Evidence map›Paper›PMID 40715489›Full record

ArticleOncogene2025

RFX2-BNIP3 axis-driven adaptive mitophagy promotes resistance to ACK1-targeted therapy in non-small cell lung cancer.

Kui Cao, Shenshui Wei, Tianjiao Ma, Xiaolong Zou, Hongxue Meng, Xinxin Yang, Mengdi Lu, Yuning Wang, Xiangrong He, Jianqun Ma and 1 more

Abstract read
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In one paragraph

Article in Oncogene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Kui Cao *Department of Thoracic Surgery, Harbin Medical University Cancer hospital, Harbin, Heilongjiang, China.
Shenshui Wei *Department of Clinical Laboratory, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Tianjiao Ma *Department of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Xiaolong Zou *Department of Pancreatic and Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Hongxue MengDepartment of Pathology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Xinxin YangDepartment of Pathology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Mengdi LuDepartment of Thoracic Surgery, Harbin Medical University Cancer hospital, Harbin, Heilongjiang, China.
Yuning WangDepartment of Clinical Laboratory, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Xiangrong HeDepartment of Clinical Laboratory, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Jianqun MaDepartment of Thoracic Surgery, Harbin Medical University Cancer hospital, Harbin, Heilongjiang, China. jianqunma@hrbmu.edu.cn.ORCID http://orcid.org/0000-0002-7021-1298
Jinhong ZhuDepartment of Clinical Laboratory, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China. zhujinhong@hrbmu.edu.cn.ORCID http://orcid.org/0000-0002-0408-3101

Funding

Chinese Society of Clinical Oncology (Chinese Society of Clinical Oncology, Beijing Xisike Clinical Oncology Research Foundation) Y-2024AZ(EGFR)MS-0187National Natural Science Foundation of China (National Science Foundation of China) 82172786
6 · The paper itself

Abstract

Activated Cdc42-associated kinase 1 (ACK1) is an oncogenic non-receptor kinase that promotes tumor cell survival and impairs T-cell activation. Targeting ACK1 has great promise in cancer control. However, tumor adaptive responses that may limit the anticancer efficacy of ACK1 inhibition (ACK1i) remain unclear. We found that ACK1i treatment triggered the PINK1/PARKIN-mediated adaptive mitophagy by upregulating the mitophagy receptor BNIP3. Mass/Spectrometry and co-immunoprecipitation (Co-IP) results indicated that ACK1 interacted with transcription factor regulatory factor X 2 (RFX2) through its MHR domain, and competitively inhibits RFX2 ubiquitination via the E3 ubiquitin ligase MIB1. Conversely, ACK1i facilitates MIB1-mediated RFX2 ubiquitination and degradation. Moreover, we observed that RFX2 is a transcriptional suppressor of BNIP3 using luciferase reporter gene assays and chromatin immunoprecipitation (ChIP). Overall, ACK1i treatment causes RFX2 instability and thereby diminishes RFX2's suppressive effects on BNIP3 transcription, leading to BNIP3 accumulation and the activation of mitophagy pathways. This adaptive mitophagy allows NSCLC cells to survive under ACK1 inhibition, potentially reducing the efficacy of ACK1i. ACK1i combined with mitophagy-inhibiting agents may attain a more accomplished response in NSCLC. In conclusion, ACK1i induced mitophagy through the release of RFX2 inhibition on BNIP3 transcription, thereby driving adaptive resistance. Inhibiting mitophagy sensitizes NSCLC to ACK1i.

Indexed as

Carcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmLung NeoplasmsMembrane ProteinsMitophagyProto-Oncogene ProteinsTranscription FactorsAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansMiceBNIP3 protein, humanMembrane ProteinsProto-Oncogene ProteinsTranscription Factors

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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.