Evidence map›Paper›PMID 31593555›Full record

ArticleThe Journal of clinical investigation2020

Exosomal long noncoding RNA LNMAT2 promotes lymphatic metastasis in bladder cancer.

Changhao Chen, Yuming Luo, Wang He, Yue Zhao, Yao Kong, Hongwei Liu, Guangzheng Zhong, Yuting Li, Jun Li, Jian Huang and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 252 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
252citing papers in PubMed, 2 pooled it
26.0field-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

252 citing papers in PubMed, 2 syntheses or guidelines pooled it, 422 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. MVB Maturation Responsive to KRASJournal of extracellular vesicles · 2026
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  20. Significance of EVs in Prostate Cancer Bone Metastases.International journal of molecular sciences · 2025
    Review

192 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

12 authors at 2 institutions in 1 country.

Changhao ChenDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Yuming LuoGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, State Key Laboratory of Oncology in South China, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Wang HeDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Yue ZhaoDepartment of Interventional Oncology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yao KongDepartment of Ultrasound and.
Hongwei LiuDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Guangzheng ZhongDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Yuting LiDepartment of Medical Oncology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Jun LiDepartment of Biochemistry, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jian HuangDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Rufu ChenDepartment of General Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Tianxin LinDepartment of Urology, Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Sun Yat-sen University · CNGuangdong Academy of Medical Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with bladder cancer (BCa) with clinical lymph node (LN) metastasis have an extremely poor prognosis. VEGF-C has been demonstrated to play vital roles in LN metastasis in BCa. However, approximately 20% of BCa with LN metastasis exhibits low VEGF-C expression, suggesting a VEGF-C-independent mechanism for LN metastasis of BCa. Herein, we demonstrate that BCa cell-secreted exosome-mediated lymphangiogenesis promoted LN metastasis in BCa in a VEGF-C-independent manner. We identified an exosomal long noncoding RNA (lncRNA), termed lymph node metastasis-associated transcript 2 (LNMAT2), that stimulated human lymphatic endothelial cell (HLEC) tube formation and migration in vitro and enhanced tumor lymphangiogenesis and LN metastasis in vivo. Mechanistically, LNMAT2 was loaded to BCa cell-secreted exosomes by directly interacting with heterogeneous nuclear ribonucleoprotein A2B1 (hnRNPA2B1). Subsequently, exosomal LNMAT2 was internalized by HLECs and epigenetically upregulated prospero homeobox 1 (PROX1) expression by recruitment of hnRNPA2B1 and increasing the H3K4 trimethylation level in the PROX1 promoter, ultimately resulting in lymphangiogenesis and lymphatic metastasis. Therefore, our findings highlight a VEGF-C-independent mechanism of exosomal lncRNA-mediated LN metastasis and identify LNMAT2 as a therapeutic target for LN metastasis in BCa.

Indexed as

AnimalsCell Line, TumorExosomesFemaleHeterogeneous-Nuclear Ribonucleoprotein Group A-BHomeodomain ProteinsHumansLymphatic MetastasisMaleMiceMice, Inbred BALB CMice, NudeProspero-Related Homeobox 1 ProteinRNA, Long NoncodingRNA, NeoplasmTumor Suppressor ProteinsHeterogeneous-Nuclear Ribonucleoprotein Group A-BhnRNP A2Homeodomain ProteinsProspero-Related Homeobox 1 ProteinRNA, Long NoncodingRNA, NeoplasmTumor Suppressor ProteinsVascular Endothelial Growth Factor CVEGFC protein, humanLymphNoncoding RNAsOncologyUrology

Identifiers

PMID31593555
PMCPMC6934220
OpenAlexW2979859373

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.