2018
DOI: 10.1186/s12943-017-0755-z
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Extracellular vesicles as mediators of the progression and chemoresistance of pancreatic cancer and their potential clinical applications

Abstract: Pancreatic cancer is one of the most lethal cancers worldwide due to its insidious symptoms, early metastasis, and chemoresistance. Hence, the underlying mechanisms contributing to pancreatic cancer progression require further exploration. Based on accumulating evidence, extracellular vesicles, including exosomes and microvesicles, play a crucial role in pancreatic cancer progression and chemoresistance. Furthermore, they also possess the potential to be promising biomarkers, therapy targets and tools for trea… Show more

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Cited by 58 publications
(66 citation statements)
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References 118 publications
(133 reference statements)
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“…Rabinowits et al reported that in lung adenocarcinoma, circulating total miRNAs can be used as a screening tool because they observed a significant difference between patients and healthy controls ( 79 ). Several miRNAs (miR-17-5p, miR-21, miR-550, miR-10b) were characterized from exosomes isolated from peripheral blood of pancreatic cancer patients, suggesting the use as early biomarkers ( 80 ). Similarly, miR-373 was significantly elevated in the serum of TNBC patients as compared to control subjects ( 81 ).…”
Section: Exosomes As Diagnostic Agents or In Cancer Therapeuticsmentioning
confidence: 99%
“…Rabinowits et al reported that in lung adenocarcinoma, circulating total miRNAs can be used as a screening tool because they observed a significant difference between patients and healthy controls ( 79 ). Several miRNAs (miR-17-5p, miR-21, miR-550, miR-10b) were characterized from exosomes isolated from peripheral blood of pancreatic cancer patients, suggesting the use as early biomarkers ( 80 ). Similarly, miR-373 was significantly elevated in the serum of TNBC patients as compared to control subjects ( 81 ).…”
Section: Exosomes As Diagnostic Agents or In Cancer Therapeuticsmentioning
confidence: 99%
“…MDSCs can also inhibit the migration of T cells to peripheral lymph nodes by decreasing the expression of CD62L on the surface of immature T cells to suppress the activation of T cells . A panoply of cytokines produced by tumor cells like TGF‐β, IL‐6, IL‐10, and GM‐CSF can contribute to the production of ROS in MDSCs that can increase FasL expression but decrease Bcl2 expression, leading to the apoptosis of activated T cells . Meanwhile, ROS can inhibit hematopoietic progenitor cells (HPCs) differentiating into DCs …”
Section: Main Functional Characteristics Of Mdscsmentioning
confidence: 99%
“…Efforts focused on targeting PC have been disappointing (7,36), so the standard of care for PC continues to be chemotherapy. However, chemoresistance is a major challenge in the treatment of PC (14,15,17,18). The efficacy of GEM monotherapy for PC is limited by emerging drug resistance, which can be intrinsic or acquired after multiple treatment cycles.…”
Section: Discussionmentioning
confidence: 99%
“…However, chemotherapy resistance remains a key challenge in PC treatment (14,15). In addition to cancer cells, the tumor microenvironment and pharmacokinetics contribute to clinical chemotherapy failure and apparent drug resistance (16)(17)(18).…”
Section: Introductionmentioning
confidence: 99%