Evidence map›Paper›PMID 41050664›Full record

ReviewFrontiers in immunology2025

Extracellular vesicles in head and neck cancer: mediators of oncogenesis, immune evasion, and therapy resistance.

Jillian Dean, Tobias Niederegger, Cosima C Hoch, Bhagvat Maheta, Barbara Wollenberg, Friedrich Mrosk, Gabriel Hundeshagen, Maximilian Richter, Max Heiland, Jan Voss and 3 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

13 authors.

Jillian Dean *School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
Tobias Niederegger *Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Cosima C Hoch *Department of Otolaryngology, Head and Neck Surgery, Technical University of Munich (TUM) School of Medicine and Health, Technical University of Munich, Munich, Germany.
Bhagvat MahetaCollege of Medicine, California Northstate University, Elk Grove, CA, United States.
Barbara WollenbergDepartment of Otolaryngology, Head and Neck Surgery, Technical University of Munich (TUM) School of Medicine and Health, Technical University of Munich, Munich, Germany.
Friedrich MroskDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Gabriel HundeshagenDepartment of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany.
Maximilian RichterDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Max HeilandDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jan VossDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Adriana C PanayiDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Steffen Koerdt *Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Leonard Knoedler *Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Head and neck squamous cell carcinoma (HNSCC) remains a clinically challenging malignancy due to its intratumoral heterogeneity, aggressive progression, and resistance to multimodal treatment. Extracellular vesicles (EVs)-including exosomes and microvesicles-have gained attention as active contributors to these phenotypes by mediating intercellular signaling and molecular cargo transfer. HNSCC-derived EVs carry oncogenic and drug resistance proteins, along with microRNAs that promote immune evasion and EMT. Enrichment of microRNAs including miR-21, miR-214, and miR-221/222 within EVs supports angiogenesis, apoptosis evasion, and immune suppression. EV-associated PD-L1 impairs antigen presentation and T cell activity, contributing to resistance to checkpoint blockade. Additionally, EVs promote epithelial-to-mesenchymal transition and extracellular matrix remodeling, facilitating invasion and pre-metastatic niche formation. Through modulation of T cell function, macrophage polarization, and stromal recruitment, EVs help establish an immune-tolerant microenvironment. This review synthesizes current knowledge on the mechanistic roles of EVs in HNSCC and discusses their potential as diagnostic biomarkers and therapeutic targets.

Indexed as

CarcinogenesisDrug Resistance, NeoplasmExtracellular VesiclesHead and Neck NeoplasmsImmune EvasionSquamous Cell Carcinoma of Head and NeckAnimalsEpithelial-Mesenchymal TransitionHumansMicroRNAsTumor EscapeTumor MicroenvironmentMicroRNAsextracellular vesicleshead and neck squamous cell carcinomaimmune evasiontherapy resistancetumor microenvironment

Identifiers

PMID41050664
PMCPMC12491287

What OpenQuestion holds

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LicenceCC BY
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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.