2022
DOI: 10.1186/s12951-022-01609-0
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Exosomes in the tumor microenvironment of sarcoma: from biological functions to clinical applications

Abstract: The current diagnosis and treatment of sarcoma continue to show limited timeliness and efficacy. In order to enable the early detection and management of sarcoma, increasing attentions have been given to the tumor microenvironment (TME). TME is a dynamic network composed of multiple cells, extracellular matrix, vasculature, and exosomes. Exosomes are nano-sized extracellular vesicles derived from various cells in the TME. The major function of exosomes is to promote cancer progress and metastasis through media… Show more

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Cited by 21 publications
(16 citation statements)
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“…In this scenario, the TME may play a relevant role in cancer progression and can influence the clinical management of these diseases [ 54 , 55 , 56 ], since it includes immune cells and stromal cells interacting with malignant cells through contact mechanisms or cytokines and subcellular structures, inducing both pro-tumor and antitumor activity. Among them, CD4+ and CD8+ T cells, together with NK cells, dendritic cells, and M1 tumor-associated macrophages (TAMs), promotes cell killing [ 57 , 58 , 59 ]. Novel approaches would aim to restore the immune function overcoming cancer suppressive effects [ 60 ].…”
Section: Discussionmentioning
confidence: 99%
“…In this scenario, the TME may play a relevant role in cancer progression and can influence the clinical management of these diseases [ 54 , 55 , 56 ], since it includes immune cells and stromal cells interacting with malignant cells through contact mechanisms or cytokines and subcellular structures, inducing both pro-tumor and antitumor activity. Among them, CD4+ and CD8+ T cells, together with NK cells, dendritic cells, and M1 tumor-associated macrophages (TAMs), promotes cell killing [ 57 , 58 , 59 ]. Novel approaches would aim to restore the immune function overcoming cancer suppressive effects [ 60 ].…”
Section: Discussionmentioning
confidence: 99%
“…The suppression and communication barriers of immune cells allow immune evasion [137]. Tumour cells escape being destroyed by the immune system because the immune cells, such as neutrophils, monocytes, macrophages, dendritic cells, natural killer cells, and B and T lymphocytes, are suppressed [138].…”
Section: Immune Evasion Therapiesmentioning
confidence: 99%
“…Exos are the products formed by the fusion of intraluminal vesicles derived from multi-vesicular bodies with the plasma membrane and released to the outside of the cell, which can be produced under normal or pathological conditions [ 31 ]. Multi-vesicles can fuse with lysosomes to degrade their contents, or fuse with plasma membranes to release inner membrane vesicles to the surrounding extracellular matrix, forming Exos containing a variety of bioactive substances [ 32 ]. Up to now, more than 4600 bioactive substances including proteins and nucleic acids have been found in Exos, such as dsDNA, miRNAs, major histocompatibility complex I, and heat shock protein HSC7023, which can widely participate in the regulation of various physiological and pathological processes in the body, such as antigen presentation, immune response, genetic material exchange, angiogenesis, inflammatory response, and tumor metastasis, thus playing an important role in the treatment of various diseases, such as the complex graft versus host diseases, myocardial ischemia and reperfusion injury, acute renal injury, and neurodegenerative diseases [ 33 ].…”
Section: Overview Of Evsmentioning
confidence: 99%