Evidence map›Paper›PMID 40253655›Full record

Trial reportEuropean journal of applied physiology2025

Exercise-induced extracellular vesicles mediate apoptosis in human colon cancer cells in an exercise intensity-dependent manner.

Berkay Ozerklig, Ibrahim Turkel, Merve Yilmaz, Refika Dilara Vaizoglu, Handan Sevim Akan, Z Gunnur Dikmen, Ayesha Saleem, Sukran Nazan Kosar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of applied physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
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.

Berkay OzerkligDepartment of Exercise and Sport Sciences, Faculty of Sport Sciences, Hacettepe University, Ankara, Türkiye. berkayozerklig@hacettepe.edu.tr.ORCID http://orcid.org/0000-0002-9678-8001
Ibrahim TurkelDepartment of Exercise and Sport Sciences, Faculty of Sport Sciences, Hacettepe University, Ankara, Türkiye.
Merve YilmazDepartment of Medical Biochemistry, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.
Refika Dilara VaizogluDepartment of Biology, Molecular Biology Section, Faculty of Science, Hacettepe University, Ankara, Türkiye.
Handan Sevim AkanDepartment of Biology, Faculty of Science, Hacettepe University, Ankara, Türkiye.
Z Gunnur DikmenDepartment of Medical Biochemistry, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.
Ayesha SaleemFaculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Canada.
Sukran Nazan KosarDivision of Exercise Nutrition and Metabolism, Faculty of Sport Sciences, Hacettepe University, Ankara, Türkiye.

Funding

Hacettepe Üniversitesi THD-20523
6 · The paper itself

Abstract

Regular exercise reduces the incidence and improves the prognosis of many cancer types, but the underlying mechanisms remain elusive. Evidence suggests that exercise exerts its therapeutic effects through extracellular vesicles (EVs), which are essential for cellular communication. Here, we hypothesized that exercise-induced EVs from serum of healthy individuals would exert anti-tumorigenic effects on human colon cancer HT-29 cells, in an exercise intensity-dependent manner. Ten healthy young active males participated in a randomized crossover trial, completing two workload-matched acute exercise bouts, moderate-intensity continuous exercise (MICE) and high-intensity interval exercise (HIIE), on a cycle ergometer. A control session of rest (PRE) was included. EVs were isolated from serum samples collected during PRE and immediately after each exercise session. EVs were co-incubated with HT-29 colon cancer cells, and the effects on cell viability, migration, and apoptosis were measured. EV treatment reduced cell viability in all groups (PRE, MICE, and HIIE) by 35%, 43% and 47%, respectively, vs. PBS. HIIE-EVs showed a significantly greater reduction in cell viability vs. PRE; therefore, only these groups were used for further analysis. PRE EVs reduced migration by 27%, and HIIE-EVs by 39%. HIIE-EVs increased expression of pro-apoptotic markers: Bax/Bcl-2 ratio by 56% and Caspase 3 by 30% vs. PBS, with no change observed in the PRE group. Further, 16% of cells in PRE and 28% of cells in HIIE were TUNEL-positive, indicating DNA fragmentation. To our knowledge, this is the first human study that illustrates the therapeutic potential of exercise-induced EVs in cancer treatment.

Indexed as

ApoptosisColonic NeoplasmsExerciseExtracellular VesiclesAdultCell MovementCell SurvivalHT29 CellsHumansMaleApoptosisColon cancerExerciseExtracellular vesicles

Identifiers

PMID40253655
PMCPMC12479696

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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.