Evidence map›Paper›PMID 40211278›Full record

ArticleJournal of translational medicine2025

Vorinostat impairs the cancer-driving potential of leukemia-secreted extracellular vesicles.

Crescenzo Massaro, Giulia Sgueglia, Annamaria Muro, Damiana Pieragostino, Paola Lanuti, Maria Concetta Cufaro, Cristina Giorgio, Erika D'Agostino, Laura Della Torre, Serena Rubina Baglio and 4 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Crescenzo Massaro *Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Giulia Sgueglia *Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Annamaria MuroDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Damiana PieragostinoDepartment of Innovative Technologies in Medicine & Dentistry, Center for Advanced Studies and Technology (CAST), University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
Paola LanutiDepartment of Medicine and Aging Sciences, Center for Advanced Studies and Technology (CAST), University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
Maria Concetta CufaroDepartment of Innovative Technologies in Medicine & Dentistry, Center for Advanced Studies and Technology (CAST), University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
Cristina GiorgioDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Erika D'AgostinoDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Laura Della TorreDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Serena Rubina BaglioDepartment of Pathology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081HV, Amsterdam, The Netherlands.
Marinella PirozziIstituto degli Endotipi in Oncologia, Metabolismo e Immunologia "G. Salvatore" (IEOMI)-National Research Council (CNR), 80131, Naples, Italy.
Mariacarla De SimoneStem Cell Transplantation Unit, Division Hematology, Cardarelli Hospital, 80131, Naples, Italy.
Lucia Altucci *Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy. lucia.altucci@unicampania.it.
Carmela Dell'Aversana *Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy. carmela.dellaversana@cnr.it.ORCID http://orcid.org/0000-0001-6588-698X

Funding

Ministero delle Imprese e del Made in Italy Nabucco no. 1682Ministero dell'Istruzione, dell'Università e della Ricerca FISR2019_00374 MeDyCa-B84G19000200008Ministero dell'Istruzione, dell'Università e della Ricerca Prin 2022 PNRR-SOLAR-B53D23025100001POR-FESR EPIGENIUS-SARS-CoV-2-E93C22001650002The National Recovery and Resilience Plan (NRRP) convertedThe National Recovery and Resilience Plan (NRRP) Law Decree 6 May 2021The National Recovery and Resilience Plan (NRRP) modified as to Law no. 101/2021The National Recovery and Resilience Plan (NRRP) n. 59
6 · The paper itself

Abstract

backgroundLeukemia-secreted extracellular vesicles (EVs) carry biologically active cargo that promotes cancer-supportive mechanisms, including aberrant proliferative signaling, immune escape, and drug resistance. However, how antineoplastic drugs affect EV secretion and cargo sorting remains underexplored.

methodsLeukemia-secreted extracellular vesicles (EVs) were isolated by Differential UltraCentrifugation, and their miRNome and proteomic profiling cargo were analyzed following treatment with SAHA (Vorinostat) in Acute Myeloid Leukemia (AML) and Chronic Myeloid Leukemia (CML). The epigenetic modulation of leukemia-secreted EVs content on interesting key target molecules was validated, and their differential functional impact on cellular viability, cell cycle progression, apoptosis, and tumorigenicity was assessed.

resultsSAHA significantly alters the cargo of Leukemia-derived EVs, including miR-194-5p and its target BCLAF1 (mRNA and protein), key regulators of Leukemia cell survival and differentiation. SAHA upregulates miR-194-5p expression while selective loading BCLAF1 into EVs, reducing the miRNA levels in the same compartment. Additionally, SAHA alters miRNA profile and proteomic composition associated with leukemic EVs, altering their tumor-supportive potential, with differential effects observed between AML and CML. Furthermore, in silico predictions suggest that these modified EVs may influence cell sensitivity to antineoplastic agents, suggesting a dual role for SAHA in impairing oncogenic signaling while enhancing therapeutic responsiveness.

conclusionsIn conclusion, the capacity of SAHA to modulate secretion and molecular composition of Leukemia-secreted EVs, alongside its direct cytotoxic effects, underscores its potential in combination therapies aimed to overcoming refractory phenotype by targeting EV-mediated communication.

Indexed as

Extracellular VesiclesLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, AcuteVorinostatAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarcinogenesisCell DifferentiationCell Line, TumorCell SurvivalComputer SimulationDrug Resistance, NeoplasmEpigenesis, GeneticGene Expression Regulation, LeukemicHumansMicroRNAsAntineoplastic AgentsBCLAF1 protein, humanMicroRNAsMIRN194 microRNA, humanProteomeRepressor ProteinsTumor Suppressor ProteinsVorinostatEpigeneticsExtracellular vesiclesLeukemiaSAHATumorigenicity

Identifiers

PMID40211278
PMCPMC11987450

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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.