Evidence map›Paper›PMID 40290881›Full record

ArticleMaterials today. Bio2025

An exosome-based nanoplatform for siRNA delivery combined with starvation therapy promotes tumor cell death through autophagy, overcoming refractory KRAS-mutated tumors and restoring cetuximab chemosensitivity.

Yurong Xiang, Qiang Liu, Kang Liu, Liuxian Chen, Fengjiao Chen, Tao Li, Siqi Li, Qiang Yu, Quan Lv, Zheng Xiang

Abstract read
In one paragraph

Article in Materials today. Bio, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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.

Yurong XiangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.
Qiang LiuDepartment of Hepatobiliary Surgery, Suining First People's Hospital, 22 Youfang Street, 629000, Suining, China.
Kang LiuDepartment of Cardiovascular Surgery, Fuwai Yunnan Cardiovascular Hospital, 528 Shahe North Road, 400042, Kunming, China.
Liuxian ChenDepartment of Key Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, No.1 Medical College Road, 400016, Chongqing, China.
Fengjiao ChenCenter for Clinical Molecular Medical Detection and Biobank, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.
Tao LiDepartment of Key Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, No.1 Medical College Road, 400016, Chongqing, China.
Siqi LiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.
Qiang YuDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.
Quan LvDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.
Zheng XiangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, 400000, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multi-drug combination therapy is one of the most effective strategies for the treatment of drug-resistant and advanced tumors. Modern nanodrug delivery systems are crucial for multi-drug combination therapy and gene therapy. However, research on direct injection of RNAi has not yielded significant results. Artificial vectors are emerging as promising delivery systemts for RNA for gene therapy. In this study, a multi-drug therapy system was built based on a biodegradable exosome nano-platform exploiting the protective and low immunogenic properties of exosomes for RNA. This work aimed to accomplish the co-delivery of siRNA and 3-Bromopyruvic acid (3BP) on an exosome nanoplatform, enhancing targeting by coupling cetuximab (CTX) to exosome membranes, resulting in a new nanomedicine Exo@siRNA/3BP-CTX (ERBC) engineered exosomes. The synthesis conditions were optimized to obtain stable, safe, and effective nanomedicines. Successful targeting of tumors with CTX inhibited KRAS oncogene expression and significantly reduced glucose uptake by cancer cells. This enhanced the starvation therapy effect of the energy deprivation agent 3BP, thus promoting excessive autophagy activation in cells and doubling apoptosis. However, ERBC combined with CTX therapy restored cellular chemosensitivity to CTX. These findings indicate that engineered exosomes with dual therapeutic activities is a promising approach for treating refractory KRAS-mutant cancers.

Indexed as

Cetuximab chemosensitivityColorectal cancerExosomeKRAS mutationStarvation therapy

Identifiers

PMID40290881
PMCPMC12022660

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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.