Evidence map›Paper›PMID 40496868›Full record

ReviewFrontiers in immunology2025

Exosomes and immune modulation: implications for neuroblastoma immunotherapy.

Martina Morini, Chiara Vitale, Martina Ardito, Alessandra Dondero, Katia Cortese, Cristina Bottino, Roberta Castriconi

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

7 authors.

Martina MoriniLaboratory of Experimental Therapies in Oncology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Chiara VitaleDepartment of Experimental Medicine, University of Genova, Genova, Italy.
Martina ArditoLaboratory of Experimental Therapies in Oncology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Alessandra DonderoDepartment of Experimental Medicine, University of Genova, Genova, Italy.
Katia CorteseDepartment of Experimental Medicine, University of Genova, Genova, Italy.
Cristina BottinoDepartment of Experimental Medicine, University of Genova, Genova, Italy.
Roberta CastriconiDepartment of Experimental Medicine, University of Genova, Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exosomes are nano-sized extracellular vesicles involved in cell homeostasis. Tumor-derived exosomes (TDEs) promote tumor progression by creating an immunosuppressive tumor microenvironment (TME), inhibiting T and NK cell activity, preventing dendritic cell maturation, and expanding immunosuppressive cell populations. Cancer Stem Cell (CSC)-derived exosomes further trigger functional changes in immune cells subsets, enhancing immune suppression. Consequently, blocking the release or the uptake of TDEs significantly impact immunotherapy efficacy, making them potential therapeutic targets. On the other hand, NK cell-derived exosomes can be engineered to carry immune-activating molecules or inhibitors of immune checkpoint molecules to elicit immune responses. This review highlights the interplay between TDEs and immune cells, particularly NK cells, in different tumors, with a focus on neuroblastoma, and explores exosome-based strategies to improve immunotherapy efficacy.

Indexed as

ExosomesImmunomodulationImmunotherapyNeuroblastomaAnimalsHumansKiller Cells, NaturalTumor Microenvironmentcancer stem cellsexosomesimmunotherapyneuroblastomaNK cellstumor microenvironment

Identifiers

PMID40496868
PMCPMC12149220

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.