Evidence map›Paper›PMID 40178201›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Locoregional Immune Checkpoint Blockade and Remodeling of Lymph Nodes by Engineered Dendritic Cell-Derived Exosomes for Suppressing Tumor Progression and Metastasis.

Yizhen Wang, Xiaomin Guo, Jingya Qin, Yifan Xue, Peng Zhang, Yadong Liu, Moyang Chen, Guanghao Zhu, Xinqiu Song, Lili Cheng and 3 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
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  6. Article
  7. Review
  8. Research on exosomes in cancer multidrug resistance and clinical translation.Extracellular vesicles and circulating nucleic acids · 2026
    Review
  9. Review
  10. Article
  11. Review
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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.

Yizhen WangDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Xiaomin GuoDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Jingya QinDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Yifan XueSchool of Biomedical Engineering, Sun Yat-sen University, Shenzhen, 518107, P. R. China.
Peng ZhangSchool of Biomedical Engineering, Sun Yat-sen University, Shenzhen, 518107, P. R. China.
Yadong LiuSchool of Biomedical Engineering, Sun Yat-sen University, Shenzhen, 518107, P. R. China.
Moyang ChenDepartment of Hepatobiliary Pancreatic Splenic Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Guanghao ZhuDepartment of Hepatobiliary Pancreatic Splenic Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Xinqiu SongDepartment of Hepatobiliary Pancreatic Splenic Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Lili ChengSchool of Biomedical Engineering, Sun Yat-sen University, Shenzhen, 518107, P. R. China.
Bo LiuDepartment of Hepatobiliary Pancreatic Splenic Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.
Jie LiuSchool of Biomedical Engineering, Sun Yat-sen University, Shenzhen, 518107, P. R. China.ORCID https://orcid.org/0000-0001-6035-0131
Jie RenDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, P. R. China.

Funding

Basic and Applied Basic Research Project of Guangzhou 2024A03J0103Five-Year Project of the Third Affiliated Hospital of Sun Yat-Sen University 2023WW102Five-Year Project of the Third Affiliated Hospital of Sun Yat-Sen University 2023WW503High-Tech and Major Technology Projects in Guangzhou 2024P-GX25Municipal Schools (Institutes) Joint Funding Project Basic Research Programme SL2023A03J00469Natural Science Foundation of Guangdong Province 2023A1515010126Rural and Social Development Science and Technology Major Programme in Guangzhou SL2023B03J00286Shenzhen Science and Technology Project JCYJ20220818103207016
6 · The paper itself

Abstract

Tumor-draining lymph nodes (TDLNs) are the primary sites of eliciting anti-tumor immunity, which play an important role in controlling tumor progression and metastasis. However, the immunosuppressive microenvironment of TDLNs propels the formation of pre-metastatic niche, in which the immunocytes are dysfunctional, and the high expression of programmed death-ligand 1 (PD-L1) on dendritic cells (DCs) restricts the activation of cytotoxic T lymphocytes. Herein, engineered exosomes (EmDEX@GA) are developed for locoregional immunomodulation of TDLNs. EmDEX@GA possess CC-chemokine receptor 7 (CCR7) -dependent LN homing capacity and over-expressed programmed cell death protein 1 (PD-1) for immune checkpoint blockade (ICB). The loaded stimulator of interferon genes (STING) agonist can reinforce anti-tumor immunity through STING pathway activation. In orthotopic breast cancer mouse model, local administration of EmDEX@GA remodels the immunosuppressive microenvironment of TDLNs and elicits potent anti-tumor immunity, resulting in the suppression of tumor as well as the reduction of lymph node metastasis and distant metastasis. Compared with systemic ICB, local immunotherapy with EmDEX@GA has better therapeutic efficacy on suppressing distant metastasis. Moreover, the study suggests that the occurrences of distant metastasis are associated with the immunosuppressive microenvironment rather than the metastasis in TDLNs, indicating that targeted immunomodulation of TDLNs is necessary.

Indexed as

Breast NeoplasmsDendritic CellsExosomesImmune Checkpoint InhibitorsLymph NodesAnimalsCell Line, TumorDisease ProgressionFemaleHumansImmunotherapyLymphatic MetastasisMiceMice, Inbred C57BLTumor MicroenvironmentImmune Checkpoint Inhibitorsengineered exosomesimmune microenvironmentlocal immunotherapymetastasistumor‐draining lymph nodes

Identifiers

PMID40178201
PMCPMC12199396

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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.