Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy
Tumor-derived exosomes play a multifaceted role in preparing the pre-metastatic niche, promoting cancer dissemination, and regulating cancer cell dormancy. A brief review of three types of cells implicated in metastasis and an overview of other types of extracellular vesicles related to metastasis a...
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Format: | Article |
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MDPI AG
2023-06-01
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Online Access: | https://www.mdpi.com/2227-9059/11/6/1614 |
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author | Ranvir Bhatia Joanna Chang Jessian L. Munoz Nykia D. Walker |
author_facet | Ranvir Bhatia Joanna Chang Jessian L. Munoz Nykia D. Walker |
author_sort | Ranvir Bhatia |
collection | DOAJ |
description | Tumor-derived exosomes play a multifaceted role in preparing the pre-metastatic niche, promoting cancer dissemination, and regulating cancer cell dormancy. A brief review of three types of cells implicated in metastasis and an overview of other types of extracellular vesicles related to metastasis are described. A central focus of this review is on how exosomes influence cancer progression throughout metastatic disease. Exosomes are crucial mediators of intercellular communication by transferring their cargo to recipient cells, modulating their behavior, and promoting tumor pro-gression. First, their functional role in cancer cell dissemination in the peripheral blood by facilitating the establishment of a pro-angiogenic and pro-inflammatory niche is described during organotro-pism and in lymphatic-mediated metastasis. Second, tumor-derived exosomes can transfer molecular signals that induce cell cycle arrest, dormancy, and survival pathways in disseminated cells, promoting a dormant state are reviewed. Third, several studies highlight exosome involvement in maintaining cellular dormancy in the bone marrow endosteum. Finally, the clinical implications of exosomes as biomarkers or diagnostic tools for cancer progression are also outlined. Understanding the complex interplay between tumor-derived exosomes and the pre-metastatic niche is crucial for developing novel therapeutic strategies to target metastasis and prevent cancer recurrence. To that end, several examples of how exosomes or other nanocarriers are used as a drug delivery system to inhibit cancer metastasis are discussed. Strategies are discussed to alter exosome cargo content for better loading capacity or direct cell targeting by integrins. Further, pre-clinical models or Phase I clinical trials implementing exosomes or other nanocarriers to attack metastatic cancer cells are highlighted. |
first_indexed | 2024-03-11T02:44:49Z |
format | Article |
id | doaj.art-789fa5e3125b458e87629d21e93a64fa |
institution | Directory Open Access Journal |
issn | 2227-9059 |
language | English |
last_indexed | 2024-03-11T02:44:49Z |
publishDate | 2023-06-01 |
publisher | MDPI AG |
record_format | Article |
series | Biomedicines |
spelling | doaj.art-789fa5e3125b458e87629d21e93a64fa2023-11-18T09:25:47ZengMDPI AGBiomedicines2227-90592023-06-01116161410.3390/biomedicines11061614Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and DormancyRanvir Bhatia0Joanna Chang1Jessian L. Munoz2Nykia D. Walker3Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Biological Sciences, University of Maryland, Baltimore, MD 21250, USADivision of Perinatal Surgery, Texas Children’s Hospital, Houston, TX 77030, USADepartment of Biological Sciences, University of Maryland, Baltimore, MD 21250, USATumor-derived exosomes play a multifaceted role in preparing the pre-metastatic niche, promoting cancer dissemination, and regulating cancer cell dormancy. A brief review of three types of cells implicated in metastasis and an overview of other types of extracellular vesicles related to metastasis are described. A central focus of this review is on how exosomes influence cancer progression throughout metastatic disease. Exosomes are crucial mediators of intercellular communication by transferring their cargo to recipient cells, modulating their behavior, and promoting tumor pro-gression. First, their functional role in cancer cell dissemination in the peripheral blood by facilitating the establishment of a pro-angiogenic and pro-inflammatory niche is described during organotro-pism and in lymphatic-mediated metastasis. Second, tumor-derived exosomes can transfer molecular signals that induce cell cycle arrest, dormancy, and survival pathways in disseminated cells, promoting a dormant state are reviewed. Third, several studies highlight exosome involvement in maintaining cellular dormancy in the bone marrow endosteum. Finally, the clinical implications of exosomes as biomarkers or diagnostic tools for cancer progression are also outlined. Understanding the complex interplay between tumor-derived exosomes and the pre-metastatic niche is crucial for developing novel therapeutic strategies to target metastasis and prevent cancer recurrence. To that end, several examples of how exosomes or other nanocarriers are used as a drug delivery system to inhibit cancer metastasis are discussed. Strategies are discussed to alter exosome cargo content for better loading capacity or direct cell targeting by integrins. Further, pre-clinical models or Phase I clinical trials implementing exosomes or other nanocarriers to attack metastatic cancer cells are highlighted.https://www.mdpi.com/2227-9059/11/6/1614cancer metastasestumor derived extracellular vesiclesnanocarriersdrug delivery systemsmesenchymal stem cellspre-metastatic niche |
spellingShingle | Ranvir Bhatia Joanna Chang Jessian L. Munoz Nykia D. Walker Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy Biomedicines cancer metastases tumor derived extracellular vesicles nanocarriers drug delivery systems mesenchymal stem cells pre-metastatic niche |
title | Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy |
title_full | Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy |
title_fullStr | Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy |
title_full_unstemmed | Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy |
title_short | Forging New Therapeutic Targets: Efforts of Tumor Derived Exosomes to Prepare the Pre-Metastatic Niche for Cancer Cell Dissemination and Dormancy |
title_sort | forging new therapeutic targets efforts of tumor derived exosomes to prepare the pre metastatic niche for cancer cell dissemination and dormancy |
topic | cancer metastases tumor derived extracellular vesicles nanocarriers drug delivery systems mesenchymal stem cells pre-metastatic niche |
url | https://www.mdpi.com/2227-9059/11/6/1614 |
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