Evidence map›Paper›PMID 40759630›Full record

ArticleCell death & disease2025

P2X7 a new therapeutic target to block vesicle-dependent metastasis in colon carcinoma: Role of the A2A/CD39/CD73 axis.

Anna Pegoraro, Elena De Marchi, Luigia Ruo, Michele Zanoni, Sofia Chioccioli, Giovanna Caderni, Letizia Alfieri, Marianna Grignolo, Paola Ulivi, Alessandro Passardi and 4 more

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 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.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. 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

14 authors.

Anna PegoraroDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Elena De MarchiDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Luigia RuoDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Michele ZanoniBiosciences Laboratory, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.ORCID http://orcid.org/0000-0003-1826-9430
Sofia ChioccioliNEUROFARBA Department, Pharmacology and Toxicology Section, University of Florence, Florence, Italy.
Giovanna CaderniNEUROFARBA Department, Pharmacology and Toxicology Section, University of Florence, Florence, Italy.
Letizia AlfieriDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Marianna GrignoloDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Paola UliviBiosciences Laboratory, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Alessandro PassardiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Graziana GalloOperative Unit of Pathologic Anatomy, Azienda USL della Romagna, "Maurizio Bufalini" Hospital, Cesena, Italy.
Luca AntonioliDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Francesco Di VirgilioDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy.
Elena AdinolfiDepartment of Medical Sciences, Section of Experimental Medicine, University of Ferrara, Ferrara, Italy. elena.adinolfi@unife.it.ORCID http://orcid.org/0000-0001-8129-9929

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracellular vesicle-driven cancer metastasis represents a therapeutic challenge due to the lack of effective blocking drugs. Our study shows that activation of the P2X7 receptor on colon carcinoma cells causes the release of vesicles carrying CD39 and CD73 ectonucleotidases. These vesicles increase ATP and adenosine levels and, when in vivo administered, significantly enhance colon carcinoma metastasis and circulating levels of vesicles after fourteen days from their injection. Blocking P2X7 prevents vesicular release and substantially reduces vesicle-mediated tumor spreading, positioning P2X7 as a promising therapeutic target for inhibiting extracellular vesicle-mediated dissemination in colon cancer. Additionally, these vesicles upregulate the expression of P2X7 and A2A receptors within the metastatic niche. Antagonists of P2X7 and A2A used alone or in combination effectively inhibit tumor growth in vivo, decreasing metastasis engraftment and IL-17 and IL-23 release. Interestingly, the levels of both cytokines were also reduced by combined P2X7 and A2A blockade in non-tumor-bearing mice. Moreover, P2X7 and A2A upraise in metastatic and APC-mutated colon carcinoma patients and in Apc-disrupted rats. Our findings shed light on the crosstalk of P2X7/CD73/CD39 and A2A in colon cancer metastasis. We propose a novel mechanism facilitating metastatic dissemination and an innovative therapeutic strategy to target receptor signaling and vesicular release.

Indexed as

5'-NucleotidaseAntigens, CDApyraseColonic NeoplasmsExtracellular VesiclesReceptor, Adenosine A2AReceptors, Purinergic P2X7AnimalsCell Line, TumorFemaleGPI-Linked ProteinsHumansMaleMiceNeoplasm MetastasisRats5'-NucleotidaseAntigens, CDApyraseCD39 antigenGPI-Linked ProteinsNT5E protein, humanReceptor, Adenosine A2AReceptors, Purinergic P2X7

Identifiers

PMID40759630
PMCPMC12322077

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.