4.7 Review

Immune-Cell-Derived Exosomes for Cancer Therapy

Journal

MOLECULAR PHARMACEUTICS
Volume -, Issue -, Pages -

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acs.molpharmaceut.2c00407

Keywords

exosomes; immune cells; antitumor mechanism; cancer therapy; nanocarriers

Funding

  1. Youth Natural Science Fund of Jiangsu Province [BK20200977]
  2. Large Instruments Open Foundation of Nantong University [KFJN2269/2271]
  3. National Health and Medical Research Council (NHMRC) Early Career Fellowship [1112258]
  4. WSU ViceChancellor's Senior Research Fellowship

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Exosomes secreted by immune cells play a significant role in cancer therapy due to their immunomodulatory characteristics and potential as drug delivery carriers. This review comprehensively outlines the biological and therapeutic characteristics of immune-cell-derived exosomes, summarizes their antitumor mechanism, and discusses their applications as nanocarriers for antitumor agents.
Exosomes are a type of extracellular vesicles secreted by cells in normal or pathological conditions for cell-cell communication. With immunomodulatory characteristics and potential therapeutic properties, immune-cell-derived exosomes play an important role in cancer therapy. They express various antigens on their surface, which can be employed for antigen presentation, immunological activation, and metabolic regulation, leading to the killing of cancerous cells. In addition, immune-cell-derived exosomes have received extensive attention as a drug delivery platform in effective antitumor therapy due to their excellent biocompatibility, low immunogenicity, and high loading capacity. In this review, the biological and therapeutic characteristics of immune-cell-derived exosomes are comprehensively outlined. The antitumor mechanism of exosomes secreted by immune cells, including macrophages, dendritic cells, T cells, B cells, and natural killer cells, are systematically summarized. Moreover, the applications of immune-cell-derived exosomes as nanocarriers to transport antitumor agents (chemotherapeutic drugs, genes, proteins, etc.) are discussed. More importantly, the existing challenges of immune-cell-derived exosomes are pointed out, and their antitumor potentials are also discussed.

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