Evidence map›Paper›PMID 41944389›Full record

ArticleJournal of extracellular vesicles2026

Chemoradiotherapy-Integrated Tumor Cell-Derived Microparticles Mediate Tumor Eradication in Malignant Pleural Effusion.

Minqi Zhou, Lingyi Kong, Weidong Zhong, Yijun Wang, Wenqian Yuan, Xixi Liu, Jiacheng Wang, Mengyao Su, Yuze Zheng, Zishan Feng and 9 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 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

19 authors.

Minqi ZhouCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Lingyi KongCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Weidong ZhongCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yijun WangCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Wenqian YuanCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Xixi LiuCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Jiacheng WangCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Mengyao SuCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yuze ZhengCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Zishan FengCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Zhiyuan ZhouCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yue DengCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Wenwen WeiCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Xiao YangCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yan HuCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Chao WanCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yuhan ShengCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Yajie SunCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.ORCID https://orcid.org/0000-0003-4611-230X
Kunyu YangCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.

Funding

Chinese Society of Clinical Oncology Foundation Y-MSDZD2022-0476Key R&D Program of Hubei Province 2024BCB051National Natural Science Foundation of China 82102843National Natural Science Foundation of China 82330085Natural Science Foundation of Hubei Province 2025AFB502Natural Science Foundation of Wuhan 2024040801020347Noncommunicable Chronic Diseases-National Science and Technology Major Project 2023ZD0503003
6 · The paper itself

Abstract

Malignant pleural effusion (MPE) portends poor prognosis in advanced cancer. Strategies that integrate potent tumor killing with immunosuppressive microenvironment reprogramming are crucial for the treatment of MPE. Studies show that irradiated tumor cell-derived microparticles (RT-MPs) possess natural tumor-targeting cytotoxicity and innate immune activation properties. To further boost the tumoricidal effects of RT-MPs, we developed innovative chemoradiotherapy-integrated tumor cell-derived microparticles (CR-MPs) by loading RT-MPs with chemotherapeutic agents, including methotrexate (MTX), monomethyl auristatin E (MMAE), or doxorubicin (DOX). CR-MPs exhibited superior tumoricidal activity over both RT-MPs and free drugs against a range of tumors. Specifically, MTX-loaded CR-MPs (CR-MPs@MTX) triggered mitochondrial oxidative stress and immunogenic ferroptosis in tumor cells, while directly reprogramming macrophages toward the M1 phenotype and stimulating dendritic cells via cGAS-STING/NF-κB pathway activation. In murine MPE models, CR-MPs effectively suppressed tumor progression, extended survival, and demonstrated favorable biosafety. When combined with immunotherapy, this approach achieved a cure rate of up to 70%, induced durable immunological memory, and retained efficacy against chemotherapy-resistant tumors. This study establishes CR-MPs as a novel platform with robust therapeutic efficacy against MPE, highlighting their translational potential as a precision concurrent chemoradiotherapy strategy for MPE management in clinical settings.

Indexed as

Cell-Derived MicroparticlesChemoradiotherapyPleural Effusion, MalignantAnimalsAntineoplastic AgentsCell Line, TumorFemaleHumansImmunotherapyMethotrexateMiceOxidative StressAntineoplastic AgentsMethotrexateextracellular vesiclesferroptosisimmunotherapymalignant pleural effusionmicroparticlesradiotherapy

Identifiers

PMID41944389
PMCPMC13054835

What OpenQuestion holds

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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.