The narrative review 10.61173/ghv81924 accurately synthesizes paclitaxel's microtubule-stabilizing mechanism, nanoformulation advances, and emerging resistance targets (PKM2, ALYREF/RNF31/IPO13), but its claims rest almost entirely on preclinical models and clinical validation remains absent The review's core claims are traceable to primary sources: PTX stabilization of β-tubulin (PDB 1JFF binding site), ROS/HIF-1α/JNK apoptotic signaling, MEG3-P53 activation in A549 cells, and pyroptosis via GSDMD/GSDME pathways. Resistance reversal data are strongest in the RNF31/ALYREF/IPO13 axis study (183 TNBC specimens, Cox regression, IP/MS, organoid xenografts) and the shikonin/PKM2 co-delivery system (4T1: 80% tumor inhibition, 86% metastatic nodule inhibition)
Long Explanation
Evidence Landscape of the Review
Feedback:
Updated: September 22, 2026
Know what changed, what holds up, and what remains uncertain. Every Friday. No ads.