Journal
THORAX
Volume 76, Issue 10, Pages 1047-1056Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/thoraxjnl-2020-216370
Keywords
lung cancer; asthma; idiopathic pulmonary fibrosis; cystic fibrosis; COPD exacerbations
Categories
Funding
- National Children's Research Centre [C/17/3]
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Extracellular vesicles (EVs) play crucial roles in chronic lung diseases as mediators of intercellular communication and potential biomarkers and drug carriers. Research indicates that EVs are key players in inflammatory processes, offering new avenues for therapies and pathological investigations in a range of lung diseases.
To explore the role of extracellular vesicles (EVs) in chronic lung diseases. EVs are emerging as mediators of intercellular communication and possible diagnostic markers of disease. EVs harbour cargo molecules including RNA, lipids and proteins that they transfer to recipient cells. EVs are intercellular communicators within the lung microenvironment. Due to their disease-specific cargoes, EVs have the promise to be all-in-one complex multimodal biomarkers. EVs also have potential as drug carriers in chronic lung disease. Descriptive discussion of key studies of EVs as contributors to disease pathology, as biomarkers and as potential therapies with a focus on chronic obstructive pulmonary disorder (COPD), cystic fibrosis (CF), asthma, idiopathic pulmonary fibrosis and lung cancer. We provide a broad overview of the roles of EV in chronic respiratory disease. Recent advances in profiling EVs have shown their potential as biomarker candidates. Further studies have provided insight into their disease pathology, particularly in inflammatory processes across a spectrum of lung diseases. EVs are on the horizon as new modes of drug delivery and as therapies themselves in cell-based therapeutics. EVs are relatively untapped sources of information in the clinic that can help further detail the full translational nature of chronic lung disorders.
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