Evidence map›Paper›PMID 42206267›Full record

ArticleHuman mutation2026

PLSCR3 Deficiency Triggers mtDNA-Driven cGAS-STING Activation to Potentiate Antitumor Immunity in Colorectal Cancer.

Limian Ling, Jingyu Wu, Lei Bao, Zhaohui Liu, Qun Deng, Xiaowen Ji, Shaojun Yu, Feng Yu, Akao Zhu, Qian Xiao and 1 more

Abstract read
In one paragraph

Article in Human mutation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Limian LingDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Jingyu WuZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China, cas.cn.
Lei BaoOperating Room, General Hospital of Medical Group in Pingzhuang Mining Area, Chifeng, Inner Mongolia, China.
Zhaohui LiuDepartment of Anorectal Surgery, First People's Hospital of Yuhang District, Hangzhou, Zhejiang, China.
Qun DengDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Xiaowen JiDepartment of Surgery, Longquan People's Hospital, Lishui, Zhejiang, China.
Shaojun YuDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Feng YuDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Akao ZhuDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Qian XiaoDepartment of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.
Wenwen ZhengCancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, zju.edu.cn.ORCID https://orcid.org/0000-0002-2817-7348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunotherapy efficacy in colorectal cancer (CRC) is largely restricted to microsatellite instability-high (MSI-H) tumors, highlighting an urgent need to overcome resistance in microsatellite-stable (MSS) CRC. Mitochondrial DNA (mtDNA) leakage activates the cGAS-STING pathway, a potent inducer of antitumor immunity. However, endogenous regulators constraining mtDNA release in CRC, particularly within the inner mitochondrial membrane (IMM), remain poorly defined. Methods: In CRC cohorts from TCGA, integrated bioinformatics analysis identified dysregulated mitochondria-associated genes exhibiting significant differential expression and survival outcomes. Phospholipid Scramblase 3 (PLSCR3) emerged as the prime candidate. Functional validation employed siRNA knockdown and CRISPR/Cas9 knockout in human (HT29) and mouse (CT26) CRC cell lines. Mitochondrial integrity was evaluated via JC-1 membrane potential assay, oxygen consumption rate (OCR) measurement, and cytosolic mtDNA quantification. cGAS-STING activation was measured by 2 Results: PLSCR3 was selected for further study because it fulfilled three criteria simultaneously: differential expression in CRC, significant association with survival in univariate analysis, and established mitochondrial localization. PLSCR3 deficiency disrupted mitochondrial integrity, causing membrane depolarization, impaired respiration, and significant cytosolic mtDNA accumulation. This mtDNA leakage robustly activated the cGAS-STING pathway, evidenced by increased 2 Conclusion: Our study identifies PLSCR3 as a previously unrecognized negative regulator of mtDNA-associated cGAS-STING activation in CRC. By maintaining mitochondrial homeostasis and limiting mtDNA leakage, PLSCR3 constrains innate immune signaling and reduces sensitivity to anti-PD-1 therapy in the CT26 model. These findings establish PLSCR3 as a promising therapeutic target to enhance immunotherapy responses in CRC.

Indexed as

Colorectal NeoplasmsDNA, MitochondrialMembrane ProteinsNucleotidyltransferasesPhospholipid Transfer ProteinsAnimalsCell Line, TumorcGAS-STING Signaling PathwayCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseGene Expression Regulation, NeoplasticHumansMiceMitochondriaSTING ProteinTumor MicroenvironmentcGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDNA, MitochondrialMembrane ProteinsNucleotidyltransferasesPhospholipid Transfer ProteinsSTING1 protein, humanSTING Proteinanti-PD-1cGAS-STING pathwaycolorectal cancer (CRC)immunotherapy resistancemicrosatellite-stable (MSS)mitochondrial DNA (mtDNA)mitochondrial integrityPLSCR3tumor immunity

Identifiers

PMID42206267
PMCPMC13201902

What Socratic holds

Textmetadata
LicenceCC BY
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.