Evidence map›Paper›PMID 41209451›Full record

ReviewBladder cancer (Amsterdam, Netherlands)

Urothelial carcinoma and the potential clinical application of urinary extracellular vesicles: Current Status and prospects.

Eisuke Tomiyama, Fumihiko Urabe, Kazutoshi Fujita, Takahiro Kimura, Norio Nonomura, Peter C Black

Abstract readReview
In one paragraph

Review in Bladder cancer (Amsterdam, Netherlands). 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. 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

6 authors.

Eisuke TomiyamaVancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0002-0056-9446
Fumihiko UrabeDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2599-8183
Kazutoshi FujitaDepartment of Urology, Kindai University Faculty of Medicine, Osaka, Japan.
Takahiro KimuraDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.
Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Peter C BlackVancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recently, urinary extracellular vesicles (uEVs) have emerged as promising biomarkers for early diagnosis, prognosis, and treatment monitoring in urothelial carcinoma (UC). uEVs encapsulate nucleic acids, proteins, and other bioactive molecules that reflect the tumor microenvironment, potentially offering a non-invasive approach for real-time cancer assessment. Methodology: A comprehensive literature review was conducted, focusing on recent studies evaluating uEVs in UC, particularly regarding their molecular contents, such as microRNA (miRNA), long non-coding RNAs (lncRNAs), circular RNA (circRNA), messenger RNA (mRNA), and proteins. Studies that assessed the clinical utility of uEVs for diagnosis, prognosis, and individualized treatment guidance in UC were emphasized. Results: Studies have identified a variety of EV-RNAs and EV-proteins as potential diagnostic and prognostic biomarkers, with some showing promise for treatment response. However, challenges in validation, limited cohort sizes, and inconsistent findings have hindered their clinical application. Liquid biopsies using uEVs are advancing UC precision medicine by improving diagnostic accuracy, identifying molecular subtypes, and potentially predicting therapeutic responses. Conclusions: UEVs are promising for UC management, offering a minimally invasive, accessible source of biomarkers for diagnosis, prognosis, and treatment monitoring. Although further research and large-scale validation are needed, the integration of uEVs into clinical practice has the potential to transform UC patient care by providing precise personalized management strategies. Continued advances in EV research and biomarker discovery may ultimately lead to more effective targeted UC therapies.

Indexed as

extracellular vesiclesliquid biopsyproteinRNAurinary biomarker

Identifiers

PMID41209451
PMCPMC12589792

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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.