Hasan Reaid, Zhao Zhen, Li Yuanke, Liu Yanli, Zhang Yuanyuan, Cheng Kun
Division of Pharmacology and Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA.
Institute for Regenerative Medicine, Wake Forest University, Winston-Salem, NC, USA.
J Control Release. 2025 Apr 10;380:269-282. doi: 10.1016/j.jconrel.2025.01.072. Epub 2025 Feb 6.
Pancreatic cancer is one of the most aggressive malignancies with poor prognostic outcomes, necessitating the exploration of novel biomarkers and therapeutic targets for early detection and effective treatment. Small extracellular vesicles (sEVs) secreted by cells, have gained considerable attention in cancer research due to their role in intercellular communication and their potential as non-invasive biomarkers. This review focuses on the role of sEVs in the progression of pancreatic cancer and their application as biomarkers. We delve into the biogenesis, composition, and functional implications of sEVs in pancreatic tumor biology, emphasizing their involvement in processes such as tumor growth, metastasis, immune modulation, and chemotherapy resistance. In addition, we discuss the challenges in isolating and characterizing sEVs. The review also highlights recent advances in the utilization of sEV-derived biomarkers for the early diagnosis, prognosis, and monitoring of pancreatic cancer. By synthesizing the latest findings, we aim to underscore the significance of sEVs in pancreatic cancer and their potential to revolutionize patient management through improved diagnostics and targeted therapies.
胰腺癌是侵袭性最强的恶性肿瘤之一,预后较差,因此有必要探索新的生物标志物和治疗靶点,以实现早期检测和有效治疗。细胞分泌的小细胞外囊泡(sEVs)因其在细胞间通讯中的作用以及作为非侵入性生物标志物的潜力,在癌症研究中受到了广泛关注。本综述聚焦于sEVs在胰腺癌进展中的作用及其作为生物标志物的应用。我们深入探讨了sEVs在胰腺肿瘤生物学中的生物发生、组成和功能意义,强调它们在肿瘤生长、转移、免疫调节和化疗耐药等过程中的作用。此外,我们还讨论了分离和鉴定sEVs所面临的挑战。本综述还重点介绍了利用sEV衍生生物标志物进行胰腺癌早期诊断、预后评估和监测的最新进展。通过综合最新研究结果,我们旨在强调sEVs在胰腺癌中的重要性,以及它们通过改进诊断和靶向治疗彻底改变患者管理的潜力。