Evidence map›Paper›PMID 40212597›Full record

ArticleiScience2025

Versatile roles of annexin A4 in clear cell renal cell carcinoma: Impact on membrane repair, transcriptional signatures, and composition of the tumor microenvironment.

Maximilian Wess, Manuel Rogg, Constance Gueib-Picard, Annika Merz, Anna L Kössinger, Tobias Feilen, Grigor Andreev, Martin Werner, Ian J Frew, Markus Grabbert and 2 more

Abstract read
In one paragraph

Article in iScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Maximilian WessInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Manuel RoggInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Constance Gueib-PicardInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Annika MerzInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Anna L KössingerInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Tobias FeilenInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Grigor AndreevInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Martin WernerInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Ian J FrewDepartment of Internal Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Markus GrabbertDepartment of Urology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Oliver SchillingInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.
Christoph SchellInstitute of Surgical Pathology, Faculty of Medicine, Medical Center - University of Freiburg, 79106 Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clear cell renal cell carcinoma (ccRCC) is the most prevalent renal malignancy with a poor prognosis when metastasized. The invasive growth of cancer cells relates to membrane-damaging forces, but the relevance of plasma membrane repair machinery in ccRCC remains incompletely understood. Employing proteomics, analysis of scRNA-sequencing data, and multiplex imaging, we identified ANXA4 as selectively expressed in ccRCC, with distinct localization patterns at the plasma and nuclear membranes. Genetic titration studies demonstrated that reduced ANXA4 expression impairs membrane repair and invasive capabilities. Further segmentation analysis of ANXA4-low tumors showed a distinct composition of the tumor microenvironment, with increased tumor-infiltrating lymphocytes and acellular extracellular matrix deposition. Transcriptomic analysis demonstrated alterations in epithelial-mesenchymal transition and immune signaling signatures in ANXA4-low tumors. Transcription factor enrichment analysis identified ELF3 as a regulator of invasive properties. Our integrative approach uncovered multiple roles for ANXA4 in modulating membrane repair, transcriptional regulation, and shaping the ccRCC tumor microenvironment composition.

Indexed as

BiochemistryCancerMicroenvironment

Identifiers

PMID40212597
PMCPMC11982489

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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.