound, Mol_2, also showed significant anti-tumor effects in COAD models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Colon adenocarcinoma (COAD) is a common cancer with poorly understood Notch pathway roles.
  • Notch3 and Notch4 signaling in COAD pathogenesis require further elucidation.

Purpose of the Study:

  • Investigate Notch3 and Notch4 downregulation effects on COAD's tumor immune microenvironment and angiogenesis.
  • Evaluate impacts on cell proliferation, migration, immune cell infiltration, and tumor progression.

Main Methods:

  • Utilized in vitro and in vivo COAD models.
  • Assessed effects of Notch3/4 interference on tumor progression and immune cell activity.
  • Screened for compounds targeting Notch3 and Notch4.

Main Results:

  • Notch3/4 downregulation suppressed tumor progression, reduced cell viability, and enhanced M1 macrophage and T lymphocyte activity.
  • Combined regorafenib and Notch3/4 knockout showed synergistic anti-tumor effects.
  • Compound Mol_2 significantly reduced Notch3/4 protein levels and COAD tumor progression.

Conclusions:

  • Targeting Notch3 and Notch4 receptors shows therapeutic potential for COAD.
  • Modulating the tumor microenvironment via Notch3/4 inhibition may suppress COAD progression.
  • Mol_2 represents a promising therapeutic candidate for COAD treatment.

Related Concept Videos

Role Of Notch Signalling In Intestinal Stem Cell Renewal01:12

Role Of Notch Signalling In Intestinal Stem Cell Renewal

Notch signaling was first discovered in Drosophila melanogaster, where it is involved in cell lineage differentiation. Notch signaling regulates the maintenance and differentiation of intestinal stem cells or ISCs by controlling the expression of atonal homolog 1 or Atoh1. Atoh1 directs cells to differentiate into secretory cells.
Direct cell-to-cell contact is needed for the activation of Notch signaling. The signal is initiated when a notch ligand binds to a receptor on an adjacent cell, also...
Notch Signaling Pathway03:14

Notch Signaling Pathway

The Notch signaling pathway is a major intracellular signaling pathway that is highly conserved over a broad spectrum of metazoan species. It stands unique from other intracellular signaling mechanisms in animals because notch protein itself acts as the receptor as well as the primary signaling molecule.
The Notch gene came into the limelight in 1914 after the discovery that its mutation in Drosophila melanogaster leads to a serrated (or "notched") wing margin phenotype. It was not until 1985...
Notch Signaling Pathway03:14

Notch Signaling Pathway

The Notch signaling pathway is a major intracellular signaling pathway that is highly conserved over a broad spectrum of metazoan species. It stands unique from other intracellular signaling mechanisms in animals because notch protein itself acts as the receptor as well as the primary signaling molecule.
The Notch gene came into the limelight in 1914 after the discovery that its mutation in Drosophila melanogaster leads to a serrated (or "notched") wing margin phenotype. It was not until 1985...
Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Tumor Progression02:07

Tumor Progression

Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Tumor Progression02:07

Tumor Progression

Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...