Evidence map›Paper›PMID 41298761›Full record

ArticleNPJ precision oncology2025

GLMP promotes EGFR-TKI resistance by activating autophagy and RhoA pathway in non-small cell lung cancer.

Xiao Liang, Jiali Xu, Suhui Shu, Wei Lv, Dandan Yin, Sunan Miao, Xiyi Lu, Chen Zhang, Xinyin Liu, Jiali Dai and 4 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. 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.

Xiao Liang *Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiali Xu *Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Suhui Shu *Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China.
Wei Lv *Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China.
Dandan Yin *Clinical Research Center, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, China.
Sunan MiaoDepartment of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China.
Xiyi LuDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Chen ZhangDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Xinyin LiuDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiali DaiDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jun LiDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Weibing WuDepartment of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. wuweibing95@njmu.edu.cn.
Erbao ZhangDepartment of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China. erbaozhang@njmu.edu.cn.
Renhua GuoDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. rhguo@njmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) restricts the long-term efficacy of treatment in patients with lung cancer. Here, we report that the EGFR-TKI resistance mechanism is mediated by lysosome-related regulation. The overexpression of glycosylated lysosomal membrane protein (GLMP), a lysosomal membrane protein, promotes resistance to Osimertinib both in vitro and in vivo. Mechanistically, GLMP could regulate the ubiquitination of RhoA and promote resistance by activating the epithelial-mesenchymal transition (EMT), which involves the RhoA pathway and activates the late stage of autophagy. Inhibition of the RhoA pathway alone enhances the initiation stage of autophagy. Lysosomal hyperactivity in TKI-resistant cells sustains the flow of autophagy. Therefore, the combined inhibition of the RhoA pathway and autophagy can effectively attenuate EGFR-TKI resistance. Our findings provide a potential therapeutic strategy to overcome resistance to EGFR-TKIs.

Identifiers

PMID41298761
PMCPMC12678831

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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.