Evidence map›Paper›PMID 40468099›Full record

ReviewPharmacological reports : PR2025

Novel receptor tyrosine kinase-targeted strategies to overcome resistance in oral squamous cell carcinoma.

Shahryar Irannejadrankouhi, Hassan Mivehchi, Aisan Eskandari-Yaghbastlo, Seyedeh Tabasom Nejati, Sahand Emrahoglu, Fatemeh Azarang, Abbas Nikroo, Mohsen Nabi-Afjadi

Abstract readReview
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In one paragraph

Review in Pharmacological reports : PR, 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. Article
  3. 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

8 authors.

Shahryar IrannejadrankouhiFaculty of Dentistry, Alborz University of Medical Sciences, Karaj, Iran.ORCID http://orcid.org/0009-0009-1826-4235
Hassan MivehchiFaculty of Dentistry, University of Debrecen, Debrecen, Hungary.ORCID http://orcid.org/0009-0000-6267-0817
Aisan Eskandari-YaghbastloSchool of Dentistry, Loma Linda University, Loma Linda, USA.ORCID http://orcid.org/0009-0006-0087-544X
Seyedeh Tabasom NejatiSchool of Dentistry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.ORCID http://orcid.org/0009-0000-1304-6866
Sahand EmrahogluSchool of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.ORCID http://orcid.org/0000-0001-7672-1670
Fatemeh AzarangFaculty of Dentistry, Sechenov First Moscow State Medical University, Moscow, Russia.ORCID http://orcid.org/0000-0001-8550-351X
Abbas NikrooFaculty of Dentistry, Sechenov First Moscow State Medical University, Moscow, Russia. Abbasnikroo79@gmail.com.ORCID http://orcid.org/0009-0003-2606-837X
Mohsen Nabi-AfjadiDepartment of Biochemistry, Faculty of Biological Sciences, University of Tarbiat Modares, Tehran, Iran. mohsen.nabiafjadi@modares.ac.ir.ORCID http://orcid.org/0000-0001-8243-1530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment for oral squamous cell carcinoma (OSCC) has seen the rise of receptor tyrosine kinase inhibitors (RTKIs). However, their therapeutic effectiveness is severely limited by the emergence of resistance. Epidermal growth factor receptor (EGFR)-independent survival pathways, extracellular vesicle (EV)-mediated drug sequestration, lysosomal exocytosis, and metabolic reprogramming mediated by METTL1 (methyltransferase-like protein 1) are some of the molecular and cellular mechanisms that underlie RTKI resistance in OSCC. In this line, specific resistance methods are carefully studied, including the signaling processes involving SHP2, the different ways ErbB2 and AKT, and features related to tumor stemness. Additionally, the interaction between resistance and the tumor microenvironment (TME), namely via EVs and modified angiogenic signaling, is emphasized. Novel therapy approaches are put forth to address these issues. The effectiveness of treatment may be improved by combination treatments that include RTKIs with other medications, such as mTOR inhibitors, chemotherapy, radiation, and immunotherapies. Innovative nanotechnology-based strategies, such as exosome-based drug carriers and liposomal drug delivery systems, provide encouraging answers for overcoming resistance and enhancing precise targeting. Furthermore, phytochemicals and herbal remedies are investigated as supplementary approaches to enhance RTKI responses. Despite the potential of these approaches, obstacles, including resolving tumor heterogeneity, limiting off-target effects, and improving delivery methods, continue to be major obstacles to clinical use. To inform personalized medicine strategies, future studies should concentrate on finding predictive biomarkers and conducting thorough preclinical validation. By integrating emerging therapies and addressing these limitations, this work provides a comprehensive foundation for advancing the management of OSCC and improving patient outcomes.

Indexed as

Antineoplastic AgentsCarcinoma, Squamous CellDrug Resistance, NeoplasmMouth NeoplasmsProtein Kinase InhibitorsReceptor Protein-Tyrosine KinasesSquamous Cell Carcinoma of Head and NeckAnimalsDrug Delivery SystemsHumansMolecular Targeted TherapyTumor MicroenvironmentAntineoplastic AgentsProtein Kinase InhibitorsReceptor Protein-Tyrosine KinasesOral squamous cell carcinomaReceptor tyrosine kinaseTumor microenvironment

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.