Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting

Immunosuppression at tumor microenvironment (TME) is one of the major obstacles to be overcome for an effective therapeutic intervention against solid tumors. Tumor-associated macrophages (TAMs) comprise a sub-population that plays multiple pro-tumoral roles in tumor development including general im...

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Main Authors: Maria Luisa Fiani, Valeria Barreca, Massimo Sargiacomo, Flavia Ferrantelli, Francesco Manfredi, Maurizio Federico
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/17/6318
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author Maria Luisa Fiani
Valeria Barreca
Massimo Sargiacomo
Flavia Ferrantelli
Francesco Manfredi
Maurizio Federico
author_facet Maria Luisa Fiani
Valeria Barreca
Massimo Sargiacomo
Flavia Ferrantelli
Francesco Manfredi
Maurizio Federico
author_sort Maria Luisa Fiani
collection DOAJ
description Immunosuppression at tumor microenvironment (TME) is one of the major obstacles to be overcome for an effective therapeutic intervention against solid tumors. Tumor-associated macrophages (TAMs) comprise a sub-population that plays multiple pro-tumoral roles in tumor development including general immunosuppression, which can be identified in terms of high expression of mannose receptor (MR or CD206). Immunosuppressive TAMs, like other macrophage sub-populations, display functional plasticity that allows them to be re-programmed to inflammatory macrophages. In order to mitigate immunosuppression at the TME, several efforts are ongoing to effectively re-educate pro-tumoral TAMs. Extracellular vesicles (EVs), released by both normal and tumor cells types, are emerging as key mediators of the cell to cell communication and have been shown to have a role in the modulation of immune responses in the TME. Recent studies demonstrated the enrichment of high mannose glycans on the surface of small EVs (sEVs), a subtype of EVs of endosomal origin of 30–150 nm in diameter. This characteristic renders sEVs an ideal tool for the delivery of therapeutic molecules into MR/CD206-expressing TAMs. In this review, we report the most recent literature data highlighting the critical role of TAMs in tumor development, as well as the experimental evidences that has emerged from the biochemical characterization of sEV membranes. In addition, we propose an original way to target immunosuppressive TAMs at the TME by endogenously engineered sEVs for a new therapeutic approach against solid tumors.
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spelling doaj.art-32dae631104a4534960f050e45be39242023-11-20T12:03:27ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-08-012117631810.3390/ijms21176318Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 TargetingMaria Luisa Fiani0Valeria Barreca1Massimo Sargiacomo2Flavia Ferrantelli3Francesco Manfredi4Maurizio Federico5National Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyNational Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyNational Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyNational Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyNational Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyNational Center for Global Health, Istituto Superiore di Sanità, 00161 Rome, ItalyImmunosuppression at tumor microenvironment (TME) is one of the major obstacles to be overcome for an effective therapeutic intervention against solid tumors. Tumor-associated macrophages (TAMs) comprise a sub-population that plays multiple pro-tumoral roles in tumor development including general immunosuppression, which can be identified in terms of high expression of mannose receptor (MR or CD206). Immunosuppressive TAMs, like other macrophage sub-populations, display functional plasticity that allows them to be re-programmed to inflammatory macrophages. In order to mitigate immunosuppression at the TME, several efforts are ongoing to effectively re-educate pro-tumoral TAMs. Extracellular vesicles (EVs), released by both normal and tumor cells types, are emerging as key mediators of the cell to cell communication and have been shown to have a role in the modulation of immune responses in the TME. Recent studies demonstrated the enrichment of high mannose glycans on the surface of small EVs (sEVs), a subtype of EVs of endosomal origin of 30–150 nm in diameter. This characteristic renders sEVs an ideal tool for the delivery of therapeutic molecules into MR/CD206-expressing TAMs. In this review, we report the most recent literature data highlighting the critical role of TAMs in tumor development, as well as the experimental evidences that has emerged from the biochemical characterization of sEV membranes. In addition, we propose an original way to target immunosuppressive TAMs at the TME by endogenously engineered sEVs for a new therapeutic approach against solid tumors.https://www.mdpi.com/1422-0067/21/17/6318tumor-associated macrophagestumor microenvironmentmacrophage polarizationmannose receptorexosomesextracellular vesicles
spellingShingle Maria Luisa Fiani
Valeria Barreca
Massimo Sargiacomo
Flavia Ferrantelli
Francesco Manfredi
Maurizio Federico
Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
International Journal of Molecular Sciences
tumor-associated macrophages
tumor microenvironment
macrophage polarization
mannose receptor
exosomes
extracellular vesicles
title Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
title_full Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
title_fullStr Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
title_full_unstemmed Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
title_short Exploiting Manipulated Small Extracellular Vesicles to Subvert Immunosuppression at the Tumor Microenvironment through Mannose Receptor/CD206 Targeting
title_sort exploiting manipulated small extracellular vesicles to subvert immunosuppression at the tumor microenvironment through mannose receptor cd206 targeting
topic tumor-associated macrophages
tumor microenvironment
macrophage polarization
mannose receptor
exosomes
extracellular vesicles
url https://www.mdpi.com/1422-0067/21/17/6318
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