RT Journal Article SR Electronic T1 Head and Neck Cancer-derived small extracellular vesicles sensitize TRPV1+ neurons to mediate cancer pain JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.09.06.506411 DO 10.1101/2022.09.06.506411 A1 Kufreobong E. Inyang A1 Christine M. Evans A1 Matthew Heussner A1 Margaret Petroff A1 Mark Reimers A1 Paola D. Vermeer A1 Nathan Tykocki A1 Joseph K. Folger A1 Geoffroy Laumet YR 2022 UL http://biorxiv.org/content/early/2022/09/08/2022.09.06.506411.abstract AB Severe pain is often experienced by patients with head and neck cancer and is associated with a poor prognosis. Despite its frequency and severity, current treatments fail to adequately control cancer-associated pain, because of our lack of mechanistic understanding. Cancer-derived small extracellular vesicles (Cancer-sEVs) are well- positioned to function as mediators of communication between cancer cells and neurons. Inhibition of Cancer-sEV release attenuated pain in tumor-bearing mice. Injection of purified Cancer-sEVs is sufficient to induce pain hypersensitivity in naïve mice. Cancer-sEVs triggered calcium influx in nociceptors and inhibition or ablation of nociceptors protect against cancer pain. Interrogation of published sequencing data of human sensory neurons exposed to human Cancer-sEVs suggested a stimulation of protein translation in neurons. Induction of translation by Cancer-sEVs was validated in our mouse model and its inhibition alleviated cancer pain in mice. These findings define a role of Cancer-sEVs in cancer pain and identify several druggable targets.Competing Interest StatementThe authors have declared no competing interest.