Evidence map›Paper›PMID 40312759›Full record

ArticleParasites & vectors2025

Advances in the study of extracellular vesicles of Naegleria fowleri and their role in contact-independent pathogenic mechanisms.

Ismael Castelan-Ramírez, Catalina Flores-Maldonado, Dolores Hernández-Martínez, Lizbeth Salazar-Villatoro, Alberto Daniel Saucedo-Campos, David Segura-Cobos, Adolfo René Méndez-Cruz, Maritza Omaña-Molina

Abstract read
In one paragraph

Article in Parasites & vectors, 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. Review
  2. Extracellular Vesicles ofJournal of extracellular biology · 2026
    Article
  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

8 authors.

Ismael Castelan-RamírezPosgrado en Ciencias Biológicas, Universidad Nacional Autónoma de México (UNAM), Coyoacán, Ciudad de Mexico, México.
Catalina Flores-MaldonadoDepartamento de Fisiología, Biofísica y Neurociencias, CINVESTAV, Ciudad de Mexico, México.
Dolores Hernández-MartínezLaboratorio de Amibas Anfizóicas, Carrera de Médico Cirujano, Facultad de Estudios Superiores Iztacala, UNAM, Tlalnepantla, Estado de México, México.
Lizbeth Salazar-VillatoroDepartamento de Infectómica y Patogénesis Molecular, CINVESTAV, Ciudad de Mexico, México.
Alberto Daniel Saucedo-CamposFacultad de Estudios Superiores Iztacala, Carrera de Médico Cirujano, UNAM, Tlalnepantla, Estado de México, México.
David Segura-CobosLaboratorio de Amibas Anfizóicas, Carrera de Médico Cirujano, Facultad de Estudios Superiores Iztacala, UNAM, Tlalnepantla, Estado de México, México.
Adolfo René Méndez-CruzLaboratorio de Inmunología, Facultad de Estudios Superiores Iztacala, UNAM, Tlalnepantla, Estado de México, México.
Maritza Omaña-MolinaLaboratorio de Amibas Anfizóicas, Carrera de Médico Cirujano, Facultad de Estudios Superiores Iztacala, UNAM, Tlalnepantla, Estado de México, México. maritzaomanam@yahoo.com.mx.

Funding

Consejo Nacional de Humanidades, Ciencias y Tecnología (CONAHCyT) 858867Programa de Apoyo a Proyectos de Investigación e Inovación Tecnológica (UNAM-PAPIIT) IN209824
6 · The paper itself

Abstract

backgroundExtracellular vesicles (EVs) are spherical membrane particles released by prokaryotic and eukaryotic cells. EVs produced by pathogenic organisms are known to play a role in host-pathogen interactions; however, despite some reports on Naegleria fowleri EVs, their potential role in inducing cytopathic effects remains poorly understood. In this study, we evaluated the role of N. fowleri EVs in contact-independent pathogenic mechanisms.

methodsExtracellular vesicles were characterized via transmission electron microscopy, nanoparticle tracking analysis, SDS-PAGE, mass spectrometry, Western blotting, and zymography. EVs internalization by trophozoites and MDCK epithelial cells was also determined. Finally, mammalian cells were coincubated with EVs to evaluate haemolytic activity, epithelial paracellular ionic permeability alterations, and necrosis.

resultsNaegleria fowleri extracellular vesicles, ranging from 82.5 to 576.5 nm in size, were isolated, with a mean of 216.8 nm and a mode of 165.3 nm. Proteomic analysis identified 1006 proteins in the EVs, including leishmanolysin, a protein associated with pathogenic mechanisms such as adhesion and enzymatic processes. The proteolytic activity of EVs was found to be primarily due to serine protease. Furthermore, EVs were internalized by both trophozoites and MDCK cells. Additionally, EVs exhibited haemolytic activity in erythrocytes as well as increased ionic permeability and necrosis in MDCK cells 24 h postinteraction.

conclusionsNaegleria fowleri EVs exhibit proteolytic and haemolytic activity and are internalized by trophozoites and MDCK epithelial cell monolayers, increasing the ionic permeability of the monolayer and inducing necrosis. Furthermore, these vesicles contain molecules associated with pathogenic processes such as leishmanolysin. Our results suggest that EVs facilitate paracellular invasion, migration, and damage caused by trophozoites and play a significant role in pathogenic processes as part of a contact-independent mechanism, which, in conjunction with a contact-dependent mechanism, enhances our understanding of the pathogenicity exhibited by this amphizoic amoeba during its invasion of target tissues.

Indexed as

Extracellular VesiclesNaegleria fowleriAnimalsDogsEpithelial CellsHemolysisHost-Pathogen InteractionsMadin Darby Canine Kidney CellsMicroscopy, Electron, TransmissionProteomicsProtozoan ProteinsTrophozoitesProtozoan ProteinsExtracellular vesiclesHaemolysisNaegleria fowleriNecrosisPathogenicityProteasesVirulence factors

Identifiers

PMID40312759
PMCPMC12046931

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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.