Evidence map›Paper›PMID 41620716›Full record

ArticleCell communication and signaling : CCS2026

Annexin A2-dependent extracellular vesicle proteome modulates pre-metastatic stromal fibroblast behavior in triple-negative breast cancer.

Rucha Trivedi, Payal Ranade, Jamboor K Vishwanatha

Abstract read
In one paragraph

Article in Cell communication and signaling : CCS, 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

3 authors.

Rucha TrivediUniversity of North Texas Health Science Center, Fort Worth, TX, USA.
Payal RanadeUniversity of North Texas Health Science Center, Fort Worth, TX, USA.
Jamboor K VishwanathaUniversity of North Texas Health Science Center, Fort Worth, TX, USA. jamboor.vishwanatha@unthsc.edu.

Funding

Texas Minority Health, Research and Outreach (MiHERO)S21MD012472 · NIMHD · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI JAMBOOR K. VISHWANATHA · 2017 to 2026
$18.0M
Investigating serum exosomal annexin A2 in promoting aggressive TNBC in African American womenR01CA220273 · NCI · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI VISHWANATHA, JAMBOOR K. · 2017 to 2022
$1.8M
Cancer Prevention and Research Institute of Texas RP210046NCI NIH HHS R01CA220273NIMHD NIH HHS S21MD012472
6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) is an aggressive subclass of breast cancer with limited treatment options and a strong tendency to metastasize to the lung. Tumor-derived extracellular vesicles (EVs) are key mediators of stromal reprogramming in the pre-metastatic niche. Annexin A2 (AnxA2) is overexpressed in TNBC and linked to signal transduction, cytoskeletal remodeling, and poor prognosis, but its role in shaping EV cargo composition and consequent stromal behavior remains unclear.

methodsEVs were isolated from the conditioned media of MDA-MB-4175 (LM2) TNBC cells with stable AnxA2 knockdown and control cells using differential ultracentrifugation. EVs were characterized and validated using nanoparticle tracking analysis, Western blotting, and cryo-electron microscopy. EV proteomes were profiled using quantitative proteomics, followed by bioinformatic analyses. Functional and pathway enrichment was performed to identify proteome signatures altered by AnxA2 depletion. The internalization of EVs by recipient lung fibroblasts (MRC-5 and WI-38 cells) was assessed using confocal imaging, and EV-mediated effects on fibroblast behavior were evaluated through migration assays and immunoblotting for proteins associated with fibroblast activation.

resultsAnxA2 knockdown reduced pro-metastatic cellular properties in LM2 cells. EVs from AnxA2-deficient cells displayed reduced abundance of proteins involved in cytoskeletal regulation, adhesion, and vesicle trafficking, with enrichment of immune-related proteins. Pathway analyses predicted reduced motility and vesicle trafficking signaling. PKH26 labeled EVs derived from AnxA2 expressing cells exhibited increased internalization by lung fibroblasts as detected by confocal imaging. Functionally, AnxA2-enriched EV-mediated interactions enhanced fibroblast migration, proliferation, and activation marker expression compared with AnxA2-deficient EVs, consistent with the predicted proteomic changes.

conclusionsAnxA2 emerges as a regulator of the protein composition of TNBC-derived EVs, enhancing EV-mediated interactions with lung fibroblasts and modulating fibroblast motility and activation, linking tumor cell protein expression to stromal remodeling in the lung microenvironment. This work establishes a framework suggestive of an EV cargo-driven mechanism through which EVs derived from AnxA2-expressing cells may influence lung-specific metastatic colonization in TNBC and highlights the importance of evaluating EV-mediated communication in cancer progression.

Indexed as

Annexin A2Extracellular vesiclesFibroblast activationMetastasisProteomic profilingStromal remodelingTriple-negative breast cancerTumor microenvironment

Identifiers

PMID41620716
PMCPMC12934012

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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.