Evidence map›Paper›PMID 34885121›Full record

ReviewCancers2021

Molecular and Cellular Mechanisms of Perineural Invasion in Oral Squamous Cell Carcinoma: Potential Targets for Therapeutic Intervention.

Carly I Misztal, Carlos Green, Christine Mei, Rita Bhatia, Jaylou M Velez Torres, Brandon Kamrava, Seo Moon, Elizabeth Nicolli, Donald Weed, Zoukaa Sargi and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Histology and immune impact in OSCC.Brazilian dental journal · 2026
    Article
  4. The PI3K Inhibitor HCD Promotes Caspase Activation in Head and Neck Squamous Cells by Upregulating the Extrinsic and Intrinsic Apoptosis Pathways.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
    Article
  5. Review
  6. Trends in immunotherapy for oral squamous cell carcinoma.Cellular oncology (Dordrecht, Netherlands) · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Histopathologic Features of Mucosal Head and Neck Cancer Cachexia.International journal of surgical oncology · 2024
    Article
  18. Review
  19. Article
  20. Article
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 at 2 institutions in 1 country.

Carly I MisztalDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-6724-8890
Carlos GreenDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Christine MeiDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Rita BhatiaDepartment of Radiology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Jaylou M Velez TorresDepartment of Pathology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Brandon KamravaDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-0941-2656
Seo MoonDepartment of Otolaryngology, Kaiser Permanente, Oakland, CA 94611, USA.
Elizabeth NicolliDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Donald WeedDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Zoukaa SargiDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Christine T DinhDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
University of Miami · USKaiser Permanente · US

Funding

Sylvester Comprehensive Cancer Center NCI K-supplement grant
6 · The paper itself

Abstract

The most common oral cavity cancer is squamous cell carcinoma (SCC), of which perineural invasion (PNI) is a significant prognostic factor associated with decreased survival and an increased rate of locoregional recurrence. In the classical theory of PNI, cancer was believed to invade nerves directly through the path of least resistance in the perineural space; however, more recent evidence suggests that PNI requires reciprocal signaling interactions between tumor cells and nerve components, particularly Schwann cells. Specifically, head and neck SCC can express neurotrophins and neurotrophin receptors that may contribute to cancer migration towards nerves, PNI, and neuritogenesis towards cancer. Through reciprocal signaling, recent studies also suggest that Schwann cells may play an important role in promoting PNI by migrating toward cancer cells, intercalating, and dispersing cancer, and facilitating cancer migration toward nerves. The interactions of neurotrophins with their high affinity receptors is a new area of interest in the development of pharmaceutical therapies for many types of cancer. In this comprehensive review, we discuss diagnosis and treatment of oral cavity SCC, how PNI affects locoregional recurrence and survival, and the impact of adjuvant therapies on tumors with PNI. We also describe the molecular and cellular mechanisms associated with PNI, including the expression of neurotrophins and their receptors, and highlight potential targets for therapeutic intervention for PNI in oral SCC.

Indexed as

chemotherapynerveneurotrophinoral cavityperineural invasionPNIradiationSchwann cellssquamous cell carcinoma

Identifiers

PMID34885121
PMCPMC8656475
OpenAlexW3215487495

What OpenQuestion 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 OpenQuestion graph.