Department of Urology, the First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, People's Republic of China.
Shenzhen University Health Science Center, Shenzhen, People's Republic of China.
Int J Nanomedicine. 2024 Apr 22;19:3677-3695. doi: 10.2147/IJN.S458397. eCollection 2024.
Bladder cancer, a prevalent malignant neoplasm of the urinary tract, exhibits escalating morbidity and mortality rates. Current diagnosis standards rely on invasive and costly cystoscopy and histopathology, underscoring the urgency for non-invasive, high-throughput, and cost-effective novel diagnostic techniques to ensure timely detection and standardized treatment. Recent years have witnessed the rise of exosome research in bladder cancer studies. Exosomes contain abundant bioactive molecules that can help elucidate the intricate mechanisms underlying bladder cancer pathogenesis and metastasis. Exosomes hold potential as biomarkers for early bladder cancer diagnosis while also serving as targeted drug delivery vehicles to enhance treatment efficacy and mitigate adverse effects. Furthermore, exosome analyses offer insights into the complex molecular signaling networks implicated in bladder cancer progression, revealing novel therapeutic targets. This review provides a comprehensive overview of prevalent exosome isolation techniques and highlights the promising clinical utility of exosomes in both diagnostic and therapeutic applications in bladder cancer management.
膀胱癌是一种常见的泌尿道恶性肿瘤,其发病率和死亡率呈上升趋势。目前的诊断标准依赖于有创和昂贵的膀胱镜检查和组织病理学,这突显了开发非侵入性、高通量和具有成本效益的新型诊断技术的紧迫性,以确保及时发现和标准化治疗。近年来,外泌体研究在膀胱癌研究中兴起。外泌体含有丰富的生物活性分子,可以帮助阐明膀胱癌发病机制和转移的复杂机制。外泌体有望成为早期膀胱癌诊断的生物标志物,同时也可以作为靶向药物递送载体,以提高治疗效果并减轻不良反应。此外,外泌体分析提供了对膀胱癌进展中涉及的复杂分子信号网络的深入了解,揭示了新的治疗靶点。本综述全面介绍了常见的外泌体分离技术,并强调了外泌体在膀胱癌管理的诊断和治疗应用中的有前途的临床应用。