PinX1 inhibits migrasomes-mediated mitochondrial transfer to confer cisplatin sensitivity in nasopharyngeal carcinoma

Juan Zhang1, Junqi Wang2, Tingfeng Liang1

  • 1Department of Otorhinolaryngology Head and Neck Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Oncogene
|May 5, 2026
PubMed

Insights

Chemotherapy resistance in nasopharyngeal carcinoma (NPC) is linked to migrasomes. Targeting the TP53-PinX1-Rab11a pathway can reduce migrasome formation, overcoming cisplatin resistance in NPC.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Medicine

Background:

  • Chemotherapy resistance significantly hinders nasopharyngeal carcinoma (NPC) treatment outcomes.
  • Migrasomes, involved in removing damaged mitochondria, are implicated in cancer cell resistance, but their role in NPC chemoresistance is unclear.

Purpose of the Study:

  • To investigate the role and underlying mechanisms of migrasomes in cisplatin resistance in NPC.
  • To identify potential therapeutic targets for reversing chemotherapy resistance in NPC.

Main Methods:

  • Comparative analysis of migrasome formation in cisplatin-sensitive and resistant NPC cells.
  • Investigation of the regulatory roles of PinX1 and TP53 in migrasome formation and chemoresistance.
  • Molecular analyses including gene expression, protein binding, SUMOylation, and degradation assays.
  • Assessment of mitochondrial export and cellular energy metabolism.

Main Results:

  • Migrasome formation increased in cisplatin-resistant NPC cells; inhibition reduced resistance.
  • TP53 enhances PinX1 transcription; low PinX1 expression correlates with high migrasome scores in patients.
  • PinX1 knockdown promotes migrasome formation by interacting with Rab11a, leading to Rab11a SUMOylation and degradation.
  • PinX1 suppresses cisplatin resistance by inhibiting migrasome-mediated damaged mitochondria export, reducing cancer cell energy metabolism.

Conclusions:

  • The TP53-PinX1 pathway regulates migrasome formation and mitochondrial export, impacting NPC chemoresistance.
  • PinX1 activation by TP53 leads to Rab11a degradation, impairing migrasome function and suppressing cisplatin resistance.
  • This pathway represents a novel therapeutic target for overcoming chemotherapy resistance in NPC.