Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?

Cancer multidrug resistance (MDR) is one of the main mechanisms contributing to therapy failure and mortality. Overexpression of drug transporters of the ABC family (ATP-binding cassette) is a major cause of MDR. Extracellular vesicles (EVs) are nanoparticles released by most cells of the organism i...

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Main Authors: María Bucci-Muñoz, Aldana Magalí Gola, Juan Pablo Rigalli, María Paula Ceballos, María Laura Ruiz
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/8/1633
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author María Bucci-Muñoz
Aldana Magalí Gola
Juan Pablo Rigalli
María Paula Ceballos
María Laura Ruiz
author_facet María Bucci-Muñoz
Aldana Magalí Gola
Juan Pablo Rigalli
María Paula Ceballos
María Laura Ruiz
author_sort María Bucci-Muñoz
collection DOAJ
description Cancer multidrug resistance (MDR) is one of the main mechanisms contributing to therapy failure and mortality. Overexpression of drug transporters of the ABC family (ATP-binding cassette) is a major cause of MDR. Extracellular vesicles (EVs) are nanoparticles released by most cells of the organism involved in cell–cell communication. Their cargo mainly comprises, proteins, nucleic acids, and lipids, which are transferred from a donor cell to a target cell and lead to phenotypical changes. In this article, we review the scientific evidence addressing the regulation of ABC transporters by EV-mediated cell–cell communication. MDR transfer from drug-resistant to drug-sensitive cells has been identified in several tumor entities. This was attributed, in some cases, to the direct shuttle of transporter molecules or its coding mRNA between cells. Also, EV-mediated transport of regulatory proteins (e.g., transcription factors) and noncoding RNAs have been indicated to induce MDR. Conversely, the transfer of a drug-sensitive phenotype via EVs has also been reported. Additionally, interactions between non-tumor cells and the tumor cells with an impact on MDR are presented. Finally, we highlight uninvestigated aspects and possible approaches to exploiting this knowledge toward the identification of druggable processes and molecules and, ultimately, the development of novel therapeutic strategies.
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spelling doaj.art-4bc8243e7d0c4be3b57a1ad6cc45a9ee2023-11-19T01:53:18ZengMDPI AGLife2075-17292023-07-01138163310.3390/life13081633Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?María Bucci-Muñoz0Aldana Magalí Gola1Juan Pablo Rigalli2María Paula Ceballos3María Laura Ruiz4Facultad de Ciencias Bioquímicas y Farmacéuticas (UNR), Instituto de Fisiología Experimental (CONICET), Rosario 2000, ArgentinaFacultad de Ciencias Bioquímicas y Farmacéuticas (UNR), Instituto de Fisiología Experimental (CONICET), Rosario 2000, ArgentinaDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, GermanyFacultad de Ciencias Bioquímicas y Farmacéuticas (UNR), Instituto de Fisiología Experimental (CONICET), Rosario 2000, ArgentinaFacultad de Ciencias Bioquímicas y Farmacéuticas (UNR), Instituto de Fisiología Experimental (CONICET), Rosario 2000, ArgentinaCancer multidrug resistance (MDR) is one of the main mechanisms contributing to therapy failure and mortality. Overexpression of drug transporters of the ABC family (ATP-binding cassette) is a major cause of MDR. Extracellular vesicles (EVs) are nanoparticles released by most cells of the organism involved in cell–cell communication. Their cargo mainly comprises, proteins, nucleic acids, and lipids, which are transferred from a donor cell to a target cell and lead to phenotypical changes. In this article, we review the scientific evidence addressing the regulation of ABC transporters by EV-mediated cell–cell communication. MDR transfer from drug-resistant to drug-sensitive cells has been identified in several tumor entities. This was attributed, in some cases, to the direct shuttle of transporter molecules or its coding mRNA between cells. Also, EV-mediated transport of regulatory proteins (e.g., transcription factors) and noncoding RNAs have been indicated to induce MDR. Conversely, the transfer of a drug-sensitive phenotype via EVs has also been reported. Additionally, interactions between non-tumor cells and the tumor cells with an impact on MDR are presented. Finally, we highlight uninvestigated aspects and possible approaches to exploiting this knowledge toward the identification of druggable processes and molecules and, ultimately, the development of novel therapeutic strategies.https://www.mdpi.com/2075-1729/13/8/1633ABC transportersdrug resistanceextracellular vesiclesP-glycoproteinbreast cancer resistance proteinmultidrug resistance-associated protein
spellingShingle María Bucci-Muñoz
Aldana Magalí Gola
Juan Pablo Rigalli
María Paula Ceballos
María Laura Ruiz
Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
Life
ABC transporters
drug resistance
extracellular vesicles
P-glycoprotein
breast cancer resistance protein
multidrug resistance-associated protein
title Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
title_full Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
title_fullStr Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
title_full_unstemmed Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
title_short Extracellular Vesicles and Cancer Multidrug Resistance: Undesirable Intercellular Messengers?
title_sort extracellular vesicles and cancer multidrug resistance undesirable intercellular messengers
topic ABC transporters
drug resistance
extracellular vesicles
P-glycoprotein
breast cancer resistance protein
multidrug resistance-associated protein
url https://www.mdpi.com/2075-1729/13/8/1633
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