Evidence map›Paper›PMID 40603319›Full record

ArticleCell death & disease2025

N6-methyladenosine-mediated upregulation of MANF promotes ER stress resistance in renal cell carcinoma.

Junjie Cen, Dongliang Zhao, Xin Shi, Jinlong Chen, Hang Zhou, Yanping Liang, Chengpeng Gui, Wei Chen, Junhang Luo, Xu Chen

Abstract read
In one paragraph

Article in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Beyond mBiomedicines · 2026
    Review
  2. Review
  3. The Role of NMedComm · 2026
    Review
  4. Article
  5. Review
  6. 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

10 authors.

Junjie Cen *Department of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Dongliang Zhao *Department of Pathology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Xin Shi *Department of Pediatrics, The Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, People's Republic of China.
Jinlong ChenDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Hang ZhouDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Yanping LiangDepartment of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Chengpeng GuiDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.
Wei ChenDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China.ORCID http://orcid.org/0000-0002-8701-6405
Junhang LuoDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China. luojunh@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-5706-0990
Xu ChenDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan Road II, Guangzhou, 510080, People's Republic of China. chenxu25@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0001-7157-9804

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81202011National Natural Science Foundation of China (National Science Foundation of China) 81572522National Natural Science Foundation of China (National Science Foundation of China) 82203437National Natural Science Foundation of China (National Science Foundation of China) 82302613
6 · The paper itself

Abstract

Renal cell carcinoma (RCC) remains a significant clinical challenge due to its increasing incidence and resistance to conventional therapy. This study identifies an unprecedented mechanism by which mesencephalic astrocyte-derived neurotrophic factor (MANF) contributes to RCC progression. From single-cell transcriptome, we observed a significant upregulation of MANF in RCC compared to its progenitor cells, the proximal tubular cells. Mechanistically, decreased N6-methyladenosine (m6A) modification on MANF mRNA, mediated by the upregulation of the m6A demethylase ALKBH5, led to reduced RNA degradation and increased MANF protein expression. Furthermore, while the common von Hippel-Lindau (VHL) deletion in RCC results in the accumulation of misfolded proteins and endoplasmic reticulum (ER) stress, increased MANF efficiently mitigated ER stress by binding to phosphorylated inositol-requiring enzyme-1 alpha (IRE1α) and inhibited its phosphorylation, indicating that MANF-mediated ER stress resistance compensates for the negative effects of VHL depletion and contributes to the survival of RCC. Our findings highlight a potential therapeutic strategy for RCC by targeting the m6A-mediated regulation, directly degrading MANF protein or inhibiting its function.

Indexed as

AdenosineCarcinoma, Renal CellEndoplasmic Reticulum StressKidney NeoplasmsNerve Growth FactorsAnimalsCell Line, TumorEndoribonucleasesGene Expression Regulation, NeoplasticHumansMiceProtein Serine-Threonine KinasesUp-RegulationVon Hippel-Lindau Tumor Suppressor ProteinAdenosineEndoribonucleasesERN1 protein, humanMANF protein, humanNerve Growth FactorsN-methyladenosineProtein Serine-Threonine KinasesVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID40603319
PMCPMC12222710

What OpenQuestion holds

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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.