针对非小细胞肺癌肿瘤发生的外泌体疗法。

IF 5.3 2区 医学 Q1 ONCOLOGY Cancer Cell International Pub Date : 2024-10-30 DOI:10.1186/s12935-024-03544-6
Niloufar Orooji, Manouchehr Fadaee, Tohid Kazemi, Bahman Yousefi
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引用次数: 0

摘要

非小细胞肺癌(NSCLC)一直是人们关注的健康问题,许多患者的治疗方案和预后都很差。肺癌患者通常在中期和晚期才被发现,由于缺乏初期诊断和治疗,导致医疗效果不佳。因此,找到肺癌最初的特异性有效治疗方案十分必要。此外,外泌体一般是直径在纳米范围内的小型脂质囊泡,由不同类型的细胞产生和释放。外泌体具有治疗潜力,可将生物活性化合物(包括 microRNA、siRNA 和治疗蛋白)输送到肿瘤细胞,改变肿瘤微环境,促进抗肿瘤免疫反应。近年来,基于外泌体的疗法已成为治疗 NSCLC 的一种适当方法。本综述概述了外泌体疗法治疗 NSCLC 的可能性,重点介绍其作用机制、临床前研究和当前的临床试验。临床前研究表明,基于外泌体的疗法可以减少 NSCLC 模型中的肿瘤生长、转移和耐药性。此外,正在进行的临床试验正在研究基于外泌体的疗法对 NSCLC 患者的安全性和疗效,为其转化前景提供了重要见解。尽管临床前证据前景看好,但仍存在重大障碍,包括优化外泌体分离和纯化技术、标准化生产策略以及开发可扩展的生产工艺。总之,基于外泌体的疗法作为治疗 NSCLC 的一种新颖、多样的方法前景广阔,有望改善患者的预后并促进癌症治疗的发展。
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Exosome therapeutics for non-small cell lung cancer tumorigenesis.

Non-small cell lung cancer (NSCLC) remains an ongoing health concern, with poor treatment options and prognosis for many patients. Typically, individuals with lung cancer are detected at the middle and terminal stages, resulting in poor medical results due to lack of initial diagnosis and treatment. So, finding the initial specific and effective therapy options for lung cancer is necessary. In addition, exosomes are generally small lipid vesicles with a diameter in the nanometer range that are created and released by different cell types. Exosomes have therapeutic potential through delivering bioactive compounds including microRNAs, siRNAs, and therapeutic proteins to tumor cells, modifying the tumor microenvironment, and promoting anti-tumor immune responses. In recent years, exosome-based therapy has become known as an appropriate approach for NSCLC treatment. This review offers an overview of the possibility of exosome-based therapy for NSCLC, with an emphasis on mechanisms of action, preclinical research, and current clinical trials. Preclinical studies have shown that exosome-based therapy can decrease tumor growth, metastasis, and drug resistance in NSCLC models. Furthermore, ongoing clinical trials are looking at the safety and efficacy of exosome-based therapies in NSCLC patients, offering important insights into their translational prospects. Despite promising preclinical evidences, significant obstacles remain, including optimizing exosome isolation and purification techniques, standardizing production strategies, and developing scalable manufacturing processes. Overall, exosome-based therapy shows significant promise as a novel and various methods for treating NSCLC, with the potential to enhance patient outcomes and evolution cancer treatment.

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来源期刊
CiteScore
10.90
自引率
1.70%
发文量
360
审稿时长
1 months
期刊介绍: Cancer Cell International publishes articles on all aspects of cancer cell biology, originating largely from, but not limited to, work using cell culture techniques. The journal focuses on novel cancer studies reporting data from biological experiments performed on cells grown in vitro, in two- or three-dimensional systems, and/or in vivo (animal experiments). These types of experiments have provided crucial data in many fields, from cell proliferation and transformation, to epithelial-mesenchymal interaction, to apoptosis, and host immune response to tumors. Cancer Cell International also considers articles that focus on novel technologies or novel pathways in molecular analysis and on epidemiological studies that may affect patient care, as well as articles reporting translational cancer research studies where in vitro discoveries are bridged to the clinic. As such, the journal is interested in laboratory and animal studies reporting on novel biomarkers of tumor progression and response to therapy and on their applicability to human cancers.
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