Orooji Niloufar, Fadaee Manouchehr, Kazemi Tohid, Yousefi Bahman
Department of Immunology, School of Medicine, Semnan University of Medical Science, Semnan, Iran.
Department of Immunology, Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran.
Cancer Cell Int. 2024 Oct 30;24(1):360. doi: 10.1186/s12935-024-03544-6.
Non-small cell lung cancer (NSCLC) remains an ongoing health concern, with poor treatment options and prognosis for many patients. Typically, individuals with lung cancer are detected at the middle and terminal stages, resulting in poor medical results due to lack of initial diagnosis and treatment. So, finding the initial specific and effective therapy options for lung cancer is necessary. In addition, exosomes are generally small lipid vesicles with a diameter in the nanometer range that are created and released by different cell types. Exosomes have therapeutic potential through delivering bioactive compounds including microRNAs, siRNAs, and therapeutic proteins to tumor cells, modifying the tumor microenvironment, and promoting anti-tumor immune responses. In recent years, exosome-based therapy has become known as an appropriate approach for NSCLC treatment. This review offers an overview of the possibility of exosome-based therapy for NSCLC, with an emphasis on mechanisms of action, preclinical research, and current clinical trials. Preclinical studies have shown that exosome-based therapy can decrease tumor growth, metastasis, and drug resistance in NSCLC models. Furthermore, ongoing clinical trials are looking at the safety and efficacy of exosome-based therapies in NSCLC patients, offering important insights into their translational prospects. Despite promising preclinical evidences, significant obstacles remain, including optimizing exosome isolation and purification techniques, standardizing production strategies, and developing scalable manufacturing processes. Overall, exosome-based therapy shows significant promise as a novel and various methods for treating NSCLC, with the potential to enhance patient outcomes and evolution cancer treatment.
非小细胞肺癌(NSCLC)仍然是一个持续存在的健康问题,许多患者的治疗选择和预后较差。通常,肺癌患者在中晚期才被检测出来,由于缺乏早期诊断和治疗,导致医疗效果不佳。因此,找到针对肺癌的早期特异性有效治疗方案很有必要。此外,外泌体一般是直径在纳米范围内的小脂质囊泡,由不同细胞类型产生和释放。外泌体具有治疗潜力,可通过向肿瘤细胞递送包括微小RNA、小干扰RNA和治疗性蛋白质在内的生物活性化合物,调节肿瘤微环境,并促进抗肿瘤免疫反应。近年来,基于外泌体的治疗已成为NSCLC治疗的一种合适方法。本文综述了基于外泌体的治疗对NSCLC的可能性,重点介绍了其作用机制、临床前研究和当前的临床试验。临床前研究表明,基于外泌体的治疗可以降低NSCLC模型中的肿瘤生长、转移和耐药性。此外,正在进行的临床试验正在研究基于外泌体的治疗对NSCLC患者的安全性和有效性,为其转化前景提供了重要见解。尽管有前景良好的临床前证据,但仍存在重大障碍,包括优化外泌体分离和纯化技术、规范生产策略以及开发可扩展的制造工艺。总体而言,基于外泌体的治疗作为一种治疗NSCLC的新颖多样的方法显示出巨大潜力,有可能改善患者预后并推动癌症治疗的发展。