The biological functions and clinical applications of exosomes in lung cancer

Lung cancer remains the leading cause of cancer-related death worldwide, and the high incidence rates are worrisome. Exosomes are a class of extracellular vesicles secreted by most cells, including RNAs, proteins and lipids. Exosomes can mediate cell-to-cell communication in both physiologic and pat...

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Veröffentlicht in:Cellular and molecular life sciences : CMLS 2019-12, Vol.76 (23), p.4613-4633
Hauptverfasser: Chen, Rui, Xu, Xin, Qian, Zijun, Zhang, Congcong, Niu, Yongjie, Wang, Zhixian, Sun, Jianli, Zhang, Xiao, Yu, Yongchun
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container_end_page 4633
container_issue 23
container_start_page 4613
container_title Cellular and molecular life sciences : CMLS
container_volume 76
creator Chen, Rui
Xu, Xin
Qian, Zijun
Zhang, Congcong
Niu, Yongjie
Wang, Zhixian
Sun, Jianli
Zhang, Xiao
Yu, Yongchun
description Lung cancer remains the leading cause of cancer-related death worldwide, and the high incidence rates are worrisome. Exosomes are a class of extracellular vesicles secreted by most cells, including RNAs, proteins and lipids. Exosomes can mediate cell-to-cell communication in both physiologic and pathologic processes. Accumulated evidences show that cancer-derived exosomes aid in the recruitment and reprogramming of constituents correlated with tumor microenvironment. Furthermore, exosome-based clinical trials have been completed in advanced lung cancer patients. In this review, we discuss the roles of exosomes in a lung cancer microenvironment, such as its participation in lung cancer initiation, progression and metastasis as well as being involved in angiogenesis, epithelial–mesenchymal transition (EMT), immune escape, and drug resistance. In addition, we focus on the potential of exosomes as diagnostic and prognostic biomarkers in lung cancer, as well as the challenges faced by and advantages of exosomes as drug delivery vehicles and in exosome-based immunotherapy.
doi_str_mv 10.1007/s00018-019-03233-y
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Exosomes are a class of extracellular vesicles secreted by most cells, including RNAs, proteins and lipids. Exosomes can mediate cell-to-cell communication in both physiologic and pathologic processes. Accumulated evidences show that cancer-derived exosomes aid in the recruitment and reprogramming of constituents correlated with tumor microenvironment. Furthermore, exosome-based clinical trials have been completed in advanced lung cancer patients. In this review, we discuss the roles of exosomes in a lung cancer microenvironment, such as its participation in lung cancer initiation, progression and metastasis as well as being involved in angiogenesis, epithelial–mesenchymal transition (EMT), immune escape, and drug resistance. 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Mol. Life Sci</addtitle><addtitle>Cell Mol Life Sci</addtitle><description>Lung cancer remains the leading cause of cancer-related death worldwide, and the high incidence rates are worrisome. Exosomes are a class of extracellular vesicles secreted by most cells, including RNAs, proteins and lipids. Exosomes can mediate cell-to-cell communication in both physiologic and pathologic processes. Accumulated evidences show that cancer-derived exosomes aid in the recruitment and reprogramming of constituents correlated with tumor microenvironment. Furthermore, exosome-based clinical trials have been completed in advanced lung cancer patients. In this review, we discuss the roles of exosomes in a lung cancer microenvironment, such as its participation in lung cancer initiation, progression and metastasis as well as being involved in angiogenesis, epithelial–mesenchymal transition (EMT), immune escape, and drug resistance. 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subjects Angiogenesis
Biochemistry
Biomarkers
Biomedical and Life Sciences
Biomedicine
Cell Biology
Cell Communication
Cell interactions
Clinical trials
Diagnostic systems
Drug delivery
Drug delivery systems
Drug resistance
Drug Resistance, Neoplasm
Epithelial-Mesenchymal Transition
Exosomes
Exosomes - metabolism
Humans
Immunosuppression Therapy
Immunotherapy
Life Sciences
Lipids
Lung cancer
Lung Neoplasms - blood supply
Lung Neoplasms - metabolism
Lung Neoplasms - pathology
Medical research
Mesenchyme
Metastases
Neoplasm Metastasis
Neovascularization, Pathologic
Review
Therapeutic applications
Tumor Microenvironment
title The biological functions and clinical applications of exosomes in lung cancer
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