Evidence map›Paper›PMID 35193644›Full record

ArticleJournal of experimental & clinical cancer research : CR2022

Autophagy-based unconventional secretion of HMGB1 in glioblastoma promotes chemosensitivity to temozolomide through macrophage M1-like polarization.

Zhuang Li, Wen-Juan Fu, Xiao-Qing Chen, Shuai Wang, Ru-Song Deng, Xiao-Peng Tang, Kai-Di Yang, Qin Niu, Hong Zhou, Qing-Rui Li and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
12.9field-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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Article
  5. The CHI3L1 protein plays role as a protecting factor against autophagy in glioblastoma cells.Apoptosis : an international journal on programmed cell death · 2026
    Article
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  8. Antiatopic dermatitis activity ofTurkish journal of biology = Turk biyoloji dergisi · 2026
    Article
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  12. HMGB1: A Central Node in Cancer Therapy Resistance.International journal of molecular sciences · 2025
    Review
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2 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

17 authors at 3 institutions in 1 country.

Zhuang LiInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Wen-Juan FuInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Xiao-Qing ChenInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Shuai WangInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Ru-Song DengInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Xiao-Peng TangDepartment of Nephrology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Kai-Di YangInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Qin NiuInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Hong ZhouInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Qing-Rui LiInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Yong LinInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Mei LiangInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Si-Si LiInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Yi-Fang PingInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Xin-Dong LiuInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Xiu-Wu BianInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China.
Xiao-Hong YaoInstitute of Pathology and Southwest Cancer Center, Ministry of Education of China, Southwest Hospital, Third Military Medical University (Army Medical University) and Key Laboratory of Tumor Immunopathology, Chongqing, China. yxh15@163.com.
Army Medical University · CNSouthwest Hospital · CNHainan 301 Hospital · CN

Funding

Graduate Scientific Research Innovation Project of Chongqing CYS21514Major project of National Natural Science Foundation of China 31991172National Natural Science Foundation of China 81874087Natural Science Foundation Project of Chongqing, Chongqing Science and Technology Commission cstc2018jcyj-yszxX0008
6 · The paper itself

Abstract

backgroundGlioblastoma (GB) is the most common and highly malignant brain tumor characterized by aggressive growth and resistance to alkylating chemotherapy. Autophagy induction is one of the hallmark effects of anti-GB therapies with temozolomide (TMZ). However, the non-classical form of autophagy, autophagy-based unconventional secretion, also called secretory autophagy and its role in regulating the sensitivity of GB to TMZ remains unclear. There is an urgent need to illuminate the mechanism and to develop novel therapeutic targets for GB.

methodsCancer genome databases and paired-GB patient samples with or without TMZ treatment were used to assess the relationship between HMGB1 mRNA levels and overall patient survival. The relationship between HMGB1 protein level and TMZ sensitivity was measured by immunohistochemistry, ELISA, Western blot and qRT-PCR. GB cells were engineered to express a chimeric autophagic flux reporter protein consisting of mCherry, GFP and LC3B. The role of secretory autophagy in tumor microenvironment (TME) was analyzed by intracranial implantation of GL261 cells. Coimmunoprecipitation (Co-IP) and Western blotting were performed to test the RAGE-NFκB-NLRP3 inflammasome pathway.

resultsThe exocytosis of HMGB1 induced by TMZ in GB is dependent on the secretory autophagy. HMGB1 contributed to M1-like polarization of tumor associated macrophages (TAMs) and enhanced the sensitivity of GB cells to TMZ. Mechanistically, RAGE acted as a receptor for HMGB1 in TAMs and through RAGE-NFκB-NLRP3 inflammasome pathway, HMGB1 enhanced M1-like polarization of TAMs. Clinically, the elevated level of HMGB1 in sera may serve as a beneficial therapeutic-predictor for GB patients under TMZ treatment.

conclusionsWe demonstrated that enhanced secretory autophagy in GB facilitates M1-like polarization of TAMs to enhance TMZ sensitivity of GB cells. HMGB1 acts as a key regulator in the crosstalk between GB cells and tumor-suppressive M1-like TAMs in GB microenvironment and may be considered as an adjuvant for the chemotherapeutic agent TMZ.

Indexed as

AnimalsAntineoplastic Agents, AlkylatingApoptosisAutophagyCell Line, TumorGlioblastomaHumansMacrophagesMaleMiceTemozolomideTumor MicroenvironmentAntineoplastic Agents, AlkylatingTemozolomideGlioblastomaHMGB1Secretory autophagyTAMsTMZ

Identifiers

PMID35193644
PMCPMC8862393
OpenAlexW4213312771

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.