Evidence map›Paper›PMID 41943941›Full record

ReviewExpert reviews in molecular medicine2026

The Tumor-Platelet-Immune Interface: Driving Metastasis, Pre-Metastatic Niche Formation and Therapeutic Vulnerabilities.

Jalal Naghinezhad, Ehsan Kamali Yazdi, Ahmad Mohajerian, Negin Yousefi Chermehini, Pedram Ghanavati, Hamid Motamedi, Hadi Rezaeeyan

Abstract readReview
In one paragraph

Review in Expert reviews in molecular medicine, 2026. 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

7 authors.

Jalal NaghinezhadDepartment of Medical Laboratory Sciences, School of Allied Medical Science, https://ror.org/01rs0ht88Mazandaran University of Medical Sciences, Sari, Iran.
Ehsan Kamali Yazdihttps://ror.org/03hh69c20Alborz University of Medical Sciences, Alborz, Iran.
Ahmad MohajerianDepartment of Emergency Medicine, Faculty of Medicine, https://ror.org/01rws6r75Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Negin Yousefi ChermehiniDepartment of Emergency Medicine, Faculty of Medicine, https://ror.org/01rws6r75Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Pedram Ghanavatihttps://ror.org/01c4pz451Department of Neurosurgery, Firouzgar Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Hamid Motamedihttps://ror.org/01d30w739Asadabad School of Medical Sciences, Asadabad, Iran.
Hadi Rezaeeyanhttps://ror.org/01d30w739Asadabad School of Medical Sciences, Asadabad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic dissemination remains the leading cause of cancer-related mortality, driven not only by tumor-intrinsic factors but also by dynamic interactions within the tumor microenvironment (TME). Platelets and leukocytes orchestrate a systemic pro-metastatic network by shielding circulating tumor cells (CTCs), inducing neutrophil extracellular trap (NET) formation, and remodeling the extracellular matrix to prime pre-metastatic niches. This platelet-leukocyte crosstalk simultaneously promotes immune evasion, thromboinflammation, and metastatic seeding, creating a multi-cellular, temporally coordinated program that conventional anti-platelet and anti-inflammatory therapies inadequately target. Here, we propose a next-generation, multi-stimuli-responsive nanoparticle platform designed to disrupt these interconnected metastatic circuits. Engineered to respond to acidic pH in primary tumors and matrix metalloproteinases in pre-metastatic niches, these nanoparticles enable spatiotemporally controlled release of cytotoxic agents, anti-platelet drugs, and immune checkpoint inhibitors. Surface functionalization with anti-P-selectin further enhances specificity to tumor vasculature and facilitates platelet ‘hitchhiking’ for targeting CTCs. By simultaneously neutralizing platelet-leukocyte interactions, inhibiting NET-mediated scaffolds, and restoring anti-tumor immunity, this integrated strategy addresses multiple pro-metastatic mechanisms in a coordinated fashion. This work provides a conceptual and translational framework for precision anti-metastatic therapeutics, transforming the paradigm from single-pathway interventions to network-targeted strategies that disrupt tumor progression, CTC survival and metastatic niche formation. Our approach represents a critical step toward actionable, multi-modal interventions capable of preventing metastatic disease.

Indexed as

Blood PlateletsNeoplasmsTumor MicroenvironmentAnimalsHumansLeukocytesNanoparticlesNeoplasm MetastasisNeoplastic Cells, Circulatingcirculating tumor cellsenzyme- and pH-sensitive nanoparticlehydrogelneutrophil extracellular trapsplatelet-leukocyte crosstalkpre-metastatic nichetumor microenvironment

Identifiers

PMID41943941
PMCPMC13255538

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.