Evidence map›Paper›PMID 40957949›Full record

ArticleOncogene2025

RAB22A triggers intercellular chemoresistance transmission in colorectal cancer by promoting exosome release via the PKM2-pSNAP23 axis.

Yuan Yin, Liang Ming, Yan Qin, Junhui Tang, Bingxin Liu, Yuhang Liu, Guoying Jin, Lingzhen Jiang, Surui Yao, Xiaowei Qi and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Rab27: Molecular switch of tumor exosome secretion (Review).International journal of molecular medicine · 2026
    Review
  3. Review
  4. 80 years of extracellular vesicles: from discovery to clinical translation.Extracellular vesicles and circulating nucleic acids · 2026
    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

11 authors.

Yuan Yin *Wuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China. yinyuandiana@jiangnan.edu.cn.
Liang Ming *Wuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yan QinDepartment of Pathology, Affiliated Hospital of Jiangnan University, Wuxi, China.
Junhui TangWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Bingxin LiuWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yuhang LiuWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Guoying JinWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Lingzhen JiangWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Surui YaoWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xiaowei QiDepartment of Pathology, Affiliated Hospital of Jiangnan University, Wuxi, China.
Zhaohui HuangWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China. zhaohuihuang@jiangnan.edu.cn.ORCID 0000-0002-0117-9976

Funding

Basic Research Program of Jiangsu Province BK20241762National Natural Science Foundation of China (National Science Foundation of China) 82472939
6 · The paper itself

Abstract

Chemoresistance is not only related to tumor cells themselves, but also regulated by the interaction between cells in the tumor microenvironment (TME). However, the underlying mechanisms are not well understood. RAB22A, a member of the RAB family of small GTPases that was identified by our group previously as an oncogene in colorectal cancer (CRC). In this study, we demonstrated that elevated expression of RAB22A in CRC cells, particularly in chemoresistant CRC cells, is associated with increased exosome secretion and enhanced chemoresistance. Mechanistically, RAB22A augments exosome secretion by inhibiting the ubiquitination and degradation of pyruvate kinase type M2 (PKM2), then promoting the phosphorylation of synaptosome-associated protein 23 (SNAP-23). Furthermore, RAB22A not only directly promotes chemoresistance in CRC cells but also indirectly induces acquired drug resistance of other CRC cells in the TME by promoting the secretion of RAB22A-PKM2-rich exosomes, thereby triggering intercellular chemoresistance transmission. Together, we reveal an essential role of RAB22A-PKM2-SNAP-23 signaling cascade in exosome induction in chemoresistant CRC cells and intercellular chemoresistance transmission, highlighting that targeting the RAB22A/PKM2/pSNAP axis is a potential novel strategy to reverse chemoresistance, and suggest circulating exosomal RAB22A and PKM2 as markers to predict the efficacy of chemotherapy in CRC.

Indexed as

Carrier ProteinsColorectal NeoplasmsDrug Resistance, NeoplasmExosomesMembrane ProteinsQb-SNARE ProteinsQc-SNARE Proteinsrab GTP-Binding ProteinsThyroid HormonesAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansMiceSignal TransductionThyroid Hormone-Binding ProteinsCarrier ProteinsMembrane ProteinsQb-SNARE ProteinsQc-SNARE ProteinsRAB22A protein, humanrab GTP-Binding ProteinsSNAP23 protein, humanThyroid Hormone-Binding ProteinsThyroid Hormones

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.