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脐带间充质干细胞外泌体在乳腺癌中的应用:虚假希望还是真正解决方案?

英文原题:Umbilical cord mesenchymal stem cell exosomes in breast cancer. False hope or a real solution?

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Umbilical cord mesenchymal stem cell exosomes in breast cancer. False hope or a real solution?

PubMed 2026/02/20(内容时间) Clin Chim Acta Q1 · IF 4.1(JCR 2025)

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中文摘要

在全球女性癌症中,乳腺癌的发病率和死亡率均居首位。尽管过去几十年癌症治疗取得显著进步,患者和临床医生仍担忧传统化疗因靶向缺乏特异性而产生的副作用,以及耐药情况下疗效低下。近期,从间充质干细胞、尤其是人脐带组织中分离的外泌体,在乳腺癌治疗领域受到广泛关注。其生物相容性高、免疫原性低、能够穿越生理和解剖屏障且具有天然归巢特性,因此适合递送多种治疗载荷,包括传统化疗药物、微小RNA及低分子量生物活性化合物。通过同时靶向多条信号通路,外泌体可抑制肿瘤生长和进展,并有助于克服肿瘤细胞对多种传统治疗方式的耐药。本综述总结了人脐带组织来源外泌体用于癌症治疗的现有认识和新兴前景,呈现了靶向治疗乳腺癌的新机会,同时也指出其局限性。

展开英文摘要原文

Worldwide, breast cancer has the highest incidence and death rates among all cancers affecting women. Despite significant advancements in cancer therapeutics over the past few decades, patients and clinicians remain concerned about side effects stemming from the non-specific targeting of conventional chemotherapy and its low effectiveness in cases of drug resistance. Recently, exosomes isolated from mesenchymal stem cells, particularly those harvested from human umbilical cord, have garnered significant attention for the treatment of breast cancer.

Their high biological compatibility, low immunogenicity, capacity to traverse physiological and anatomical barriers, and natural homing properties make them ideal for transporting therapeutic payloads, including conventional chemotherapeutic drugs, microRNAs, and low-molecular-weight bioactive compounds.

By simultaneously targeting multiple signaling pathways, they can prevent tumor growth and progression while helping overcome tumor cells' resistance to many conventional treatment modalities. This review highlights current knowledge and emerging prospects of exosomes derived from human umbilical cord tissue for cancer treatment, presenting new opportunities for targeted breast cancer treatment while also noting limitations.

论文信息

作者
Jammoul D、Torossian T、Issa M、Saab M、Harmouch C、Mhanna R、Abla KK
第一作者单位
Department of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.. Electronic address: dwj02@mail.aub.edu.
通讯作者单位
Pharmaceutical Nanotechnology Research Lab, Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon. Electronic address: k.abla@bau.edu.lb.
文献类型
综述
期刊
Clinica chimica acta; international journal of clinical chemistry2026 Apr 15
原文标识
PubMed 41724457 · DOI 10.1016/j.cca.2026.120915