Evidence map›Paper›PMID 42879097›Full record

ReviewProbiotics and antimicrobial proteins2026

Gut Microbiota-Derived Extracellular Vesicles in Cancer: Friends or Foes?

Heba Mohammed Refat M Selim, Dalaal M Abdallah, Amira A El-Gazar, Hagar B Abo-Zalam, Ghada M Ragab, Rabab A El-Gazar, Marwa Ali-Tammam, Hanan S El-Abhar

Abstract readReview
PubMed Publisher
In one paragraph

Review in Probiotics and antimicrobial proteins, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Heba Mohammed Refat M SelimDepartment of Pharmaceutical Sciences, College of Pharmacy, AlMaarefa University, 13713, Riyadh, Diriyah, Saudi Arabia.ORCID http://orcid.org/0000-0001-6973-6460
Dalaal M AbdallahDepartment of Pharmacology & Toxicology, Cairo University, Kasr-El-Aini Street, Cairo, 11562, Egypt.ORCID http://orcid.org/0000-0001-5876-5530
Amira A El-GazarDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, October 6 University, Giza, 12585, Egypt. amira.ahmed@o6u.edu.eg.ORCID http://orcid.org/0000-0002-8372-4682
Hagar B Abo-ZalamDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, October 6 University, Giza, 12585, Egypt.ORCID http://orcid.org/0000-0002-9295-8739
Ghada M RagabDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Misr University for Science and Technology, Giza, 12585, Egypt.ORCID http://orcid.org/0000-0003-1299-0032
Rabab A El-GazarDepartment of Clinical Pharmacy, October 6 University, Giza, 12585, Egypt.ORCID http://orcid.org/0000-0002-4728-5723
Marwa Ali-TammamDepartment of Microbiology & Immunology, Faculty of Pharmacy, Future University in Egypt, Cairo, 12311, Egypt.ORCID http://orcid.org/0000-0003-2485-8100
Hanan S El-AbharDepartment of Pharmacology & Toxicology, Cairo University, Kasr-El-Aini Street, Cairo, 11562, Egypt. Hanan.elabhar@pharma.cu.edu.eg.ORCID http://orcid.org/0000-0001-8819-9891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut microbiota has emerged as a key regulator of cancer biology through its dynamic interaction with host immunity, metabolism, and cellular signaling. Recent evidence highlights that gut microbiota-derived extracellular vesicles (GMEVs), nanosized bi-layered particles secreted by gut bacteria, play a pivotal role in mediating microbiota-host communications. Unlike whole bacteria, GMEVs can cross epithelial and vascular barriers, circulate systemically, and deliver bioactive cargo including proteins, nucleic acid, and metabolites to distant organs exerting profound effects on tumor development and therapy. This review provides an up-to-date overview of the dual role of GMEVs in cancer. A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and Google Scholar without time restrictions using standardized keywords related to gut microbiota, extracellular vesicles, and cancer. Studies were included based on relevance to GMEVs biogenesis, mechanisms of host interaction, and functional roles in cancer hallmarks. Within the Yin-Yang conceptual framework, GMEVs associated with pathogenic or dysbiotic microbial states may promote tumorigenesis as demonstrated by vesicles derived from Fusobacterium nucleatum, Escherichia coli, Bacteroides fragilis, and Enterococcus faecalis foster tumorigenesis by inducing inflammation, sustaining proliferative signaling, promoting epithelial-mesenchymal transition, reprogramming cellular metabolism, and enabling immune evasion. Conversely, GMEVs derived from beneficial or commensal bacteria may exhibit therapeutic potential, particularly those from Akkermansia muciniphila, Lactobacillus plantarum, and attenuated Escherichia coli, which have demonstrated therapeutic effects by restoring intestinal homeostasis, suppressing tumor-associated inflammation, enhancing antitumor efficacy, and serving as natural delivery systems for targeted therapy and cancer vaccines. Understanding the complex Yin-Yang paradigm of GMEVs offers exciting opportunities in oncology. Future research should focus on mechanistic validation, biosafety profiling, and clinical translation of GMEV based-therapeutics.

Indexed as

CancerCancer hallmarksDrug deliveryGMEVsGut MicrobiotaInflammationTumor microenvironment

Identifiers

What OpenQuestion holds

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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.