Evidence map›Paper›PMID 40877991›Full record

ReviewGut pathogens2025

Extracellular vesicles in intestinal protozoa: hidden mediators of host-parasite communication.

Manouchehr Fadaee, Masoud Lahouty, Fatemeh Ramzi, Fatemeh Alizadeh, Sima Roshanfar, Tohid Kazemi, Adel Spotin, Kareem Hatam-Nahavandi, Ehsan Ahmadpour

Abstract readReview
In one paragraph

Review in Gut pathogens, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Pathogens (Basel, Switzerland) · 2026
    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

9 authors.

Manouchehr FadaeeStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Masoud LahoutyPediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Fatemeh RamziDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh AlizadehPediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Sima RoshanfarDepartment of Medical Parasitology and Mycology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
Tohid KazemiDepartment of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Adel SpotinImmunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Kareem Hatam-NahavandiDepartment of Parasitology and Mycology, School of Medicine, Sistan and Baluchestan, Iranshahr University of Medical Sciences, Iranshahr, Iran.
Ehsan AhmadpourInfectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. ehsanahmadpour@gmail.com.

Funding

Student Research Committee, Tabriz University of Medical Sciences 76251
6 · The paper itself

Abstract

Intestinal protozoan parasites, including, Cryptosporidium spp., Giardia duodenalis, Entamoeba histolytica, and Blastocystis sp. pose significant global health challenges, particularly in developing regions with limited access to sanitation and healthcare resources. Extracellular vesicles (EVs) have emerged as critical factors for communication in the complex interplay between intestinal protozoan parasites and their hosts. This review explores the diverse roles of parasite-derived EVs, with a focus on their biogenesis, molecular cargo, and host interactions. Studies show that G. duodenalis EVs disrupt tight junctions in intestinal epithelia and promote Th1 immune responses. Blastocystis sp. EVs modulate cytokine production, increasing IL-6 and TNF-α while reducing IL-10 and IL-4. E. histolytica EVs inhibit immune cell recruitment by downregulating STAT6 signaling and suppressing IL-4 and IL-13. Additionally, Cryptosporidium-infected epithelial cells release EVs enriched in GP60 and CpRom1 proteins that stimulate host immune responses via the TLR4/IKK pathway. Beyond pathogenesis, the specific and stable cargo of parasitic EVs supports their utility as biomarkers and therapeutic agents. Ongoing research into their roles in microbiome modulation and immune regulation may inform future diagnostics and treatments for parasitic infections.

Indexed as

Extracellular vesiclesHost-parasite interactionsIntestinal parasites

Identifiers

PMID40877991
PMCPMC12395738

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.