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Power and promise of exosomes as clinical biomarkers and therapeutic vectors for liquid biopsy and cancer control

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ELSEVIER
DOI: 10.1016/j.bbcan.2020.188497

Keywords

Exosomes; Tumor; Biomarker; Gene regulation; Diagnostic marker; Therapeutic target

Funding

  1. National Natural Science Foundation of China [81972214, 81772932, 81472202, 81302065]
  2. Shanghai Natural Science Foundation [20ZR1472400]
  3. Natural Science Foundation of Hunan Province of China [2020WK2020]
  4. Construction of Clinical Medical Center for Tumor Biological Samples in Nantong [HS2016004]
  5. Jiangsu 333 Program [BRA2017205]

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Exosomes, derived from the nuclear endosome and plasma membrane, are effective carriers of intercellular signals, efficiently transferring proteins, lipids, and nucleic acids between cells. They have stable biological characteristics, diverse contents, non-invasive signaling molecule introduction pathways, and rapid detection capabilities, making them promising clinical diagnostic markers for various pathological conditions.
Exosomes, microvesicles derived from the nuclear endosome and plasma membrane, can be released into the extracellular environment to act as mediators between the cell membrane and cytoplasmic proteins, lipids, or RNA. Exosomes are considered effective carriers of intercellular signals in prokaryotes and eukaryotes, because of their ability to efficiently transfer proteins, lipids, and nucleic acids between cellular compartments. Since the 2007 discovery that exosomes carry bioactive substances, exosomes have been intensively researched. In various physiological and pathological processes, exosomes play important biological roles by specifically combining with receptor cells and transmitting information. Their stable biological characteristics, diversity of contents, non-invasiveness path for introducing signaling molecules, and ability for rapid detection make exosomes a promising clinical diagnostic marker for potentially many pathological conditions, including cancers. Exosomes are not only considered biomarkers and prognostic disease factors, but also have potential as gene carriers and drug delivery vectors, and have important clinical significance and application potential in the fields of cancer diagnosis, prognosis, and treatment.

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