Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma

Hepatocellular carcinoma (HCC), a typical inflammatory-related cancer, mainly occurs in patients with chronic liver diseases. Moreover, the liver is an immunologically privileged apparatus with multiple immunosuppressive cell groups. The long process of inflammation-mediated carcinogenesis turns the...

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Main Authors: Ming-Cheng Guan, Ming-Da Wang, Wan-Yin Wang, Chao Li, Lan-Qing Yao, Hong Zhu, Tian Yang
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-09-01
Series:Liver Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S254256842200037X
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author Ming-Cheng Guan
Ming-Da Wang
Wan-Yin Wang
Chao Li
Lan-Qing Yao
Hong Zhu
Tian Yang
author_facet Ming-Cheng Guan
Ming-Da Wang
Wan-Yin Wang
Chao Li
Lan-Qing Yao
Hong Zhu
Tian Yang
author_sort Ming-Cheng Guan
collection DOAJ
description Hepatocellular carcinoma (HCC), a typical inflammatory-related cancer, mainly occurs in patients with chronic liver diseases. Moreover, the liver is an immunologically privileged apparatus with multiple immunosuppressive cell groups. The long process of inflammation-mediated carcinogenesis turns the HCC tumor microenvironment (TME) into one with strong immunosuppression, facilitating the immune escape of HCC cells. Accumulated data have manifested that tumor-associated cell-derived exosomes carry diverse molecular cargoes (e.g., proteins and nucleic acids) for mediating cell-to-cell communication and are implicated in TME remodeling to promote tumor-infiltrating immune cell reprogramming, ultimately creating a tumor-friendly microenvironment. Characterized by several intrinsic attributes, such as good stability (bilayer-like structure) and high biocompatibility (cell secretion), exosomes can be modified or engineered as nanocarriers to deliver tumor-specific antigens or antitumor drugs to targeted cells or organs, thus effectively triggering the HCC cell elimination by the immune system. This review aimed to highlight the pivotal role of exosomes in regulating immune escape mechanisms in HCC and recent advances in exosome-mediated immunotherapy for HCC.
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spelling doaj.art-1076298e3692403c9af3c19f8b2660fa2022-12-22T03:18:29ZengKeAi Communications Co., Ltd.Liver Research2542-56842022-09-0163132138Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinomaMing-Cheng Guan0Ming-Da Wang1Wan-Yin Wang2Chao Li3Lan-Qing Yao4Hong Zhu5Tian Yang6Department of Medical Oncology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University (Navy Medical University), Shanghai, China; Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital of Navy Medical University, Shanghai, ChinaEastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital of Navy Medical University, Shanghai, ChinaDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University (Navy Medical University), Shanghai, China; Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital of Navy Medical University, Shanghai, ChinaDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University (Navy Medical University), Shanghai, China; Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital of Navy Medical University, Shanghai, ChinaDepartment of Medical Oncology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Corresponding author. Department of Medical Oncology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University (Navy Medical University), Shanghai, China; Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital of Navy Medical University, Shanghai, China; School of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, China; Corresponding author. Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University (Navy Medical University), Shanghai, China.Hepatocellular carcinoma (HCC), a typical inflammatory-related cancer, mainly occurs in patients with chronic liver diseases. Moreover, the liver is an immunologically privileged apparatus with multiple immunosuppressive cell groups. The long process of inflammation-mediated carcinogenesis turns the HCC tumor microenvironment (TME) into one with strong immunosuppression, facilitating the immune escape of HCC cells. Accumulated data have manifested that tumor-associated cell-derived exosomes carry diverse molecular cargoes (e.g., proteins and nucleic acids) for mediating cell-to-cell communication and are implicated in TME remodeling to promote tumor-infiltrating immune cell reprogramming, ultimately creating a tumor-friendly microenvironment. Characterized by several intrinsic attributes, such as good stability (bilayer-like structure) and high biocompatibility (cell secretion), exosomes can be modified or engineered as nanocarriers to deliver tumor-specific antigens or antitumor drugs to targeted cells or organs, thus effectively triggering the HCC cell elimination by the immune system. This review aimed to highlight the pivotal role of exosomes in regulating immune escape mechanisms in HCC and recent advances in exosome-mediated immunotherapy for HCC.http://www.sciencedirect.com/science/article/pii/S254256842200037XHepatocellular carcinoma (HCC)ExosomesTumor immune escapeImmunotherapyTumor microenvironment (TME)Tumor immune microenvironment
spellingShingle Ming-Cheng Guan
Ming-Da Wang
Wan-Yin Wang
Chao Li
Lan-Qing Yao
Hong Zhu
Tian Yang
Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
Liver Research
Hepatocellular carcinoma (HCC)
Exosomes
Tumor immune escape
Immunotherapy
Tumor microenvironment (TME)
Tumor immune microenvironment
title Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
title_full Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
title_fullStr Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
title_full_unstemmed Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
title_short Exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
title_sort exosomes as mediators of tumor immune escape and immunotherapy in hepatocellular carcinoma
topic Hepatocellular carcinoma (HCC)
Exosomes
Tumor immune escape
Immunotherapy
Tumor microenvironment (TME)
Tumor immune microenvironment
url http://www.sciencedirect.com/science/article/pii/S254256842200037X
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