• Exosomal ITGA3 is identified as a key promoter of epithelial ovarian cancer cell migration, with high expression linked to poor prognosis.
• ITGA3 is transferred via exosomes to recipient cells, where it activates the S100A7/p-ERK signaling pathway to drive migration.
• In vivo studies confirm that ITGA3-enriched exosomes enhance tumor growth and migration, while ITGA3 knockdown attenuates these effects.
• The ITGA3/S100A7 axis represents a novel prognostic biomarker and potential therapeutic target for improving EOC patient outcomes.
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