Evidence map›Paper›PMID 40501184›Full record

ArticleCancer science2025

Engineered EVs-Mediated miR-222 Targeting PTEN/FN1 Axis Reverses Anthracycline Resistance in HER2-Negative Breast Cancer.

Sujin Yang, Mei Yang, Quanfeng Shao, Dandan Wang, Shanliang Zhong, Suyu Yang, Haiyan Gao, Xihu Qin, Weixian Chen

Abstract read
In one paragraph

Article in Cancer science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

9 authors.

Sujin YangDepartment of Breast Surgery, The First Affiliated Hospital With Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0001-5200-0991
Mei YangDepartment of Breast Surgery, Changzhou No. 2 People's Hospital, The Third Affiliated Hospital of Nanjing Medical University, Changzhou, China.
Quanfeng ShaoDepartment of Breast Surgery, Changzhou No. 2 People's Hospital, The Third Affiliated Hospital of Nanjing Medical University, Changzhou, China.
Dandan WangDepartment of Breast Surgery, The First Affiliated Hospital With Nanjing Medical University, Nanjing, China.
Shanliang ZhongCenter of Clinical Laboratory, Nanjing Medical University Affiliated Cancer Hospital Cancer Institute of Jiangsu Province, Nanjing, China.
Suyu YangDepartment of Traditional Chinese Medicine, Xuanwu District Hospital of Traditional Chinese Medicine, Nanjing, China.
Haiyan GaoDepartment of Breast Surgery, Changzhou Cancer Hospital, Changzhou, China.
Xihu QinDepartment of Breast Surgery, Changzhou No. 2 People's Hospital, The Third Affiliated Hospital of Nanjing Medical University, Changzhou, China.
Weixian ChenDepartment of Breast Surgery, Changzhou No. 2 People's Hospital, The Third Affiliated Hospital of Nanjing Medical University, Changzhou, China.ORCID https://orcid.org/0000-0003-0025-4476

Funding

Changzhou High-Level Medical Talents Training Project 2022CZBJ065Changzhou Science and Technology Program ZD202225China Postdoctoral Science Foundation 2022M711411Excellent Post-doctoral Program of Jiangsu Province 2022ZB820High-level Innovative and Entrepreneurial Talent Introduction Plan of Jiangsu Province 303073540ER21National Natural Science Foundation of China 82102780National Natural Science Foundation of China 82103626National Natural Science Foundation of China 82303449
6 · The paper itself

Abstract

Anthracycline resistance represents a critical therapeutic challenge in breast cancer treatment, wherein alterations in the tumor immune microenvironment and enhanced cellular resistance mechanisms facilitate chemoresistance progression. Transcriptome analysis of 142 HER2-negative breast cancer patients undergoing anthracycline-based chemotherapy revealed four distinct tumor-infiltrating cell subtypes, with subtype D exhibiting elevated M1 macrophage infiltration and superior prognostic outcomes. Differential expression analysis identified miR-222 as the predominantly upregulated microRNA in adriamycin-resistant cells, while Tandem Mass Tag mass spectrometry-based quantitative analysis elucidated PTEN as its direct target and FN1 as a crucial downstream mediator. Engineered extracellular vesicles (EVs) carrying a miR-222 inhibitor were developed to reverse adriamycin resistance via PTEN/FN1 signaling modulation. Molecular docking analysis found specific PTEN-FN1 protein interactions characterized by stable hydrogen bonds at ARG142-ASP23 and ARG15-GLU95. In xenograft models, EVs-mediated delivery of the miR-222 inhibitor significantly attenuated MCF-7/ADR tumor progression through miR-222 suppression and PTEN restoration, with concordant molecular alterations observed in serum-derived EVs. Our findings establish a novel mechanism of EVs-mediated drug resistance through the microRNA-222/PTEN/FN1 axis and present Engineered EVs as a promising therapeutic strategy for anthracycline resistance in breast cancer, while highlighting circulating EVs profiles as potential treatment monitoring biomarkers.

Indexed as

AnthracyclinesBreast NeoplasmsDrug Resistance, NeoplasmExtracellular VesiclesMicroRNAsPTEN PhosphohydrolaseAnimalsCell Line, TumorDoxorubicinErb-b2 Receptor Tyrosine KinasesFemaleGene Expression Regulation, NeoplasticHumansMCF-7 CellsMiceSignal TransductionAnthracyclinesDoxorubicinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesMicroRNAsMIR222, humanPTEN PhosphohydrolasePTEN protein, humanbreast cancerchemoresistanceextracellular vesiclesmicroRNAs (miRNAs)tumor immune microenvironment

Identifiers

PMID40501184
PMCPMC12400054

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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.