4.7 Review

Exosomes in nasopharyngeal carcinoma

Journal

CLINICA CHIMICA ACTA
Volume 523, Issue -, Pages 355-364

Publisher

ELSEVIER
DOI: 10.1016/j.cca.2021.10.013

Keywords

Nasopharyngeal carcinoma; Exosomes; Biological functions; Diagnostic monitoring; Prognostic evaluation

Funding

  1. Chinese National Science Foundation [81172210]
  2. Hunan Province Science foundation [2016JJ2012]
  3. special topic of basic application research of Hengyang [2019YJ010631]

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Exosomes play important roles in nasopharyngeal carcinoma by manipulating the tumor microenvironment, participating in chemotherapy and radiation resistance, inducing immune suppression, promoting pathological angiogenesis, and supporting metastasis. They have the potential to be diagnostic biomarkers but face technical challenges in large-scale applications.
Nasopharyngeal carcinoma (NPC) is a malignant epithelial tumor with a unique geographical distribution, primarily prevalent in East Africa and Asia. Although there is an increased understanding of the pathogenesis and risk factors of NPC, prevention and treatment efforts remain limited. Various studies have indicated that exosomes are actively involved in NPC by delivering biomolecules such as non-coding RNAs and proteins to target cells. In this review, we summarize the biological functions of exosomes in NPC and highlight their prospects as diagnostic biomarkers. In NPC, exosomes can manipulate the tumor microenvironment, participate in chemotherapy and radiation resistance, induce immune suppression, promote pathological angiogenesis, and support metastasis, and thus they could also be promising biomarkers. Because exosomes have essential effects and unusual biological properties, they have a promising future in diagnostic monitoring and prognostic evaluation. Although there are technical issues associated with using exosomes in large-scale applications, they have unparalleled advantages in assisting the clinical management of NPC.

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