Evidence map›Paper›PMID 28152544›Full record

ArticleBritish journal of cancer2017

Exosomes confer chemoresistance to pancreatic cancer cells by promoting ROS detoxification and miR-155-mediated suppression of key gemcitabine-metabolising enzyme, DCK.

Girijesh Kumar Patel, Mohammad Aslam Khan, Arun Bhardwaj, Sanjeev K Srivastava, Haseeb Zubair, Mary C Patton, Seema Singh, Moh'd Khushman, Ajay P Singh

Open access · bronzeAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 255 citations in OpenAlex.

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  9. Metabolic reprogramming and plasticity of cancer stem cells.Frontiers in cell and developmental biology · 2026
    Review
  10. Research on exosomes in cancer multidrug resistance and clinical translation.Extracellular vesicles and circulating nucleic acids · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Small extracellular vesicles (sEVs) in pancreatic cancer progression and diagnosis.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Review
  16. Review
  17. Exosomal microRNAs: impact on cancer detection, treatment, and monitoring.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  18. Review
  19. Progress of Exosomal LncRNAs in Pancreatic Cancer.International journal of molecular sciences · 2024
    Review
  20. Article

109 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Girijesh Kumar PatelDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Mohammad Aslam KhanDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Arun BhardwajDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Sanjeev K SrivastavaDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Haseeb ZubairDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Mary C PattonDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Seema SinghDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Moh'd KhushmanDepartment of Interdisciplinary Clinical Oncology, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Ajay P SinghDepartment of Oncologic Sciences, Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
University of South Alabama · USUSA Mitchell Cancer Institute · US

Funding

Targeting tumor-stromal interaction for pancreatic cancer therapyR01CA175772 · NCI · UNIVERSITY OF SOUTH ALABAMA · PI SINGH, AJAY PRATAP · 2014 to 2018
$1.9M
Molecular determinant of racial disparity in prostate cancerU01CA185490 · NCI · UNIVERSITY OF SOUTH ALABAMA · PI SINGH, AJAY PRATAP · 2014 to 2018
$1.7M
NCI NIH HHS R01 CA175772NCI NIH HHS U01 CA185490
6 · The paper itself

Abstract

backgroundChemoresistance is a significant clinical problem in pancreatic cancer (PC) and underlying molecular mechanisms still remain to be completely understood. Here we report a novel exosome-mediated mechanism of drug-induced acquired chemoresistance in PC cells.

methodsDifferential ultracentrifugation was performed to isolate extracellular vesicles (EVs) based on their size from vehicle- or gemcitabine-treated PC cells. Extracellular vesicles size and subtypes were determined by dynamic light scattering and marker profiling, respectively. Gene expression was examined by qRT-PCR and/or immunoblot analyses, and direct targeting of DCK by miR-155 was confirmed by dual-luciferase 3'-UTR reporter assay. Flow cytometry was performed to examine the apoptosis indices and reactive oxygen species (ROS) levels in PC cells using specific dyes. Cell viability was determined using the WST-1 assay.

resultsConditioned media (CM) from gemcitabine-treated PC cells (Gem-CM) provided significant chemoprotection to subsequent gemcitabine toxicity and most of the chemoresistance conferred by Gem-CM resulted from its EVs fraction. Sub-fractionation grouped EVs into distinct subtypes based on size distribution and marker profiles, and exosome (Gem-Exo) was the only sub-fraction that imparted chemoresistance. Gene expression analyses demonstrated upregulation of SOD2 and CAT (ROS-detoxifying genes), and downregulation of DCK (gemcitabine-metabolising gene) in Gem-Exo-treated cells. SOD/CAT upregulation resulted, at least in part, from exosome-mediated transfer of their transcripts and they suppressed basal and gemcitabine-induced ROS production, and partly promoted chemoresistance. DCK downregulation occurred through exosome-delivered miR-155 and either the functional suppression of miR-155 or restoration of DCK led to marked abrogation of Gem-Exo-mediated chemoresistance.

conclusionsTogether, these findings establish a novel role of exosomes in mediating the acquired chemoresistance of PC.

Indexed as

Drug Resistance, Neoplasm3' Untranslated RegionsCatalaseCell Line, TumorDeoxycytidineDeoxycytidine KinaseDynamic Light ScatteringExosomesGemcitabineGene Expression Regulation, NeoplasticHumansMicroRNAsPancreatic NeoplasmsReactive Oxygen SpeciesSuperoxide DismutaseSuperoxide Dismutase 23' Untranslated RegionsCatalaseCAT protein, humanDeoxycytidineDeoxycytidine KinaseGemcitabineMicroRNAsMIRN155 microRNA, humanReactive Oxygen SpeciesSuperoxide DismutaseSuperoxide Dismutase 2

Identifiers

PMID28152544
PMCPMC5344296
OpenAlexW2585340283

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.