Extracellular Vesicles in Osteosarcoma: Antagonists or Therapeutic Agents?

Osteosarcoma (OS) is a skeletal tumor affecting mainly children and adolescents. The presence of distance metastasis is frequent and it is localized preferentially to the lung, representing the main reason for death among patients. The therapeutic approaches are based on surgery and chemotherapeutic...

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Veröffentlicht in:International journal of molecular sciences 2021-11, Vol.22 (22), p.12586
Hauptverfasser: De Martino, Viviana, Rossi, Michela, Battafarano, Giulia, Pepe, Jessica, Minisola, Salvatore, Del Fattore, Andrea
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container_issue 22
container_start_page 12586
container_title International journal of molecular sciences
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creator De Martino, Viviana
Rossi, Michela
Battafarano, Giulia
Pepe, Jessica
Minisola, Salvatore
Del Fattore, Andrea
description Osteosarcoma (OS) is a skeletal tumor affecting mainly children and adolescents. The presence of distance metastasis is frequent and it is localized preferentially to the lung, representing the main reason for death among patients. The therapeutic approaches are based on surgery and chemotherapeutics. However, the drug resistance and the side effects associated with the chemotherapy require the identification of new therapeutic approaches. The understanding of the complex biological scenario of the osteosarcoma will open the way for the identification of new targets for its treatment. Recently, a great interest of scientific community is for extracellular vesicles (EVs), that are released in the tumor microenvironment and are important regulators of tumor proliferation and the metastatic process. At the same time, circulating extracellular vesicles can be exploited as diagnostic and prognostic biomarkers, and they can be loaded with drugs as a new therapeutic approach for osteosarcoma patients. Thus, the characterization of OS-related EVs could represent a way to convert these vesicles from antagonists for human health into therapeutic and/or diagnostic agents.
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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Acidosis
Amputation
Angiogenesis
Antagonists
Antineoplastic Agents - adverse effects
Biomedical materials
Bone cancer
Bones
Cell Movement - drug effects
Cell Movement - genetics
Cell Proliferation - drug effects
Chemical compounds
Chemokines
Chemotherapy
Diagnostic agents
Diagnostic systems
Drug resistance
Drug Resistance - genetics
Extracellular vesicles
Extracellular Vesicles - chemistry
Extracellular Vesicles - genetics
Gene Expression Regulation, Neoplastic - drug effects
Humans
Metastases
Metastasis
Neoplasm Metastasis
Osteosarcoma
Osteosarcoma - drug therapy
Osteosarcoma - genetics
Pain
Patients
Pharmacology
Review
Sarcoma
Stem cells
Tumor microenvironment
Tumor Microenvironment - drug effects
Tumors
Vascular endothelial growth factor
Vesicles
title Extracellular Vesicles in Osteosarcoma: Antagonists or Therapeutic Agents?
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