Evidence map›Paper›PMID 40949610›Full record

ReviewInternational journal of nanomedicine2025

How Advanced Are Extracellular Vesicles in Renal Cell Carcinoma? For Diagnostic and Therapeutic Frontiers.

Mingcan Zhou, Lanfeng Wang, Bingqing Yu, Jiahui He, Jingyu Zhang, Zhanyu Liu, Puwen Chen, Chen Ouyang, Zhiping Chen

Abstract readReview
In one paragraph

Review in International journal of nanomedicine, 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

9 authors.

Mingcan ZhouDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Lanfeng WangFirst Clinical Medical College, Gannan Medical University, Ganzhou, People's Republic of China.
Bingqing YuDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.ORCID 0009-0007-5362-7236
Jiahui HeDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Jingyu ZhangDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Zhanyu LiuDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Puwen ChenDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Chen OuyangFirst Clinical Medical College, Gannan Medical University, Ganzhou, People's Republic of China.
Zhiping ChenDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma (RCC), a prevalent malignant tumor of the urinary system, presents significant challenges in early diagnosis and treatment. The invasiveness of traditional tissue biopsies and the limitations of imaging techniques necessitate the exploration of novel biomarkers through liquid biopsy. Extracellular vesicles (EVs), functioning as natural nanoscale carriers, encapsulate a variety of tumor-derived molecules and exhibit distinctive potential in non-invasive diagnosis, regulation of the tumor microenvironment (TME), and resistance to treatment in RCC. Serum- and urine-derived EVs can effectively differentiate RCC patients from healthy individuals by utilizing specific biomarkers, such as miRNAs, proteins, and snoRNAs. They can predict tumor staging, metastasis, and prognosis. TME is reshaped by EVs through the transmission of immunosuppressive factors and pro-angiogenic molecules, facilitating immune escape and the formation of pre-metastatic niches. Furthermore, the drug resistance mechanisms mediated by EVs provide new insights for targeted therapy, and their application as drug carriers demonstrates therapeutic potential. Nonetheless, the clinical translation of EVs faces several technical challenges, including the standardization of isolation techniques, inadequate validation of biomarkers, and the lack of large-scale clinical studies. Future efforts are focused on integrating multi-omics analysis, AI-assisted diagnosis, and novel isolation techniques to facilitate the transition of EVs from the laboratory to clinical application. Overall, EVs hold significant promise for the precision diagnosis and treatment of RCC; however, their widespread application necessitates systematic validation and technological innovation.

Indexed as

Carcinoma, Renal CellExtracellular VesiclesKidney NeoplasmsAnimalsBiomarkers, TumorHumansLiquid BiopsyTumor MicroenvironmentBiomarkers, Tumordrug resistance mechanismsimmunosuppressiveliquid biopsiesmiRNAstumor microenvironment

Identifiers

PMID40949610
PMCPMC12423443

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Registered trials

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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.