Evidence map›Paper›PMID 42243969›Full record

ArticleJournal of nanobiotechnology2026

Targeted delivery of TGF-β inhibitor via LHRH-NanoTi reverses the NAT10/ac4C-mediated cisplatin-induced immunosuppressive tumor microenvironment in ovarian cancer.

Fei Lv, Qihang Zhao, Ruoyao Zou, Xiaoye Ye, Yidan Shen, Lijun Meng, Jialu Guo, Yahui Wang, Yingling Zheng, Yanpeng Liu and 3 more

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 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.

Fei Lv *Department of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Qihang Zhao *Department of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Ruoyao Zou *Department of Gynecologic Oncology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Xiaoye Ye *The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou First People's Hospital, Hangzhou, China.
Yidan ShenZhejiang University School of Medicine, Hangzhou, China.
Lijun MengZhejiang Key Laboratory of Zero Magnetic Medicine, School of Medicine, Affiliated Hangzhou First People's Hospital, Westlake University, Hangzhou, China.
Jialu GuoDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Yahui WangDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Yingling ZhengDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Yanpeng LiuZhejiang Key Laboratory of Zero Magnetic Medicine, School of Medicine, Affiliated Hangzhou First People's Hospital, Westlake University, Hangzhou, China. liu_yanpeng@126.com.
Shuai WangDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. wmmkao2@163.com.
Yongfeng WuDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. wuyongfeng@hospital.westlake.edu.cn.
Jinyi TongDepartment of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. tongjinyi@hospital.westlake.edu.cn.

Funding

Medical and health research project of Zhejiang province 2025KY1044Medical and Health Technology Project of Hangzhou A20241498Natural Science Foundation of Zhejiang Province LQ24C050005Natural Science Foundation of Zhejiang Province LZ26C100002the Construction Fund of Key Medical Disciplines of Hangzhou 2025HZZD07the Medical and Health Research Project of Zhejiang Province 2025KY1071Zhejiang Provincial Traditional Chinese Medicine Science and Technology Project 2026ZL0104
6 · The paper itself

Abstract

backgroundPlatinum-based chemotherapy for ovarian cancer is frequently compromised by the development of drug resistance, which is often accompanied by an immunosuppressive tumor microenvironment. The molecular mechanisms linking cisplatin resistance to immune evasion remain poorly understood, hindering the development of effective combination therapies.

resultsThis study revealed that cisplatin-induced resistance and immunosuppression were driven by reduced N-acetyltransferase 10 (NAT10)-mediated N4-acetylcytidine (ac4C) modification, which produced two distinct unfavorable effects: (1) activation of the DNA damage repair pathway, thereby promoting cisplatin resistance; and (2) activation of the TGF-β pathway through enhanced translation efficiency of Gdf6 and Inhba. Mechanistically, NAT10 bound to ribosomal proteins RPS3 and RPS6, creating a steric barrier that inhibited the loading of ac4C-modified mRNAs onto ribosomes. Elevated TGF-β signaling increased the infiltration of myeloid-derived suppressor cells, M2 macrophages, exhausted CD8 + T cells, and regulatory T cells within the tumor microenvironment. To target this pathway, we developed a luteinizing hormone-releasing hormone (LHRH) receptor-targeted nanodelivery system (NanoTi) for a TGF-β inhibitor, which synergized with cisplatin to achieve superior antitumor efficacy by effectively reversing the immunosuppressive microenvironment.

conclusionsOur findings suggest that cisplatin-induced NAT10/ac4C downregulation may contribute to platinum resistance and immunosuppression in ovarian cancer, and targeted TGF-β inhibition reverses cisplatin-induced immunosuppression in preclinical ovarian cancer models.

Indexed as

CisplatinOvarian NeoplasmsTransforming Growth Factor betaTumor MicroenvironmentAnimalsAntineoplastic AgentsCell Line, TumorDrug Resistance, NeoplasmFemaleHumansMiceSignal TransductionAntineoplastic AgentsCisplatinTransforming Growth Factor betaac4CLHRHNAT10Ovarian cancerTGF-βTumor microenvironment

Identifiers

PMID42243969
PMCPMC13455264

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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.