Evidence map›Paper›PMID 40713753›Full record

ReviewJournal of translational medicine2025

Hidden forces: the impact of cancer-associated fibroblasts on non-small cell lung cancer development and therapy.

Ziheng Wu, Meilin Luo, Huiyi Hu, Zhijun Jiang, Yinan Lu, Zhi-Jie Xiao

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Identification ofCancers · 2025
    Article
  13. 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

6 authors.

Ziheng Wu *Scientific Research Centre, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518000, China.
Meilin Luo *Southern Medical University, Guangzhou, 510282, China.
Huiyi HuScientific Research Centre, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518000, China.
Zhijun JiangScientific Research Centre, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518000, China.
Yinan LuScientific Research Centre, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518000, China.
Zhi-Jie XiaoScientific Research Centre, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518000, China. xiaozhj5@mail.sysu.edu.cn.ORCID 0000-0001-6365-7278

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515013092National Natural Science Foundation of China 82203859,82473130Research Start-up Fund of the Seventh Affiliated Hospital, Sun Yat-sen University ZSQYBRJH0023Sanming Project of Medicine in Shenzen Municipality Sanming Project of Medicine in ShenzhenShenzhen Institutes of Advanced Technology Innovation Program for Excellent Young Researchers JCYJ20220818102011022Shenzhen Medical Research Fund D2402019
6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) continues to be a leading cause of cancer-related deaths globally, primarily due to its late diagnosis and the complex nature of its tumor microenvironment (TME). Within this environment, cancer-associated fibroblasts (CAFs) play a crucial role in regulating NSCLC progression and therapeutic resistance. Recent advancements in single-cell and spatial technologies have uncovered significant heterogeneity among CAFs, revealing distinct subpopulations with varying cellular origins, phenotypes, and functions. Besides, the role of small extracellular vesicles (sEVs) in facilitating bidirectional communication highlights functional importance of CAF derived sEVs in mediating the crosstalk between cancer and TME, implicating the potential of CAF-sEVs to be un-invasive diagnostic biomarkers for NSCLC. Despite such new insights, challenges remain exist, particularly concerning the mechanisms that drive CAF plasticity, the interactions between specific CAF subsets with cancer cells or immune cells, and the translational significance of CAF-sEVs. In this review, we summarize the latest advances in our understanding of CAF heterogeneity, the functional roles and clinical relevance of CAFs and their secreted sEVs in driving NSCLC, and the translational landscape of CAF-targeted strategies. By critically evaluating the most recent evidence, this review provides clinically relevant insights and highlights future directions for overcoming CAF-mediated barriers to therapy. Our aim is to facilitate the development of more precise, biomarker-driven, and safe approaches for targeting CAFs, ultimately improving personalized treatment and outcomes for patients with NSCLC.

Indexed as

Cancer-Associated FibroblastsCarcinogenesisCarcinoma, Non-Small-Cell LungLung NeoplasmsAnimalsExtracellular VesiclesHumansTumor MicroenvironmentCancer associated fibroblastDrug resistanceExtracellular vesiclesHeterogeneityImmune suppressionNon-small cell lung cancerTherapeutic targeting

Identifiers

PMID40713753
PMCPMC12291351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.