Evidence map›Paper›PMID 42693241›Full record

ArticleExperimental & molecular medicine2026

Bone marrow stromal cells promote chemoresistance in acute myeloid leukaemia through P2RX7-mediated antioxidant defence.

Ruolan You, Xiaoting Wang, Xiaoming Zheng, Wenqi Fang, Cen Jiang, Jingru Liu, Xiaolin Xu, Maoqing Tan, Danni Cai, Diyu Hou and 3 more

Abstract read
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Article in Experimental & molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Ruolan You *Central Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Xiaoting Wang *Central Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Xiaoming Zheng *Department of Clinical Laboratory, Wuhan Fourth Hospital, Wuhan, Hubei, 430033, China.
Wenqi FangCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Cen JiangCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.ORCID http://orcid.org/0009-0006-4858-5337
Jingru LiuCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Xiaolin XuCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Maoqing TanCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Danni CaiCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Diyu HouCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Jing ZhengFujian Institute of Hematology, Fujian Provincial Key Laboratory on Hematology, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Xinjian LinKey Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, Fujian, 350122, China. xlin@fjmu.edu.cn.
Huifang HuangCentral Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China. huanghuif@fjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myeloid leukaemia (AML) remains a therapeutically challenging malignancy owing to its high relapse rates and chemoresistance, often linked to elevated antioxidant defences. Here, we demonstrate that bone marrow stromal cells (BMSCs) confer chemoresistance in AML by upregulating the purinergic receptor P2RX7. Blocking P2RX7 restored chemosensitivity of AML cells. Mechanistically, BMSC-mediated P2RX7 overexpression induces calcium influx and mitochondrial calcium overload, triggering mitochondrial stress and a compensatory antioxidant response. This process involves mitochondrial phosphoglycerate mutase 5 (PGAM5) transducing reactive oxygen species signals, interfering with Keap1-Nrf2 complex formation and leading to Nrf2 stabilization, thereby enhancing cellular antioxidant defences. These findings identify a vital role of P2RX7 in the BMSC-driven redox adaptation programme that underlies AML chemoresistance and highlight P2RX7 signalling as a potential therapeutic target.

Indexed as

AntioxidantsDrug Resistance, NeoplasmLeukemia, Myeloid, AcuteMesenchymal Stem CellsReceptors, Purinergic P2X7AnimalsCalciumCell Line, TumorHumansMitochondriaOxidative StressReactive Oxygen SpeciesSignal TransductionAntioxidantsCalciumP2RX7 protein, humanReactive Oxygen SpeciesReceptors, Purinergic P2X7

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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.