Evidence map›Paper›PMID 38978304›Full record

ArticleJournal of extracellular vesicles2024

The immunomodulatory ballet of tumour-derived extracellular vesicles and neutrophils orchestrating the dynamic CD73/PD-L1 pathway in cancer.

Dominique S Rubenich, Jordana L Domagalski, Gabriela F S Gentil, Jonas Eichberger, Mathias Fiedler, Florian Weber, Marianne Federlin, Hendrik Poeck, Torsten E Reichert, Tobias Ettl and 3 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
  2. Malignant cell-secreted chemokines drive colorectal cancer progression through endothelial cell activation.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Exosome-based immunotherapy in hepatocellular carcinoma.Clinical and experimental medicine · 2025
    Review
  10. Effect of Extracellular Vesicles Derived From Tumor Cells on Immune Evasion.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  11. Article
  12. Article
  13. 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

13 authors.

Dominique S RubenichDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID https://orcid.org/0000-0002-5108-4350
Jordana L DomagalskiBiosciences Graduate Program, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.ORCID https://orcid.org/0000-0001-8804-9826
Gabriela F S GentilBiosciences Graduate Program, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.ORCID https://orcid.org/0000-0003-3611-6622
Jonas EichbergerDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Mathias FiedlerDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Florian WeberInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Marianne FederlinDepartment of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
Hendrik PoeckClinic and Polyclinic for Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Torsten E ReichertDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Tobias EttlDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Richard J BauerDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Elizandra BraganholBiosciences Graduate Program, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-9105-3858
Daniela SchulzDepartment of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID https://orcid.org/0009-0007-6584-1715

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 142520/2020-9Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88881.895087/2023-01Deutsche Forschungsgemeinschaft DFGDeutsche Forschungsgemeinschaft GZ: 3696/7-1Deutscher Akademischer Austauschdienst 57705675
6 · The paper itself

Abstract

Head and neck squamous cell carcinoma (HNSCC) is a global cancer burden with a 5-year overall survival rate of around 50%, stagnant for decades. A tumour-induced immunosuppressive microenvironment contributes to HNSCC progression, with the adenosine (ADO) pathway and an upregulated expression of inhibitory immune checkpoint regulators playing a key role in this context. The correlation between high neutrophil-to-lymphocyte ratio (NLR) with advanced tumour staging suggests involvement of neutrophils (NØ) in cancer progression. Interestingly, we associated a high NLR with an increased intracellular PD-L1 localization in primary HNSCC samples, potentially mediating more aggressive tumour characteristics and therefore synergistically favouring tumour progression. Still, further research is needed to harness this knowledge for effective treatments and overcome resistance. Since it is hypothesized that the tumour microenvironment (TME) may be influenced by small extracellular vesicles (sEVs) secreted by tumours (TEX), this study aims to investigate the impact of HNSCC-derived TEX on NØ and blockade of ADO receptors as a potential strategy to reverse the pro-tumour phenotype of NØ. UMSCC47-TEX exhibited CD73 enzymatic activity involved in ADO signalling, as well as the immune checkpoint inhibitor PD-L1. Data revealed that TEX induce chemotaxis of NØ and the sustained interaction promotes a shift into a pro-tumour phenotype, dependent on ADO receptors (P1R), increasing CD170

Indexed as

5'-NucleotidaseB7-H1 AntigenExtracellular VesiclesHead and Neck NeoplasmsNeutrophilsSignal TransductionSquamous Cell Carcinoma of Head and NeckTumor MicroenvironmentAdenosineCell Line, TumorGPI-Linked ProteinsHumansImmunomodulation5'-NucleotidaseAdenosineB7-H1 AntigenCD274 protein, humanGPI-Linked ProteinsNT5E protein, humanadenosine signallingbiomarkercytoplasmatic PD‐L1exosomehead and neck squamous cell carcinomaimmune checkpoint resistancetumour‐associated neutrophils (TAN)

Identifiers

PMID38978304
PMCPMC11231043

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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.