Umwali Yvette, Yue Cong-Bo, Gabriel Abakundana Nsenga Ariston, Zhang Yi, Zhang Xin
Department of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, China.
Department of Clinical Laboratory, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, China.
World J Clin Cases. 2021 Jun 26;9(18):4467-4479. doi: 10.12998/wjcc.v9.i18.4467.
Exosomes are extracellular vesicles that mediate intercellular communication. They contain different molecules, such as DNA, RNA, lipid, and protein, playing essential roles in the pathogenesis of colorectal cancer (CRC). Exosomes derived from CRC are implicated in tumorigenesis, chemotherapy resistance, and metastasis. Besides, they can enhance CRC progression by increasing tumor cell proliferation, reducing apoptosis mechanistically through altering particular essential regulatory genes, or controlling several signaling pathways. Therefore, exosomes derived from CRC are essential biomarkers and can be used in the diagnosis. Indeed, it is crucial to understand the role of exosomes in CRC, which is necessary to develop diagnostic and therapeutic strategies for early detection and treatment. In the present review, we discuss the roles of exosomes in the diagnosis and treatment of CRC.
外泌体是介导细胞间通讯的细胞外囊泡。它们包含不同的分子,如DNA、RNA、脂质和蛋白质,在结直肠癌(CRC)的发病机制中发挥着重要作用。源自CRC的外泌体与肿瘤发生、化疗耐药性和转移有关。此外,它们可通过增加肿瘤细胞增殖、通过改变特定关键调节基因机械性地减少细胞凋亡或控制多种信号通路来促进CRC进展。因此,源自CRC的外泌体是重要的生物标志物,可用于诊断。事实上,了解外泌体在CRC中的作用至关重要,这对于制定早期检测和治疗的诊断及治疗策略是必要的。在本综述中,我们讨论了外泌体在CRC诊断和治疗中的作用。