4.5 Review

Deciphering the messages carried by extracellular vesicles in hematological malignancies

Journal

BLOOD REVIEWS
Volume 46, Issue -, Pages -

Publisher

CHURCHILL LIVINGSTONE
DOI: 10.1016/j.blre.2020.100734

Keywords

Extracellular vesicles; Microvesicles; Exosomes; Hematological malignancies; Hematologic cancer; Leukemia; Lymphoma; Myeloma

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Funding

  1. NSERC, Canada [2017-04630, 341304-2012]
  2. Janeway Children's Hospital Foundation Investigator, Canada [212403]
  3. Janeway Children's Hospital Foundation trainee award
  4. PGS NSERC award

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Extracellular vesicles (EVs) serve as important mediators in hematological malignancies, promoting proliferation and drug resistance. By utilizing the biology of EVs, diagnostic and therapeutic approaches show substantial clinical promise in improving patient outcomes.
Extracellular vesicles (EVs) are nanosized membrane-bound particles released from all living cells examined thus far. EVs can transfer information in the form of proteins, nucleic acids, and lipids from donor cells to recipient cells. Here we summarize recent advances in understanding the role(s) EVs play in hematological malignancies (HM) and outline potential prognostic and diagnostic strategies using EVs. EVs have been shown to promote proliferation and angiogenesis, and alter the bone marrow microenvironment to favour the growth and survival of diverse HM. They also promote evasion of anti-cancer immune responses and increase multi-drug resistance. Using knowledge of EV biology, including HM-specific packaging of cargo, EV based diagnostics and therapeutic approaches show substantial clinical promise. However, while EVs may represent a new paradigm to solve many of the challenges in treating and/or diagnosing HM, much work is needed before they can be used clinically to improve patient outcomes.

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