Evidence map›Paper›PMID 40684936›Full record

ArticleJournal of advanced research2026

Reinforced immunotherapy of M1 macrophage-derived exosomes with CEL on TNBC via regulating macrophage functions.

Liuchunyang Yu, Xinyi Luo, Zhengjia Zhang, Xiaoyu Li, Meng Tian, JinXiu Qian, Jue Yang, Rongjun Deng, Xiuyun Bai, Cheng Lu and 2 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
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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

12 authors.

Liuchunyang YuSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Xinyi LuoSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Zhengjia ZhangSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Xiaoyu LiSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Meng TianSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
JinXiu QianSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Jue YangSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Rongjun DengSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Xiuyun BaiSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China.
Cheng LuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: lv_cheng0816@163.com.
Aiping LuSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hongkong, China. Electronic address: aipinglu@hkbu.edu.hk.
Yuanyan LiuSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijin, China. Electronic address: yyliu_1980@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTriple-negative breast cancer (TNBC) demonstrates poor prognosis due to its heterogeneity-related biological barrier, immunosuppressive tumor microenvironment (TME) and escape of cancer cells on immune surveillance. Exosomes are membrane-encased vehicles with properties of inter- and intra-cellular communication and regulation for therapeutic use, even as drug vehicles. M1 macrophage-derived exosomes (M1-Exos) can communicate with adjacent M2 macrophages and reprogram them to M1 subtypes to reshape TME. Celastrol (CEL) is a highly promising natural antitumor drug and plays an important role in immunotherapy but with high toxicity and low water solubility.

objectivesThis work aims to provide reinforced immunotherapy to reshape tumor immunosuppressive microenvironment of TNBC by employing M1-Exos as a nanoscale co-delivery vehicle for CEL, offering increased tumor targeting and antitumor efficacy while reducing systemic toxicity to achieve improved treatment outcomes.

methodsA versatile combinatorial delivery system, tLyP-1-M1-Exos/CEL, was engineered by modifying tLyP-1 peptide and loading CEL to M1-Exos, then the size distribution, morphological features were characterized by transmission electron microscope, nanoparticle tracking analysis, and biomarkers were characterized by western blot. The efficacy and mechanism were assessed using CCK-8, qPCR, immunofluorescence, in vivo fluorescence imaging system, flow cytometry, western blot, H&E staining and other methods at cellular level and in nude mice.

resultsThe synthesized tLyP-1-M1-Exos/CEL exhibited specific tumor-targeting ability, greater tumor-suppressing properties and lower toxicity. The expression of M1 markers was upregulated and the expression of M2 markers was downregulated in M2-phenotype macrophages co-incubated with tLyP-1-M1-Exos/CEL. tLyP-1-M1-Exos/CEL decreased the expression of MHC I by inhibiting IRF1-CIITA signal pathway, making tumor cells more susceptible to be phagocytosed by macrophages.

conclusionOur study showed a reinforced immunotherapy that the synthesized tLyP-1-M1-Exos/CEL could not only reverse M2 macrophages into M1 to reshape immunosuppressive TME but also decrease the expression of MHC Ⅰ on tumor surface to enhance macrophage phagocytic autoimmunity.

Indexed as

ExosomesImmunotherapyMacrophagesPentacyclic TriterpenesTriple Negative Breast NeoplasmsAnimalsCell Line, TumorFemaleHumansMiceMice, Inbred BALB CMice, NudeTumor MicroenvironmentXenograft Model Antitumor AssayscelastrolPentacyclic TriterpenesCelastrolEngineered exosomeImmunotherapyMacrophagesTNBC

Identifiers

PMID40684936
PMCPMC13001170

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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.