Evidence map›Paper›PMID 40310470›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2025

Nerve Types and Classification of Neurons Innervating Oral Cancer.

Cindy G Perez-Pacheco, Laura A Gonzalez-Maldonado, Allison Furgal, Ligia B Schmitd, Brian S C Constantinescu, Yihan Li, Noam Gannot, Sienna K Perry, Laura Rozek, Greg Wolf and 3 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

13 authors.

Cindy G Perez-Pacheco *Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0002-7642-7639
Laura A Gonzalez-Maldonado *Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0002-0964-916X
Allison FurgalBiostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.ORCID 0000-0001-8081-2444
Ligia B SchmitdCell and Developmental Biology, University of Michigan Medical School, Ann Arbor, Michigan.ORCID 0000-0003-1570-6543
Brian S C ConstantinescuBiologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0009-0008-4456-076X
Yihan LiPeriodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0009-0003-6755-3451
Noam GannotBiologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0002-3617-5553
Sienna K PerryBiologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0003-2964-9842
Laura RozekDepartment of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia.ORCID 0000-0001-6731-7000
Greg WolfOtolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.ORCID 0000-0002-3219-9515
Joshua J EmrickBiologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0001-5619-1078
Peng LiBiologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0002-8992-0350
Nisha J D'SilvaPeriodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.ORCID 0000-0001-7030-3187

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric R. Fearon · 1988 to 2026
$178.2M
Tissue Engineering and RegenerationT32DE007057 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID H. KOHN · 1985 to 2026
$17.3M
Improving Survival in Oral Cancer by Disruption of Tumor ProgressionR35DE027551 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI D'SILVA, NISHA J · 2017 to 2024
$8.1M
Downstream effects of HPV integration on survival/metastasis in oropharyngeal cancerR01CA250214 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI D'SILVA, NISHA J, ROZEK, LAURA · 2020 to 2024
$3.1M
Determining the functions of tooth-innervating neurons in dental sensationK22DE029779 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI EMRICK, JOSHUA JAMES · 2022 to 2024
$742k
National Institute of Dental and Craniofacial Research (NIDR) K22DE029779National Institute of Dental and Craniofacial Research (NIDR) P30CA046592National Institute of Dental and Craniofacial Research (NIDR) R01CA250214National Institute of Dental and Craniofacial Research (NIDR) R35DE027551National Institute of Dental and Craniofacial Research (NIDR) T32DE007057NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA250214NIDCR NIH HHS K22 DE029779NIDCR NIH HHS R35 DE027551NIDCR NIH HHS T32 DE007057School of Dentistry, University of Michigan (U-M School of Dentistry)
6 · The paper itself

Abstract

purposeAlthough the association between neural invasion and poor survival in oral cavity squamous cell carcinoma (OSCC) is known, innervating nerve types have not been definitively established; this has confounded mechanistic and translational studies. Therefore, we investigated innervation in human OSCC and further explored these findings in mice. EXPERIMENTAL

designSensory, sympathetic, and parasympathetic nerves were identified by IHC and linked to neural phenotypes in 71 patients. Additionally, we investigated sensory innervation of OSCC using neuronal tracing with transcriptomic profiling in transgenic mice.

resultsIn OSCC, most nerves are exclusively sensory or sensory mixed with other types. The presence of exclusively sensory nerves and mixed sensory and sympathetic nerves was significantly increased within the tumor bulk compared with the margin, whereas mixed sympathetic and parasympathetic nerves were decreased. The proportion of exclusively sensory and mixed sensory and sympathetic perineural invasion-positive nerves was significantly higher, whereas the proportion of mixed sympathetic and parasympathetic nerves was significantly lower than that of perineural invasion-negative nerves. Classification of tumor-innervating trigeminal sensory neurons in mice revealed an increase in Calca+ peptidergic nociceptors and reduction in low-threshold mechanoreceptors. Using transgenic reporter mice to verify innervation, we identified that mouse tongue SCC is innervated by Pirt+ and Calca+ nociceptors.

conclusionsThis study is the first comprehensive characterization of nerve types in OSCC with classification of innervating trigeminal sensory neurons. Our findings emphasize the importance of sensory innervation in OSCC and are highly relevant for mechanistic and translational studies on treatment strategies.

Indexed as

Carcinoma, Squamous CellMouth NeoplasmsNeuronsAgedAnimalsFemaleHumansMaleMiceMice, TransgenicMiddle AgedSensory Receptor Cells

Identifiers

PMID40310470
PMCPMC12281553

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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.