Evidence map›Paper›PMID 41440011›Full record

ReviewCells2025

Exportin 1 as a Therapeutic Target to Overcome Drug Resistance in Lung Cancer.

Maria Vittoria Di Marco, Alessandro Gasparetto, Roberto Chiarle, Claudia Voena

Abstract readReview
In one paragraph

Review in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Maria Vittoria Di MarcoDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10124 Turin, Italy.ORCID 0009-0007-5162-5077
Alessandro GasparettoDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0003-1665-3594
Roberto ChiarleDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0003-1564-8531
Claudia VoenaDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0002-1324-1431

Funding

Project 3P50CA265826 · NCI · DANA-FARBER CANCER INST · PI Daniel Botelho Costa · 2022 to 2026
$13.7M
Compagnia di San Paolo Fondazione CRT - 2022Italian Association for Cancer Research IG 2019 - ID. 23146NCI NIH HHS P50 CA265826NIH HHS 1P50CA265826-01A1
6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) remains the leading cause of cancer-related mortality, with therapeutic resistance continuing to limit long-term responses. Among emerging resistance mechanisms, dysregulation of nucleocytoplasmic transport has gained attention for its ability to inactivate tumor suppressor pathways. Exportin 1 (XPO1), the primary nuclear export protein, is frequently overexpressed in NSCLC and promotes the cytoplasmic mislocalization of proteins involved in cell cycle control, apoptosis, and DNA repair. This includes key regulators such as p53, FOXO, and RB, whose inactivation supports tumor progression and therapy resistance. Inhibition of XPO1 with selective inhibitors of nuclear export (SINE) compounds, including selinexor, has demonstrated the ability to restore nuclear localization and function of these proteins, thereby enhancing cellular sensitivity to DNA-damaging agents, kinase inhibitors, and immunotherapies. In preclinical NSCLC models, XPO1 inhibition has shown efficacy both as monotherapy and in combination strategies, with particular promise in KRAS- and EGFR-driven tumors. This review explores the role of XPO1 in NSCLC biology and therapy resistance, the rationale for targeting nuclear export, and the current landscape of XPO1-directed clinical development in lung cancer.

Indexed as

Carcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmKaryopherinsLung NeoplasmsMolecular Targeted TherapyReceptors, Cytoplasmic and NuclearActive Transport, Cell NucleusAnimalsExportin 1 ProteinHumansHydrazinesTriazolesExportin 1 ProteinHydrazinesKaryopherinsReceptors, Cytoplasmic and NuclearselinexorTriazolesdrug resistanceNSCLCTP53XPO1

Identifiers

PMID41440011
PMCPMC12731885

What OpenQuestion holds

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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.