Evidence map›Paper›PMID 40089640›Full record

ArticleOncogene2025

CBX3 promotes multidrug resistance by suppressing ferroptosis in colorectal carcinoma via the CUL3/NRF2/GPX2 axis.

Xiaoming Bai, Tinghong Duan, Jiaofang Shao, Yutong Zhang, Guangyuan Xing, Jie Wang, Xue Liu, Min Wang, Yuanqiao He, Hai Wang and 4 more

Abstract read
In one paragraph

Article in Oncogene, 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.

  1. Article
  2. Review
  3. Review
  4. P53 Competitively Binds P300 to Suppress HIF-1α/TFRC-Mediated Ferroptosis and Promote Doxorubicin Resistance in Breast Cancer.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Autophagy regulation of pyroptosis and ferroptosis: a new strategy for colorectal cancer treatment.Apoptosis : an international journal on programmed cell death · 2026
    Review
  14. Review
  15. Review
  16. Article
  17. 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

14 authors.

Xiaoming Bai *Department of Pathology, Nanjing Medical University, Nanjing, PR China.ORCID http://orcid.org/0000-0003-4372-5653
Tinghong Duan *Department of Pathology, Nanjing Medical University, Nanjing, PR China.
Jiaofang Shao *Department of Bioinformatics, Nanjing Medical University, Nanjing, PR China.ORCID http://orcid.org/0000-0003-0177-4844
Yutong ZhangDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Guangyuan XingDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Jie WangDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Xue LiuDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Min WangDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Yuanqiao HeCenter of Laboratory Animal Science, Nanchang University, Nanchang, PR China.
Hai WangDepartment of Pathology, Sir Run Run Hospital, Nanjing Medical University, Nanjing, PR China.
Zhi-Yuan ZhangDepartment of Pathology, Nanjing Medical University, Nanjing, PR China.
Min NiDepartment of Colorectum, Nanjing Hospital of Chinese Medicine affiliated to Nanjing University of Chinese Medicine, Nanjing, PR China. 13505157926@163.com.
Jin-Yong ZhouJiangsu Province Key Laboratory of Tumor Systems Biology and Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, PR China. jinyongzhou@njucm.edu.cn.ORCID http://orcid.org/0000-0003-4020-2187
Jinshun PanDepartment of Biotherapy, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, PR China. panjinshun@njmu.edu.cn.ORCID http://orcid.org/0000-0002-6394-7010

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82071209Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20231132
6 · The paper itself

Abstract

Chemoresistance poses a significant challenge in colorectal cancer (CRC) treatment. However, the mechanisms underlying chemoresistance remain unclear. CBX3 promoted proliferation and metastasis in CRC. However, the role and mechanism of CBX3 in chemoresistance remain unknown. Therefore, we aimed to investigate the effects and mechanisms of CBX3 on multidrug resistance in CRC. Our studies showed that higher levels of CBX3 expression were associated with poor survival, especially in groups with progression following chemotherapy. CBX3 overexpression increased Irinotecan and Oxaliplatin resistance, whereas CBX3 knockdown suppressed multidrug resistance in CRC cells. Additionally, CBX3 inhibited ferroptosis associated with multidrug resistance, and the ferroptosis activators prevented CBX3 overexpression-mediated cell survival. RNA sequencing revealed that the NRF2-signaling pathway was involved in this process. CBX3-upregulated NRF2 protein expression by directly binding to the promoter of Cullin3 (CUL3) to suppress CUL3 transcription and CUL3-mediated NRF2 degradation. Moreover, Glutathione Peroxidase 2 (GPX2) was downstream of the CBX3-NRF2 pathway in CRC chemoresistance. ML385, an NRF2 inhibitor, suppressed GPX2 expression, and increased ferroptosis in PDX models. Our study identified CBX3/NRF2/GPX2 axis may be a novel signaling pathway that mediates multidrug resistance in CRC. This study proposes developing novel strategies for cancer treatment to overcome drug resistance in the future.

Indexed as

Colorectal NeoplasmsCullin ProteinsDrug Resistance, MultipleDrug Resistance, NeoplasmFerroptosisNF-E2-Related Factor 2Phospholipid Hydroperoxide Glutathione PeroxidaseAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansMiceSignal TransductionXenograft Model Antitumor AssaysCUL3 protein, humanCullin ProteinsNFE2L2 protein, humanNF-E2-Related Factor 2Phospholipid Hydroperoxide Glutathione Peroxidase

Identifiers

PMID40089640
PMCPMC12122363

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.