Evidence map›Paper›PMID 31003747›Full record

ArticleGynecologic oncology2019

Innervation of cervical carcinoma is mediated by cancer-derived exosomes.

Christopher T Lucido, Emily Wynja, Marianna Madeo, Caitlin S Williamson, Lauren E Schwartz, Brittney A Imblum, Ronny Drapkin, Paola D Vermeer

Abstract read
In one paragraph

Article in Gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

61 citing papers in PubMed.

  1. Therapy resistance-related ncRNAs in cervical cancer: biomarkers and therapeutic targets.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Sex influences on tumor innervation.Biology of sex differences · 2026
    Article
  6. Review
  7. Neuro-tumor interactions in peripheral tumors.Cancer metastasis reviews · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Tumor-derived extracellular vesicles: Bridging communication and next-generation theranostics.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2025
    Review
  14. Review
  15. Neuro-immune cross-talk in cancer.Nature reviews. Cancer · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

1 more citing papers are in PubMed but not listed here.

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

8 authors.

Christopher T LucidoSanford Research, Cancer Biology and Immunotherapy Group, 2301 East 60th St north, Sioux Falls, SD 57104, USA; University of South Dakota Sanford School of Medicine, 414 E. Clark St, Vermillion, SD 57069, USA.
Emily WynjaSanford Research, Cancer Biology and Immunotherapy Group, 2301 East 60th St north, Sioux Falls, SD 57104, USA; University of South Dakota Sanford School of Medicine, 414 E. Clark St, Vermillion, SD 57069, USA.
Marianna MadeoSanford Research, Cancer Biology and Immunotherapy Group, 2301 East 60th St north, Sioux Falls, SD 57104, USA.
Caitlin S WilliamsonSanford Research, Cancer Biology and Immunotherapy Group, 2301 East 60th St north, Sioux Falls, SD 57104, USA.
Lauren E SchwartzUniversity of Pennsylvania, Perelman School of Medicine, Department of Pathology, 3400 Spruce St, Philadelphia, PA 19104, USA.
Brittney A ImblumUniversity of Pennsylvania, Perelman School of Medicine, Department of Pathology, 3400 Spruce St, Philadelphia, PA 19104, USA.
Ronny DrapkinUniversity of Pennsylvania, Perelman School of Medicine, Department of Pathology, 3400 Spruce St, Philadelphia, PA 19104, USA; Penn Ovarian Cancer Research Center, University of Pennsylvania, Perelman School of Medicine, 421 Curie Blvd, Philadelphia, PA 19104, USA.
Paola D VermeerSanford Research, Cancer Biology and Immunotherapy Group, 2301 East 60th St north, Sioux Falls, SD 57104, USA. Electronic address: Paola.Vermeer@SanfordHealth.org.

Funding

Yeast 2 HybridP20GM103620 · NIGMS · SANFORD RESEARCH/USD · PI ROUX, KYLE J · 2013 to 2023
$24.2M
The Impact of PD-1 Inhibition on Immune-Response to ChemoradiotherapyP20GM103548 · NIGMS · SANFORD RESEARCH/USD · PI MISKIMINS, W KEITH · 2012 to 2020
$20.8M
NIGMS NIH HHS P20 GM103548NIGMS NIH HHS P20 GM103620
6 · The paper itself

Abstract

objectiveRecently, our laboratory identified sensory innervation within head and neck squamous cell carcinomas (HNSCCs) and subsequently defined a mechanism whereby HNSCCs promote their own innervation via the release of exosomes that stimulate neurite outgrowth. Interestingly, we noted that exosomes from human papillomavirus (HPV)-positive cell lines were more effective at promoting neurite outgrowth than those from HPV-negative cell lines. As nearly all cervical tumors are HPV-positive, we hypothesized that these findings would extend to cervical cancer.

methodsWe use an in vitro assay with PC12 cells to quantify the axonogenic potential of cervical cancer exosomes. PC12 cells are treated with cancer-derived exosomes, stained with the pan-neuronal marker (β-III tubulin) and the number of neurites quantified. To assess innervation in cervical cancer, we immunohistochemically stained cervical cancer patient samples for β-III tubulin and TRPV1 (sensory marker) and compared the staining to normal cervix.

resultsHere, we show the presence of sensory nerves within human cervical tumors. Additionally, we show that exosomes derived from HPV-positive cervical cancer cell lines effectively stimulate neurite outgrowth.

conclusionsThese data identify sensory nerves as components of the cervical cancer microenvironment and suggest that tumor- derived exosomes promote their recruitment.

Indexed as

Afferent PathwaysAnimalsCervix UteriExosomesFemaleHeLa CellsHuman papillomavirus 16HumansImmunohistochemistryNeuritesPC12 CellsRatsTRPV Cation ChannelsTubulinUterine Cervical NeoplasmsTRPV1 protein, humanTRPV Cation ChannelsTUBB3 protein, humanTubulinCervical cancerExosomesHPVInnervation

Identifiers

PMID31003747
PMCPMC6589362

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.