Evidence map›Paper›PMID 41174352›Full record

ArticleMolecular oncology2026

Class IIa HDACs forced degradation allows resensitization of oxaliplatin-resistant FBXW7-mutated colorectal cancer.

Vanessa Tolotto, Nicolò Gualandi, Ylenia Cortolezzis, Raffaella Picco, Monica Colitti, Francesca D'Este, Mariachiara Gani, Wayne W Hancock, Giovanni Terrosu, Cristina Degrassi and 4 more

Abstract read
In one paragraph

Article in Molecular oncology, 2026. 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

14 authors.

Vanessa TolottoLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Nicolò GualandiLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Ylenia CortolezzisLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Raffaella PiccoLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Monica ColittiDipartimento di Scienze Agroalimentari, Ambientali e Animali, Università Degli Studi di Udine, Italy.
Francesca D'EsteLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Mariachiara GaniLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Wayne W HancockDivision of Transplant Immunology, Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Giovanni TerrosuDepartment of Medicine, Institute for Biomedicine, Università Degli Studi di Udine, Italy.
Cristina DegrassiMTTLab, Trieste, Italy.
Francesca AgostiniLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.
Claudio BrancoliniLaboratory of Epigenomics, Department of Medicine, Università Degli Studi di Udine, Italy.ORCID 0000-0002-6597-5373
Luigi E XodoLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.ORCID 0000-0003-3344-7207
Eros Di GiorgioLaboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.ORCID 0000-0003-0202-2222

Funding

Fondazione AIRC per la Ricerca sul Cancro AIRC MFAG ID25000Worldwide Cancer Research 25-0202
6 · The paper itself

Abstract

Epigenetic plasticity and large-scale chromatin remodeling characterize tumor evolution and the emergence of subclones resistant to conventional therapies. Catalytically inactive class IIa HDACs (HDAC4, HDAC5, HDAC7, HDAC9) control the targeted recruitment of chromatin remodeling complexes, making them attractive therapeutic targets in oncology. In this study, we found that HDAC4 is degraded by the proteasome in cancer cells with impaired DNA repair by homologous recombination and after oxaliplatin (OXPT) treatment. Genetic screening identified FBXW7 as the E3 ligase responsible for HDAC4 degradation. FBXW7 loss-of-function mutations are frequently found in patients with colorectal cancer (CRC) and were found associated with the development of resistance to OXPT. Forced degradation of Class IIa HDACs using a PROTAC-based compound restored OXPT sensitivity in FBXW7-mutated CRC cells, patient-derived organoids (PDOs), and mice. Mechanistically, removal of HDAC4 in FBXW7-mutated CRC treated with OXPT recreated an epigenetic state comparable to OXPT-sensitive cells. Furthermore, patient profiling based on the epigenetic state of the super-enhancers controlled by HDAC4 successfully identified a priori CRC patients resistant to platinum. This study supports HDAC4 as a key mediator of oxaliplatin resistance in FBXW7-mutated CRC and highlights the remodeling of a well-defined super-enhancer repertoire as part of the process of OXPT resensitization.

Indexed as

Colorectal NeoplasmsDrug Resistance, NeoplasmF-Box-WD Repeat-Containing Protein 7Histone DeacetylasesMutationOxaliplatinProteolysisRepressor ProteinsAnimalsCell Line, TumorEpigenesis, GeneticHumansMiceF-Box-WD Repeat-Containing Protein 7FBXW7 protein, humanHDAC4 protein, humanHistone DeacetylasesOxaliplatinRepressor Proteinscolon cancerepigenetic landscapeHDAC4oxaliplatinPROTACsuper‐enhancer

Identifiers

PMID41174352
PMCPMC13042376

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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.