Department of Radiotherapy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
School of Basic Medicine Science, Zhengzhou University, Zhengzhou, China.
Cancer Med. 2023 Jul;12(13):14484-14497. doi: 10.1002/cam4.6099. Epub 2023 Jun 12.
Extracellular vesicles (EVs) can be secreted by a wide variety of cells, including tumor cells, and contain some bioactive molecules from the source cells. Therefore, they can potentially be used as biomarkers for early diagnosis of tumors and for tumor therapy. In addition, EVs can affect the features of target cells and participate in regulating the development process of tumors.
A literature review was conducted to elucidate the role of extracellular vesicles in the progression and treatment of nasopharyngeal carcinoma.
In this review, we discuss the molecular mechanisms of cell proliferation, angiogenesis, epithelial-mesenchymal transformation and metastasis, immune response, and chemo-radiotherapy resistance that are induced by EVs. We also reviewed the potential applications of EVs as biomarkers, therapeutic agents, and carriers so as to determine new directions for the early diagnosis and targeted therapy of nasopharyngeal carcinoma. The application limitations have also been discussed in this review, further work is needed to ensure optimal outcomes for patients.
Although the roles of extracellular vesicles in the progression of nasopharyngeal carcinoma have been summarized, some aspects are still unclear and need to be further studied. In addition, the applications of extracellular vesicles in the treatment of nasopharyngeal carcinoma still need to optimize conditions to produce better therapeutic outcomes for patients with nasopharyngeal carcinoma.
细胞外囊泡(EVs)可以由多种细胞分泌,包括肿瘤细胞,并且包含来自源细胞的一些生物活性分子。因此,它们有可能被用作肿瘤早期诊断和肿瘤治疗的生物标志物。此外,EVs 可以影响靶细胞的特征,并参与调节肿瘤的发展过程。
对细胞外囊泡在鼻咽癌进展和治疗中的作用进行了文献回顾。
在本综述中,我们讨论了 EVs 诱导的细胞增殖、血管生成、上皮-间充质转化和转移、免疫反应以及化疗-放疗耐药的分子机制。我们还回顾了 EVs 作为生物标志物、治疗剂和载体的潜在应用,以确定鼻咽癌早期诊断和靶向治疗的新方向。本综述还讨论了应用的局限性,需要进一步的工作以确保鼻咽癌患者的最佳治疗效果。
尽管已经总结了细胞外囊泡在鼻咽癌进展中的作用,但仍有一些方面尚不清楚,需要进一步研究。此外,细胞外囊泡在鼻咽癌治疗中的应用仍需要优化条件,以产生更好的治疗效果。