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细胞来源外泌体在血液系统恶性肿瘤治疗中的应用。

Application of cell-derived exosomes in the hematological malignancies therapy.

作者信息

Ghaffari Kazem, Moradi-Hasanabad Amin, Sobhani-Nasab Ali, Javaheri Javad, Ghasemi Ali

机构信息

Department of Basic and Laboratory Sciences, Khomein University of Medical Sciences, Khomein, Iran.

Autoimmune Diseases Research Center, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

Front Pharmacol. 2023 Sep 8;14:1263834. doi: 10.3389/fphar.2023.1263834. eCollection 2023.

Abstract

Exosomes are small membrane vesicles of endocytic origin that are produced by both tumor and normal cells and can be found in physiological fluids like plasma and cell culture supernatants. They include cytokines, growth factors, proteins, lipids, RNAs, and metabolites and are important intercellular communication controllers in several disorders. According to a vast amount of research, exosomes could support or inhibit tumor start and diffusion in a variety of solid and hematological malignancies by paracrine signaling. Exosomes are crucial therapeutic agents for a variety of illnesses, such as cancer and autoimmune diseases. This review discusses the most current and encouraging findings from and experimental research, as well as the scant number of ongoing clinical trials, with a focus on the impact of exosomes in the treatment of malignancies. Exosomes have great promise as carriers of medications, antagonists, genes, and other therapeutic materials that can be incorporated into their core in a variety of ways. Exosomes can also alter the metabolism of cancer cells, alter the activity of immunologic effectors, and alter non-coding RNAs, all of which can alter the tumor microenvironment and turn it from a pro-tumor to an anti-tumor milieu. This subject is covered in the current review, which also looks at how exosomes contribute to the onset and progression of hematological malignancies, as well as their importance in diagnosing and treating these conditions.

摘要

外泌体是起源于内吞作用的小膜泡,由肿瘤细胞和正常细胞产生,可在血浆和细胞培养上清液等生理流体中找到。它们包括细胞因子、生长因子、蛋白质、脂质、RNA和代谢产物,是几种疾病中重要的细胞间通讯调控因子。根据大量研究,外泌体可通过旁分泌信号在多种实体和血液系统恶性肿瘤中支持或抑制肿瘤的起始和扩散。外泌体是多种疾病(如癌症和自身免疫性疾病)的关键治疗剂。本综述讨论了临床前和实验研究的最新且令人鼓舞的发现,以及正在进行的少量临床试验,重点关注外泌体在恶性肿瘤治疗中的影响。外泌体作为药物、拮抗剂、基因和其他治疗物质的载体具有巨大潜力,这些物质可以多种方式整合到其核心中。外泌体还可改变癌细胞的代谢、改变免疫效应器的活性以及改变非编码RNA,所有这些都可改变肿瘤微环境,使其从促肿瘤环境转变为抗肿瘤环境。本综述涵盖了这一主题,还探讨了外泌体如何促进血液系统恶性肿瘤的发生和发展,以及它们在这些疾病诊断和治疗中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24fc/10515215/87597133bc1b/fphar-14-1263834-g001.jpg

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