Evidence map›Paper›PMID 42125308›Full record

ArticleResearch (Washington, D.C.)2026

Tumor-Derived Exosomal Fatty Acids Reprogram Neutrophils to Drive Neutrophil Extracellular Traps Formation and Lung Cancer Progression.

Lulu Han, Yuxin Chen, Ruchen Wu, Junze Chen, Zhaokai Chen, Ying Cai, Shuxin Huang, Haoqing Gu, Xiaoyi Zhuang, Yanfang Lv and 3 more

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 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

13 authors.

Lulu HanCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Yuxin ChenCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Ruchen WuCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Junze ChenCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Zhaokai ChenCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Ying CaiCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Shuxin HuangCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Haoqing GuCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Xiaoyi ZhuangCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Yanfang LvCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Huizhong LiCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.
Liantao LiCenter of Clinical Oncology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Xuzhou 221002, China.
Gang WangCancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou 221004, China.ORCID https://orcid.org/0000-0001-6020-7263

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-infiltrating neutrophils are increasingly recognized as key drivers of cancer progression, but the mechanisms that govern their protumoral reprogramming remain elusive. Here, we demonstrated that lung cancer-derived exosomes (LDEs) deliver free fatty acids into neutrophils, triggering lipid accumulation, fatty acid β-oxidation, and mitochondrial reactive oxygen species production. This metabolic reprogramming culminates in enhanced neutrophil extracellular traps (NETs) formation, which accelerates lung cancer growth. Mechanistically, Ras-related protein Rab-34 (Rab34), a small guanosine triphosphatase, regulates neutrophil uptake of LDEs. Knockdown of Rab34 in neutrophils dramatically attenuated LDEs-induced lipid accumulation, fatty acid β-oxidation activation, and NETs formation, thereby mitigating neutrophil-involved lung cancer progression in vivo. Deoxyribonuclease I-mediated NETs degradation further confirmed the dependency of lung cancer growth on NETs. These findings uncovered a Rab34-dependent way by which LDEs reprogram neutrophils via exosomal free fatty acids, offering Rab34 and NET-associated pathways as potential therapeutic targets in lung cancer.

Identifiers

PMID42125308
PMCPMC13158458

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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.