Wei Xiaowei, Zhang Dagan, Zhu Yefei
Laboratory Medicine Center The Second Affiliated Hospital of Nanjing Medical University Nanjing China.
Department of Rheumatology and Immunology Institute of Translational Medicine Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School Nanjing China.
Smart Med. 2023 Oct 30;3(1):e20230027. doi: 10.1002/SMMD.20230027. eCollection 2024 Feb.
Bladder cancer (BC) is a prevalent malignant tumor of the urinary system, known for its rapid progression and high likelihood of recurrence. Despite ongoing efforts, clinical diagnosis and treatment of BC remain limited. As such, there is an urgent need to investigate potential mechanisms underlying this disease. Exosomes, which contain a variety of bioactive molecules such as nucleic acids, proteins, and lipids, are regarded as extracellular messengers because they are implicated in facilitating intercellular communication in various diseases and are pivotal in tumor advancement, serving as a promising avenue for such researches. Nevertheless, the heterogeneous nature of BC necessitates further exploration of the potential involvement of exosomes in disease progression. This review comprehensively outlines the biological attributes of exosomes and their critical roles in tumorigenesis, while also discussing their potential applications in regulating the progression of BC involving clinical diagnosis, prognostication and treatment.
膀胱癌(BC)是泌尿系统中一种常见的恶性肿瘤,以其快速进展和高复发可能性而闻名。尽管一直在努力,但BC的临床诊断和治疗仍然有限。因此,迫切需要研究这种疾病潜在的发病机制。外泌体含有多种生物活性分子,如核酸、蛋白质和脂质,被视为细胞外信使,因为它们在促进各种疾病中的细胞间通讯中发挥作用,并且在肿瘤进展中起关键作用,是此类研究的一个有前景的途径。然而,BC的异质性需要进一步探索外泌体在疾病进展中的潜在作用。这篇综述全面概述了外泌体的生物学特性及其在肿瘤发生中的关键作用,同时也讨论了它们在调节BC进展方面的潜在应用,包括临床诊断、预后和治疗。