New Insights into Exosome Mediated Tumor-immune Escape: Clinical Perspectives and Therapeutic Strategies
Overview
Biophysics
Oncology
Affiliations
Recent advances in extracellular vesicle biology have uncovered a substantial role in maintaining cell homeostasis in health and disease conditions by mediating intercellular communication, thus catching the scientific community's attention worldwide. Extracellular microvesicles, some called exosomes, functionally transfer biomolecules such as proteins and non-coding RNAs from one cell to another, influencing the local environment's biology. Although numerous advancements have been made in treating cancer patients with immune therapy, controlling the disease remains a challenge in the clinic due to tumor-driven interference with the immune response and inability of immune cells to clear cancer cells from the body. The present review article discusses the recent findings and knowledge gaps related to the role of exosomes derived from tumors and the tumor microenvironment cells in tumor escape from immunosurveillance. Further, we highlight examples where exosomal non-coding RNAs influence immune cells' response within the tumor microenvironment and favor tumor growth and progression. Therefore, exosomes can be used as a therapeutic target for the treatment of human cancers.
Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma.
Guan M, Wang M, Wang W, Li C, Yao L, Zhu H Liver Res. 2025; 6(3):132-138.
PMID: 39958202 PMC: 11791807. DOI: 10.1016/j.livres.2022.08.001.
Relationship between exosomes and cancer: formation, diagnosis, and treatment.
Huang C, Li J, Xie Z, Hu X, Huang Y Int J Biol Sci. 2025; 21(1):40-62.
PMID: 39744442 PMC: 11667803. DOI: 10.7150/ijbs.95763.
Glioma-Derived Exosomes and Their Application as Drug Nanoparticles.
Mastantuono S, Manini I, Di Loreto C, Beltrami A, Vindigni M, Cesselli D Int J Mol Sci. 2024; 25(23).
PMID: 39684236 PMC: 11641060. DOI: 10.3390/ijms252312524.
Unveiling exosomes: Cutting-edge isolation techniques and their therapeutic potential.
Sani F, Shafiei F, Dehghani F, Mohammadi Y, Khorraminejad-Shirazi M, Anvari-Yazdi A J Cell Mol Med. 2024; 28(20):e70139.
PMID: 39431552 PMC: 11492151. DOI: 10.1111/jcmm.70139.
Stefanovic M, Jovanovic I, Zivkovic M, Stankovic A PLoS One. 2024; 19(6):e0305042.
PMID: 38861512 PMC: 11166308. DOI: 10.1371/journal.pone.0305042.