Evidence map›Paper›PMID 41975220›Full record

ArticleCell death discovery2026

BIRC3/CAV1 co-expression drives GBM aggressiveness as a prognostic signature and therapeutic vulnerability.

Sara Franceschi, Mariangela Morelli, Francesca Lessi, Francesca Di Lorenzo, Paolo Aretini, Aldo Pastore, Andrea Marranci, Carlo Gambacciani, Francesco Pieri, Federico Villanacci and 11 more

Abstract read
In one paragraph

Article in Cell death discovery, 2026. 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

21 authors.

Sara Franceschi *Fondazione Pisana per la Scienza, Pisa, Italy. s.franceschi@fpscience.it.ORCID http://orcid.org/0000-0002-4246-4407
Mariangela Morelli *Fondazione Pisana per la Scienza, Pisa, Italy.
Francesca LessiFondazione Pisana per la Scienza, Pisa, Italy.
Francesca Di LorenzoFondazione Pisana per la Scienza, Pisa, Italy.
Paolo AretiniFondazione Pisana per la Scienza, Pisa, Italy.
Aldo PastoreFondazione Pisana per la Scienza, Pisa, Italy.
Andrea MarranciFondazione Pisana per la Scienza, Pisa, Italy.
Carlo GambaccianiDepartment of Neurosurgery, Azienda Ospedaliera Toscana Nord-ovest, Livorno, Italy.
Francesco PieriDepartment of Neurosurgery, Azienda Ospedaliera Toscana Nord-ovest, Livorno, Italy.
Federico VillanacciDepartment of Neurosurgery, Azienda Ospedaliera Toscana Nord-ovest, Livorno, Italy.
Nicola MontemurroDepartment of Neurosurgery, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Manuel GiacomarraFondazione Pisana per la Scienza, Pisa, Italy.
Michele MenicagliFondazione Pisana per la Scienza, Pisa, Italy.
Gianmarco FerriFondazione Pisana per la Scienza, Pisa, Italy.
Francesco PasqualettiDivisione di Radioterapia, Istituto Oncologico Veneto - IRCCS, Padova, Italy.
Marco KrengliDivisione di Radioterapia, Istituto Oncologico Veneto - IRCCS, Padova, Italy.
Marc SansonAP-HP, Hôpital de la Pitié-Salpêtrière, Service de Neurologie 2, Paris, France.
Alberto PiccaAP-HP, Hôpital de la Pitié-Salpêtrière, Service de Neurologie 2, Paris, France.
Anna Luisa Di StefanoDepartment of Neurosurgery, Azienda Ospedaliera Toscana Nord-ovest, Livorno, Italy.
Orazio Santo SantonocitoDepartment of Neurosurgery, Azienda Ospedaliera Toscana Nord-ovest, Livorno, Italy.
Chiara Maria MazzantiFondazione Pisana per la Scienza, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma (GBM) is an incurable tumor where temozolomide (TMZ) resistance limits survival, even in MGMT-methylated patients. To improve stratification, we used NAD(P)H-FLIM to profile TMZ response in 35 patient-derived explants, integrating these data with transcriptomic and functional analyses. We identified BIRC3 and CAV1 upregulation in resistant tumors and investigated their parallel yet functionally cooperative role in driving an aggressive, therapy-resistant phenotype. In silico survival analyses demonstrated that BIRC3 and CAV1 act as independent prognostic factors whose additive, non-linear effects robustly stratify patient survival beyond MGMT status, defining a subgroup with <7% 24-month survival. Importantly, BIRC3/cIAP2-driven resistance proved targetable; the IAP antagonist AZD5582 restored TMZ sensitivity by unlocking the apoptotic execution phase, thereby inducing cell death in resistant GBM models in vitro and ex vivo. Our findings establish the BIRC3/CAV1 axis as a key prognostic signature and therapeutic vulnerability in GBM, offering a new path for precision oncology strategies.

Identifiers

PMID41975220
PMCPMC13183958

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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.