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Updated: Dec 17, 2025

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Published on: December 5, 2018
Exosomes: A Potential Therapeutic Tool Targeting Communications between Tumor Cells and Macrophages
Weihua Guo1, Yashan Li1, Wei Pang2
1Department of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China; Key Laboratory for Molecular Radiation Oncology of Hunan Province, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China.
Abstract:
Exosomes comprise extracellular vesicles (EVs) with diameters between 30 and 150 nm. They transfer proteins, RNA, and other molecules from cell to cell, playing an important role in the interactions between cells. The tumor microenvironment (TME) has been found to contain various cells and molecules that have an important impact on tumor development. In the TME, macrophages have been found to have an important relationship with tumor cells, with tumors recruiting and inducing macrophages to become tumor-associated macrophages (TAMs), which promote tumor development. Recently, exosomes have been found to play a critical role in the interaction between tumor cells and macrophages. Thus, in this review, we summarize the roles and mechanisms of exosomes in the interaction between tumor cells and macrophages and the potential methods by which exosomes are used to target the communication between tumor cells and macrophages to treat cancer.
Insights
Exosomes mediate communication between tumor cells and macrophages within the tumor microenvironment. This review explores exosome roles in this interaction and their potential for cancer therapy.
Area of Science:
- Cell Biology
- Cancer Research
- Extracellular Vesicles
Background:
- Exosomes are extracellular vesicles (EVs) crucial for intercellular communication, transferring molecules like proteins and RNA.
- The tumor microenvironment (TME) significantly influences tumor progression, involving complex cell-cell interactions.
- Tumor-associated macrophages (TAMs) are key players in the TME, promoted by tumor cells to drive cancer development.
Purpose of the Study:
- To review the critical roles and underlying mechanisms of exosomes in the tumor cell-macrophage communication within the TME.
- To explore the therapeutic potential of targeting exosome-mediated communication for cancer treatment.
Main Methods:
- Literature review focusing on studies investigating exosome function in tumor-macrophage interactions.
- Analysis of molecular mechanisms governing exosome biogenesis, release, and uptake in the TME.
- Examination of exosome content (proteins, RNA) involved in modulating macrophage behavior.
Main Results:
- Exosomes facilitate communication between tumor cells and macrophages, influencing TAM polarization and function.
- Tumor-derived exosomes can reprogram macrophages towards a pro-tumorigenic phenotype.
- Exosomes also mediate reciprocal interactions, with macrophages influencing tumor cells.
Conclusions:
- Exosomes are pivotal mediators in the complex crosstalk between tumor cells and macrophages.
- Targeting exosome-mediated communication presents a promising therapeutic strategy for cancer treatment.
- Further research into exosome biology in the TME is essential for developing effective cancer therapies.
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