Evidence map›Paper›PMID 40753075›Full record

ArticleNature communications2025

Chimeric exosomes-derived immunomodulator restoring lymph nodes microenvironment for sensitizing TNBC immunotherapy.

Mengchi Sun, Yuxia Wu, Zhichao Chen, Boyan Zhang, Xiaoyang Liu, Peipei Ouyang, Ping Chen, Lujun Chen, Zhonggui He, Tao Han and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Mengchi Sun *Department of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Yuxia Wu *Department of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Zhichao Chen *Wuya College of Innovation, Shenyang Pharmaceutical University, Shenyang, Liaoning, China.
Boyan ZhangDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Xiaoyang LiuDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Peipei OuyangDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Ping ChenDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Lujun ChenDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Zhonggui HeJoint International Research, Laboratory of Intelligent Drug Delivery Systems, Ministry of Education, Beijing, China.ORCID http://orcid.org/0000-0002-5907-3875
Tao HanDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, Liaoning, China. than1984@sina.com.ORCID http://orcid.org/0000-0003-3814-8492
Heran LiSchool of Pharmacy, China Medical University, Shenyang, Liaoning, China. liheranmm@163.com.ORCID http://orcid.org/0000-0003-2876-1525
Jin SunJoint International Research, Laboratory of Intelligent Drug Delivery Systems, Ministry of Education, Beijing, China. sunjin@syphu.edu.cn.ORCID http://orcid.org/0000-0001-5470-1599
Shuang CaiDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China. caishuang1972@126.com.ORCID http://orcid.org/0009-0009-6638-8742
Qiuhua LuoDepartment of Pharmacy, The First Hospital of China Medical University, Shenyang, Liaoning, China. qhluo@cmu.edu.cn.ORCID http://orcid.org/0000-0003-3545-2499

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81803442
6 · The paper itself

Abstract

Immunotherapy is a breakthrough in the treatment of triple-negative breast cancer (TNBC), although it is only effective in a portion of patients. Our clinical studies find that pathological elevated level of reactive oxygen species (ROS) and lipid homeostasis imbalance are closely associated with dysfunction of dendritic cells (DCs) in the immunosuppressive lymph nodes (LNs) microenvironment of TNBC patients following immunotherapy, which greatly affect the immunotherapeutic efficacy. Building on this, we introduce a chimeric exosomes-derived immunomodulator involving the polysulfide bond-bridged mesoporous silica as both the ROS scavenger and responsive carrier nucleus, loading with the lipid modulator toyocamycin and being coated with chimeric exosomes comprising DCs-derived exosomes and Salmonella outer membrane vesicles. This multifaceted immunomodulator can significantly enhance LNs' homing through homologous targeting and chemokine-guided navigation, enabling ROS-responsive drug release, thereby restoring functions of DCs and LNs immuno-microenvironment. As expected, the immunomodulator significantly improves the responsiveness of TNBC to immunotherapy, exerting potent inhibition on both the primary tumor and metastases, while promoting a substantial increase in central memory T cells within LNs for sustained antitumor immunity. Our study provides a potent strategy for translational immunotherapy through optimizing the LNs microenvironment in TNBC.

Indexed as

ExosomesImmunologic FactorsImmunotherapyLymph NodesTriple Negative Breast NeoplasmsAnimalsCell Line, TumorDendritic CellsFemaleHumansMiceReactive Oxygen SpeciesTumor MicroenvironmentImmunologic FactorsReactive Oxygen Species

Identifiers

PMID40753075
PMCPMC12318024

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.