Evidence map›Paper›PMID 33159833›Full record

ArticleMolecular oncology2021

The RNA-binding protein MEX3A is a prognostic factor and regulator of resistance to gemcitabine in pancreatic ductal adenocarcinoma.

Valentina Panzeri, Isabella Manni, Alessia Capone, Chiara Naro, Andrea Sacconi, Silvia Di Agostino, Luisa de Latouliere, Andrea Montori, Emanuela Pilozzi, Giulia Piaggio and 2 more

Open access · goldAbstract read
In one paragraph

Article in Molecular oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. MEX3A Modulates PPARγ Pathway Activity and Colorectal Cancer Growth.Cellular and molecular gastroenterology and hepatology · 2026
    Article
  3. RNA-Binding Proteins: Modulators of Canonical Wnt Signaling Pathway.International journal of molecular sciences · 2025
    Review
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  16. Prognostic prediction and gene regulation network ofJournal of gastrointestinal oncology · 2021
    Article
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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 4 institutions in 1 country.

Valentina PanzeriDepartment of Science Medical/Chirurgic and Translational Medicine, University of Rome "Sapienza", Italy.ORCID 0000-0002-8930-7222
Isabella ManniUOSD SAFU, Department of Research, Diagnosis and Innovative Technologies, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0003-4823-0596
Alessia CaponeFondazione Santa Lucia IRCCS, Rome, Italy.ORCID 0000-0001-8639-356X
Chiara NaroDepartment of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, Rome, Italy.ORCID 0000-0002-3135-3218
Andrea SacconiClinical Trial Center, Biostatistics and Bioinformatics Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0002-8276-0438
Silvia Di AgostinoOncogenomic and Epigenetic Unit, Department of Diagnostic Research and Technological Innovation, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0003-3730-1125
Luisa de LatouliereUOSD SAFU, Department of Research, Diagnosis and Innovative Technologies, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0001-6444-9227
Andrea MontoriDepartment of Clinical and Molecular Medicine, UOC Anatomia Patologica, Sant' Andrea Hospital, Sapienza University of Rome, Italy.ORCID 0000-0003-1013-8460
Emanuela PilozziDepartment of Clinical and Molecular Medicine, UOC Anatomia Patologica, Sant' Andrea Hospital, Sapienza University of Rome, Italy.ORCID 0000-0002-7110-9172
Giulia PiaggioUOSD SAFU, Department of Research, Diagnosis and Innovative Technologies, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0003-2114-1892
Gabriele CapursoPancreatoBiliary Endoscopy and EUS Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy.ORCID 0000-0002-0019-8753
Claudio SetteDepartment of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, Rome, Italy.ORCID 0000-0003-2864-8266
Università Cattolica del Sacro Cuore · ITSapienza University of Rome · ITFondazione Santa Lucia · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer. Most patients present with advanced disease at diagnosis, which only permits palliative chemotherapeutic treatments. RNA dysregulation is a hallmark of most human cancers, including PDAC. To test the impact of RNA processing dysregulation on PDAC pathology, we performed a bioinformatics analysis to identify RNA-binding proteins (RBPs) associated with prognosis. Among the 12 RBPs associated with progression-free survival, we focused on MEX3A because it was recently shown to mark an intestinal stem cell population that is refractory to chemotherapeutic treatments, a typical feature of PDAC. Increased expression of MEX3A was correlated with higher disease stage in PDAC patients and with tumor development in a mouse model of PDAC. Depletion of MEX3A in PDAC cells enhanced sensitivity to chemotherapeutic treatment with gemcitabine, whereas its expression was increased in PDAC cells selected upon chronic exposure to the drug. RNA-sequencing analyses highlighted hundreds of genes whose expression is sensitive to MEX3A expression, with significant enrichment in cell cycle genes. MEX3A binds to its target mRNAs, like cyclin-dependent kinase 6 (CDK6), and promotes their stability. Accordingly, knockdown of MEX3A caused a significant reduction in PDAC cell proliferation and in progression to the S phase of the cell cycle. These findings uncover a novel role for MEX3A in the acquisition and maintenance of chemoresistance by PDAC cells, suggesting that it may represent a novel therapeutic target for PDAC.

Indexed as

AnimalsCarcinoma, Pancreatic DuctalCell Line, TumorDeoxycytidineDrug Resistance, NeoplasmGemcitabineHumansMiceMice, KnockoutNeoplasm ProteinsNeoplasms, ExperimentalPancreatic NeoplasmsPhosphoproteinsPrognosisRNA-Binding ProteinsDeoxycytidineGemcitabineMEX3A protein, humanNeoplasm ProteinsPhosphoproteinsRNA-Binding Proteinscell cyclechemoresistancePDACRNA-binding proteinsRNA metabolism

Identifiers

PMID33159833
PMCPMC7858117
OpenAlexW3094890523

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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.