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December 8, 2025Journal of Translational Medicine6 citationsOpen Access

Hypoxic migrasomes drive colorectal cancer liver metastasis by mediating CD5L+ macrophage efferocytosis via NRP2/PROX1 axis

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YLYuqi LuoYHYiwen HuangYHYAOXING HUANG

Key Points

  • Hypoxic migrasomes facilitate colorectal cancer liver metastasis by influencing macrophage education.
  • The study points to macrophages adopting a pro-efferocytic CD5L+ phenotype in response to migrasome signals.
  • Analysis reveals the role of NRP2/PROX1 axis in reprogramming immune and stromal compartments in metastatic disease.
  • These findings may enable new therapeutic strategies targeting migrasomes in colorectal cancer advancement.

Abstract

These findings demonstrate that hypoxic CRC-derived migrasomes facilitate liver metastasis by reprogramming stromal and immune compartments, particularly through NRP2/PROX1-mediated education of macrophages toward a pro-efferocytic CD5L⁺ phenotype. Our study reveals a previously unrecognized intercellular communication axis involving migrasomes in CRC progression and provides a potential therapeutic target for metastatic disease.

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Cite This Study

Luo et al. (2025) studied this question.

synapsesocial.com/papers/69401f002d562116f28f9cd9https://doi.org/10.1186/s12967-025-07485-0
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