Evidence map›Paper›PMID 40569831›Full record

ArticleMolecular oncology2025

Targeting carbonic anhydrase IX/XII prevents the anti-ferroptotic effect of stromal lactic acid in prostate carcinoma.

Elisa Pardella, Giuseppina Comito, Luigi Ippolito, Erica Pranzini, Marta Iozzo, Giulia Gangarossa, Francesca Virgilio, Silvia Bua, Alessio Nocentini, Giada Sandrini and 9 more

Abstract read
In one paragraph

Article in Molecular oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

19 authors.

Elisa PardellaDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.ORCID 0000-0001-5655-6428
Giuseppina ComitoDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Luigi IppolitoDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Erica PranziniDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Marta IozzoDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Giulia GangarossaDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Francesca VirgilioDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Silvia BuaDepartment of NEUROFARBA, Pharmaceutical and Nutraceutical Section, University of Florence, Italy.
Alessio NocentiniDepartment of NEUROFARBA, Pharmaceutical and Nutraceutical Section, University of Florence, Italy.
Giada SandriniInstitute of Oncology Research (IOR), Università della Svizzera Italiana (USI), Bellinzona, Switzerland.
Nicla LoritoDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Marina BacciDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.
Gabriella NesiSection of Pathological Anatomy, Department of Health Sciences, University of Florence, Italy.
Pietro SpataforaUnit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Italy.
Sergio SerniUnit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Italy.
Claudiu T SupuranDepartment of NEUROFARBA, Pharmaceutical and Nutraceutical Section, University of Florence, Italy.
Andrea MorandiDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.ORCID 0000-0002-9222-5332
Paola ChiarugiDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.ORCID 0000-0001-7655-2969
Elisa GiannoniDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Italy.ORCID 0000-0001-7136-1098

Funding

Associazione Italiana per la Ricerca sul Cancro IG22941Associazione Italiana per la Ricerca sul Cancro IG24731Creation and strengthening of "Innovative ecosystems", construction of "territorial R&D leaders" - TUSCANY HEALTH ECOSYSTEM (THE) NextGenerationEU ECS_00000017European Union, National Recovery and Resilience Plan (PNRR), Mission 4 Component 2 - Investment 1.4 - National Center (NC) for Gene Therapy and Drugs based on RNA technology - NextGenerationEU CN00000041Italian Ministry of University and Research within the PRIN2022 program (Progetti di Ricerca di Rilevante Interesse Nazionale 2022) in the framework of the National Recovery and Resilience Plan (PNRR), Mission 4 - Component 2 - Investment 1.1 "Research Projects of Relevant National Interest (PRIN), funded by the European Union - NextGenerationEU 2022F5JLSEItalian Ministry of University and Research within the PRIN2022 program (Progetti di Ricerca di Rilevante Interesse Nazionale 2022) in the framework of the National Recovery and Resilience Plan (PNRR), Mission 4 - Component 2 - Investment 1.1 "Research Projects of Relevant National Interest (PRIN), funded by the European Union - NextGenerationEU P2022CE7SP
6 · The paper itself

Abstract

Ferroptosis is a form of regulated cell death dependent on iron-driven phospholipid peroxidation and is controlled by both cell autonomous and non-cell autonomous mechanisms. In prostate cancer (PCa), tumor cells engage in a metabolic crosstalk with cancer-associated fibroblasts (CAFs), resulting in increased utilization of CAF-secreted lactic acid, that ultimately supports cancer aggressiveness. In this context, the effect of the prostate tumor microenvironment in modulating ferroptosis sensitivity has not yet been extensively investigated. Here, we demonstrate that CAF-secreted lactic acid protects PCa cells from ferroptosis induction and supports the upregulation of the antioxidant enzyme glutathione peroxidase 4 (GPX4). Interestingly, targeting carbonic anhydrase IX/XII (CA IX/XII), the main regulators of microenvironmental acidosis, in tumor and stromal compartments hinders lactic acid shuttle within the tumor-stroma interplay and thus, prevents ferroptosis resistance induced by lactic acid. Analyses of tissue samples from PCa patients also revealed that GPX4, CA IX, and CA XII expression levels increase during PCa progression. Overall, these findings support a role for stromal lactic acid in mediating ferroptosis resistance in PCa, identifying CA IX/XII as potential therapeutic targets regulating ferroptosis sensitivity.

Indexed as

Antigens, NeoplasmCarbonic Anhydrase IXCarbonic AnhydrasesFerroptosisLactic AcidProstatic NeoplasmsCancer-Associated FibroblastsCell Line, TumorHumansMalePhospholipid Hydroperoxide Glutathione PeroxidaseStromal CellsTumor MicroenvironmentAntigens, NeoplasmCA9 protein, humanCarbonic Anhydrase IXCarbonic Anhydrasescarbonic anhydrase XIILactic AcidPhospholipid Hydroperoxide Glutathione Peroxidasecancer‐associated fibroblastscarbonic anhydraseferroptosislactic acidprostate cancertumor microenvironment

Identifiers

PMID40569831
PMCPMC12420354

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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.