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肾细胞癌中的细胞外囊泡:挑战与机遇并存

英文原题:Extracellular vesicles in renal cell carcinoma: challenges and opportunities coexist.

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Extracellular vesicles in renal cell carcinoma: challenges and opportunities coexist.

PubMed 2023/07/04(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

研究概要

它对人类健康构成重大威胁,发病率以每年约2%的速度增长。

中文摘要

肾细胞癌(RCC)在诊断和治疗方面都是一种极具挑战性的疾病。它对人类健康构成重大威胁,发病率以每年约2%的速度增长。细胞外囊泡(EVs)是脂质双层膜结构,对细胞间相互作用至关重要,并与RCC的进展有关。本综述概述了近年来关于EVs在RCC进展中作用的研究,包括参与肿瘤细胞与M2巨噬细胞的相互作用、介导免疫耐受的产生,以及在肿瘤微环境中充当通讯信使导致疾病进展。最后,提出了EVs在RCC治疗中的“三驾马车”,包括工程化sEVs或EVs肿瘤疫苗、间充质干细胞EVs治疗,以及减少肿瘤来源EVs的分泌。在此背景下,我们强调了基于EVs研究的局限性和挑战以及该领域未来发展的前景。总体而言,本综述全面总结了EVs在RCC中的作用及其作为未来治疗这一复杂疾病的可行途径的潜力。

展开英文摘要原文

Renal cell carcinoma (RCC) represents an extremely challenging disease in terms of both diagnosis and treatment. It poses a significant threat to human health, with incidence rates increasing at a yearly rate of roughly 2%. Extracellular vesicles (EVs) are lipid-based bilayer structures of membranes that are essential for intercellular interaction and have been linked to the advancement of RCC. This review provides an overview of recent studies on the role of EVs in RCC progression, including involvement in the interaction of tumor cells with M2 macrophages, mediating the generation of immune tolerance, and assuming the role of communication messengers in the tumor microenvironment leading to disease progression. Finally, the " troika " of EVs in RCC therapy is presented, including engineered sEVs' or EVs tumor vaccines, mesenchymal stem cell EVs therapy, and reduction of tumor-derived EVs secretion. In this context, we highlight the limitations and challenges of EV-based research and the prospects for future developments in this field. Overall, this review provides a comprehensive summary of the role of EVs in RCC and their potential as a viable pathway for the future treatment of this complex disease.

论文信息

作者
Lu Y、Zhang M、Zhou J、Liu X、Wang L、Hu X、Mao Y、Gan R
单位
The First School of Clinical Medicine, Gannan Medical University, Ganzhou, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2023
原文标识
PubMed 37469514 · DOI 10.3389/fimmu.2023.1212101