Evidence map›Paper›PMID 38904015›Full record

ArticleInternational journal of biological sciences2024

Hypoxic tumor-derived exosomal miR-4488 induces macrophage M2 polarization to promote liver metastasis of pancreatic neuroendocrine neoplasm through RTN3/FABP5 mediated fatty acid oxidation.

Feiyu Lu, Mujie Ye, Yikai Shen, Yanling Xu, Chunhua Hu, Jinhao Chen, Ping Yu, Bingyan Xue, Danyang Gu, Lin Xu and 5 more

Abstract read
In one paragraph

Article in International journal of biological sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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

35 citing papers in PubMed.

  1. Article
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  5. Tumor-Associated Macrophage Exosomal miR-142-5p Drives Prostate Cancer Neuroendocrine Differentiation via RERG/Ras/ERK Axis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Understanding how hypoxia contributes to liver cancer stem cells maintenance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. International journal of molecular sciences · 2026
    Article
  14. 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

15 authors.

Feiyu LuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Mujie YeDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Yikai ShenDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Yanling XuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Chunhua HuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Jinhao ChenDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Ping YuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Bingyan XueDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Danyang GuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Lin XuDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Lingyi ChenDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Yi DingDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Jianan BaiDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Ye TianDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.
Qiyun TangDepartment of Geriatric Gastroenterology, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, NO.300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-associated macrophages (TAMs) represent a predominant cellular component within the tumor microenvironment (TME) of pancreatic neuroendocrine neoplasms (pNENs). There is a growing body of evidence highlighting the critical role of exosomes in facilitating communication between tumor cells and TAMs, thereby contributing to the establishment of the premetastatic niche. Nonetheless, the specific mechanisms through which exosomes derived from tumor cells influence macrophage polarization under hypoxic conditions in pNENs, and the manner in which these interactions support cancer metastasis, remain largely unexplored. Recognizing the capacity of exosomes to transfer miRNAs that can modify cellular behaviors, our research identified a significant overexpression of miR-4488 in exosomes derived from hypoxic pNEN cells. Furthermore, we observed that macrophages that absorbed circulating exosomal miR-4488 underwent M2-like polarization. Our investigations revealed that miR-4488 promotes M2-like polarization by directly targeting and suppressing RTN3 in macrophages. This suppression of RTN3 enhances fatty acid oxidation and activates the PI3K/AKT/mTOR signaling pathway through the interaction and downregulation of FABP5. Additionally, M2 polarized macrophages contribute to the formation of the premetastatic niche and advance pNENs metastasis by releasing MMP2, thereby establishing a positive feedback loop involving miR-4488, RTN3, FABP5, and MMP2 in pNEN cells. Together, these findings shed light on the role of exosomal miRNAs from hypoxic pNEN cells in mediating interactions between pNEN cells and intrahepatic macrophages, suggesting that miR-4488 holds potential as a valuable biomarker and therapeutic target for pNENs.

Indexed as

ExosomesLiver NeoplasmsMacrophagesMicroRNAsNeuroendocrine TumorsPancreatic NeoplasmsAnimalsCell Line, TumorFatty Acid-Binding ProteinsFatty AcidsHumansMiceMice, NudeNerve Tissue ProteinsOxidation-ReductionSignal TransductionFatty Acid-Binding ProteinsFatty AcidsMicroRNAsMIRN4488 microRNA, humanNerve Tissue ProteinsexosomesFABP5fatty acid oxidationhypoxiaM2-like polarizationmiR-4488MMP2pancreatic neuroendocrine neoplasmsRTN3

Identifiers

PMID38904015
PMCPMC11186367

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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.