a, b, Heat map (a) and enriched Gene Ontology terms (b) for differentially expressed genes in freshly collected human DRG neurons incubated with EVs from p53WT or p53null PCI-13 cells, plotted by fold enrichment with the associated log P value (Fisher’s exact algorithm for functional gene set enrichment); n = 3 biologically independent samples per condition. c, Representative images showing TH+ adrenergic neural fibres in TP53WT or TP53mut human OCSCC tissue; data independently replicated in 24 patient specimens. d, Quantification of TH+ areas as in c (n = 12 independent samples per group). e, Quantification of TH+ neural fibres in tumours from Krt5CreTrp53flox/flox and control mice (n = 5). f, Representative images of neo-neurites (β3-tubulin+) in human DRG co-cultured with EVs from p53WT or p53null PCI-13 cells; data independently replicated in 8 wells. g, h, Quantification of neuritogenesis (g) and noradrenaline levels (h) in human DRGs as in f (n = 4 biologically independent samples per condition). i–k, PCI-13-p53null orthotopic tumours were injected daily with no EVs (vehicle) or with EVs from p53null or p53WT PCI-13 cells for 3 weeks (n = 5 mice per group, i), and TH+ neural areas (j) and noradrenaline levels (k) in the tongue were measured. l, m, TG neurons were co-cultured with EVs from p53WT OCSCC cells treated with lentiviral miR-34a or non-specific inhibitors. Quantification of TH+ TG neurons (n = 4 mice per condition, l), and noradrenaline levels (n = 3 biologically independent samples per condition, m). Bars represent mean ± s.e.m. Unpaired two-tailed t-test (d, e, g, h, l, m) or one-way ANOVA with Tukey multiple comparisons (j, k).