Evidence map›Paper›PMID 28600504›Full record

ArticleScientific reports2017

Amphiregulin contained in NSCLC-exosomes induces osteoclast differentiation through the activation of EGFR pathway.

Simona Taverna, Marzia Pucci, Marco Giallombardo, Maria Antonietta Di Bella, Mariacarmela Santarpia, Pablo Reclusa, Ignacio Gil-Bazo, Christian Rolfo, Riccardo Alessandro

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

102 citing papers in PubMed, 154 citations in OpenAlex.

  1. Article
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  6. Extracellular vesicles in spine tumors: biological roles, immune modulation, and therapeutic implications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  7. Article
  8. Review
  9. Review
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  11. Effects of exosomes from different origins on osteoclasts.Journal of orthopaedic surgery and research · 2025
    Review
  12. Article
  13. Article
  14. Biogenesis and functional implications of extracellular vesicles in cancer metastasis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  15. Article
  16. Article
  17. Connecting the dots: (RANKLTranslational lung cancer research · 2025
    Article
  18. Review
  19. Article
  20. Article

42 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 5 institutions in 3 countries.

Simona TavernaBiopathology and Biomedical Methodology, Biology and Genetic section, University of Palermo, Palermo, Italy.
Marzia PucciBiopathology and Biomedical Methodology, Biology and Genetic section, University of Palermo, Palermo, Italy.
Marco GiallombardoBiopathology and Biomedical Methodology, Biology and Genetic section, University of Palermo, Palermo, Italy.
Maria Antonietta Di BellaBiopathology and Biomedical Methodology, Biology and Genetic section, University of Palermo, Palermo, Italy.
Mariacarmela SantarpiaMedical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy.
Pablo ReclusaPhase I-Early Clinical Trials Unit, Oncology Department, Antwerp University Hospital (UZA) and Center for Oncological Research (CORE) Antwerp University, Antwerp, Belgium.
Ignacio Gil-BazoClinica Universidad de Navarra - Center for Applied Medical Research, Pamplona, Spain.
Christian RolfoPhase I-Early Clinical Trials Unit, Oncology Department, Antwerp University Hospital (UZA) and Center for Oncological Research (CORE) Antwerp University, Antwerp, Belgium. christian.rolfo@uza.be.ORCID 0000-0002-5109-0267
Riccardo AlessandroBiopathology and Biomedical Methodology, Biology and Genetic section, University of Palermo, Palermo, Italy. riccardo.alessandro@unipa.it.
University of Palermo · ITAntwerp University Hospital · BEIstituto di Biomedicina e di Immunologia Molecolare Alberto Monroy · ITClinica Universidad de Navarra · ESUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) remains the leading cause of cancer-related deaths worldwide. The majority of patients are diagnosed in advanced disease stage. Bone metastasis is the most frequent complication in NSCLC resulting in osteolytic lesions. The perfect balance between bone-resorbing osteoclasts and bone-forming osteoblasts activity is lost in bone metastasis, inducing osteoclastogenesis. In NSCLC, the epidermal growth factor receptor (EGFR) pathway is constitutively activated. EGFR binds Amphiregulin (AREG) that is overexpressed in several cancers such as colon, breast and lung. Its levels in plasma of NSCLC patients correlate with poor prognosis and AREG was recently found as a signaling molecule in exosomes derived from cancer cell lines. Exosomes have a key role in the cell-cell communication and they were recently indicated as important actors in metastatic niche preparation. In the present work, we hypothesize a role of AREG carried by exosomes derived from NSCLC in bone metastasis induction. We observed that NSCLC-exosomes, containing AREG, induce EGFR pathway activation in pre-osteoclasts that in turn causes an increased expression of RANKL. RANKL is able to induce the expression of proteolytic enzymes, well-known markers of osteoclastogenesis, triggering a vicious cycle in osteolytic bone metastasis.

Indexed as

Gene Expression Regulation, NeoplasticAmphiregulinAnimalsBiological TransportBone NeoplasmsCarcinoma, Non-Small-Cell LungCell DifferentiationCell Line, TumorCoculture TechniquesErbB ReceptorsExosomesHumansLung NeoplasmsMiceOsteoclastsPrimary Cell CultureAmphiregulinAREG protein, humanEGFR protein, humanErbB ReceptorsRANK LigandRNA, Small InterferingTNFSF11 protein, human

Identifiers

PMID28600504
PMCPMC5466625
OpenAlexW2624402790

What OpenQuestion holds

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Registered trials

None linked

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.