Evidence map›Paper›PMID 39943694›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

A Mitochondria-Targeted Biomimetic Nanomedicine Capable of Reversing Drug Resistance in Colorectal Cancer Through Mitochondrial Dysfunction.

Xiaohui Wang, Zhiyuan Xu, Jian Wang, Chunrong Wu, Lin Zhang, Chengyuan Qian, Yang Luo, Yanjuan Gu, Wing-Tak Wong, Debing Xiang

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

10 authors.

Xiaohui WangDepartment of Oncology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.ORCID https://orcid.org/0009-0003-9033-4185
Zhiyuan XuDepartment of Electrical and Electronic Engineering, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Jian WangDepartment of Oncology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.
Chunrong WuDepartment of Oncology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.
Lin ZhangDepartment of Gastroenterology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.
Chengyuan QianDepartment of Oncology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.
Yang LuoDepartment of Laboratory Medicine, Chongqing General Hospital, School of Medicine, Chongqing University, Chongqing, 401147, China.ORCID https://orcid.org/0000-0002-0166-9027
Yanjuan GuDepartment of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Wing-Tak WongDepartment of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, SAR, China.ORCID https://orcid.org/0000-0002-3453-1825
Debing XiangDepartment of Oncology, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.ORCID https://orcid.org/0009-0002-4258-2224

Funding

Fundamental Research Funds for the Central Universities 2022CDJYGRH-006Fundamental Research Funds for the Central Universities 2022CDJYGRH-018Talent Project of Chongqing University Jiangjin Hospital 2023LJXM002Talent Project of Chongqing University Jiangjin Hospital 2023YCXM001Talent Project of Chongqing University Jiangjin Hospital 2023YCXM005Talents Project of Chongqing CSTC2022YCJH-BGZXM0032
6 · The paper itself

Abstract

Chemoresistance and metastasis are the main obstacles to the clinical success of anticancer treatment and are responsible for most cancer deaths. Developing effective approaches to reverse chemoresistance and inhibit metastasis is essential for efficient chemotherapy. Mitochondria are important sources of cellular energy and are involved in mediating chemoresistance and driving tumor metastasis. Due to the relatively weak DNA repair capacity of mitochondria, targeting mitochondria may reverse chemoresistance and provide a paradigm for metastatic cancer treatment. Herein, exosomes (Exos) modified with integrin ligands and mitochondriotropic molecules are synthesized for encapsulating oxaliplatin (OXA) to construct a sequentially targeted and mitochondrion-dysfunctional nanodrug (OXA@Exo-RD). Subsequent investigations confirm that OXA@Exo-RD targeted cancer cells and mitochondria in sequence, and OXA delivered to mitochondria lacking DNA repair mechanisms reduce the likelihood of deactivation. Furthermore, the OXA@Exo-RD promotes the overproduction of ROS, inhibited ATP generation, and induces mitochondria-mediated apoptosis and mitochondrial dysregulation. Finally, OXA@Exo-RD shows the potential to inhibit the growth and metastasis of HCT116/OXA cells in vitro, which is further validated in subcutaneous and orthotopic CRC models, as well as in CRC metastasis models. Taken together, this dual-targeting nanomedicine induces apoptosis via mitochondrial signaling pathways, providing an attractive strategy for the treatment of drug-resistant CRC.

Indexed as

Colorectal NeoplasmsDrug Resistance, NeoplasmMitochondriaNanomedicineOxaliplatinAnimalsAntineoplastic AgentsApoptosisBiomimeticsCell Line, TumorHCT116 CellsHumansMiceMice, NudeReactive Oxygen SpeciesAntineoplastic AgentsOxaliplatinReactive Oxygen Speciescolorectal cancerdrug resistanceexosomemetastasismitochondrial dysfunction

Identifiers

PMID39943694
PMCPMC11967798

What OpenQuestion holds

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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.