Evidence map›Paper›PMID 36038948›Full record

ArticleJournal of hematology & oncology2022

CircRNA-CREIT inhibits stress granule assembly and overcomes doxorubicin resistance in TNBC by destabilizing PKR.

Xiaolong Wang, Tong Chen, Chen Li, Wenhao Li, Xianyong Zhou, Yaming Li, Dan Luo, Ning Zhang, Bing Chen, Lijuan Wang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of hematology & oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 2 pooled it
17.8field-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

123 citing papers in PubMed, 2 syntheses or guidelines pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Acta pharmaceutica Sinica. B · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. The Role of Stress Granules in Cardiovascular Diseases.Reviews in cardiovascular medicine · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Exosomes as Emerging Nanocarriers for Targeted Cancer Therapy.International journal of nanomedicine · 2026
    Review

63 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

13 authors at 1 institution in 1 country.

Xiaolong Wang *Department of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Tong Chen *Department of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Chen LiDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Wenhao LiDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Xianyong ZhouDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Yaming LiDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Dan LuoDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Ning ZhangDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China.
Bing ChenPathology Tissue Bank, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Lijuan WangPathology Tissue Bank, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Wenjing ZhaoPathology Tissue Bank, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Shanji FuDepartment of Clinical Laboratory, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Qifeng YangDepartment of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, 250012, Shandong, China. qifengy_sdu@163.com.
Qilu Hospital of Shandong University · CN

Funding

2021 Shandong Medical Association Clinical Research Fund YXH2022ZX02160Chen Xiao-ping Foundation for the Development of Science and Technology of Hubei Province CXPJJH121001-2021003China Postdoctoral Science Foundation 2020M682199Foundation from Clinical Research Center of Shandong University 2020SDUCRCA015National Key Research and Development Program 2020YFA0712400National Natural Science Foundation of China 81874119National Natural Science Foundation of China 82004122Qilu Hospital Clinical New Technology Developing Foundation 2019-3Shandong Provincial Natural Science Foundation, China ZR2020QH335Special Foundation for Taishan Scholars ts20190971
6 · The paper itself

Abstract

backgroundCircular RNAs (circRNAs) represent a novel type of regulatory RNA characterized by high evolutionary conservation and stability. CircRNAs are expected to be potential diagnostic biomarkers and therapeutic targets for a variety of malignancies. However, the regulatory functions and underlying mechanisms of circRNAs in triple-negative breast cancer (TNBC) are largely unknown.

methodsBy using RNA high-throughput sequencing technology, qRT-PCR and in situ hybridization assays, we screened dysregulated circRNAs in breast cancer and TNBC tissues. Then in vitro assays, animal models and patient-derived organoids (PDOs) were utilized to explore the roles of the candidate circRNA in TNBC. To investigate the underlying mechanisms, RNA pull-down, RNA immunoprecipitation (RIP), co immunoprecipitation (co-IP) and Western blotting assays were carried out.

resultsIn this study, we demonstrated that circRNA-CREIT was aberrantly downregulated in doxorubicin resistant triple-negative breast cancer (TNBC) cells and associated with a poor prognosis. The RNA binding protein DHX9 was responsible for the reduction in circRNA-CREIT by interacting with the flanking inverted repeat Alu (IRAlu) sequences and inhibiting back-splicing. By utilizing in vitro assays, animal models and patient-derived organoids, we revealed that circRNA-CREIT overexpression significantly enhanced the doxorubicin sensitivity of TNBC cells. Mechanistically, circRNA-CREIT acted as a scaffold to facilitate the interaction between PKR and the E3 ligase HACE1 and promoted proteasomal degradation of PKR protein via K48-linked polyubiquitylation. A reduced PKR/eIF2α signaling axis was identified as a critical downstream effector of circRNA-CREIT, which attenuated the assembly of stress granules (SGs) to activate the RACK1/MTK1 apoptosis signaling pathway. Further investigations revealed that a combination of the SG inhibitor ISRIB and doxorubicin synergistically inhibited TNBC tumor growth. Besides, circRNA-CREIT could be packaged into exosomes and disseminate doxorubicin sensitivity among TNBC cells.

conclusionsOur study demonstrated that targeting circRNA-CREIT and SGs could serve as promising therapeutic strategies against TNBC chemoresistance.

Indexed as

MicroRNAsTriple Negative Breast NeoplasmsAnimalsCell Line, TumorCell ProliferationDoxorubicineIF-2 KinaseGene Expression Regulation, NeoplasticHumansRNARNA, CircularStress GranulesUbiquitin-Protein LigasesDoxorubicineIF-2 KinaseHACE1 protein, humanMicroRNAsRNARNA, CircularUbiquitin-Protein LigasesChemoresistanceCircRNA-CREITStress granulesTNBC

Identifiers

PMID36038948
PMCPMC9425971
OpenAlexW4293447106

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LicenceCC BY
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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.