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Updated: Oct 20, 2025

In Vivo Immunogenicity Screening of Tumor-Derived Extracellular Vesicles by Flow Cytometry of Splenic T Cells
Published on: September 23, 2021
Extracellular vesicles in anti-tumor immunity
Elisabetta Vergani1, Elena Daveri1, Viviana Vallacchi1
1Unit of Immunotherapy of Human Tumors, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133, Milan, Italy.
Abstract:
To what extent extracellular vesicles (EVs) can impact anti-tumor immune responses has only started to get unraveled. Their nanometer dimensions, their growing number of subtypes together with the difficulties in defining their origin hamper their investigation. The existence of tumor cell lines facilitated advance in cancer EV understanding, while capturing information about phenotypes and functions of immune cell EVs in this context is more complex. The advent of immunotherapy with immune checkpoint inhibitors has further deepened the need to dissect the impact of EVs during immune activation and response, not least to contribute unraveling and preventing the generation of resistance occurring in the majority of patients. Here we discuss the factors that influence anddrive the immune response in cancer patients in the context of cancer therapeutics and the roles or possible functions that EVs can have in this scenario. With immune cell-derived EVs as leitmotiv, we will journey from EV discovery and subtypes through physiological and pathological functions, from similarities with tumor EVs to measures to revert detrimental consequences on immune responses to cancer.
Insights
Extracellular vesicles (EVs) play a complex role in anti-tumor immunity, influencing cancer therapeutics and immunotherapy responses. Understanding immune cell-derived EVs is crucial for developing effective cancer treatments and overcoming resistance.
Area of Science:
- Immunology
- Cancer Biology
- Nanomedicine
Background:
- Extracellular vesicles (EVs) are crucial in intercellular communication, but their role in anti-tumor immunity is complex and not fully understood.
- Investigating immune cell-derived EVs is challenging due to their heterogeneity and difficulty in defining origins, unlike tumor-derived EVs.
- The rise of immune checkpoint inhibitors necessitates a deeper understanding of EV impact on immune responses and resistance in cancer therapy.
Purpose of the Study:
- To explore the multifaceted roles of extracellular vesicles (EVs) in modulating anti-tumor immune responses.
- To highlight the significance of immune cell-derived EVs in the context of cancer therapeutics and immunotherapy.
- To discuss strategies for overcoming detrimental EV effects on anti-tumor immunity.
Main Methods:
- Review and synthesis of current literature on extracellular vesicle (EV) biology and function in cancer.
- Analysis of factors influencing immune responses in cancer patients undergoing therapy.
- Comparative discussion of tumor-derived EVs versus immune cell-derived EVs.
Main Results:
- Extracellular vesicles (EVs) significantly influence immune activation and response dynamics in cancer.
- Immune cell-derived EVs present unique challenges and opportunities for cancer immunotherapy.
- Understanding EV subtypes and functions is key to predicting and overcoming therapeutic resistance.
Conclusions:
- Extracellular vesicles (EVs) are critical mediators of anti-tumor immunity, impacting cancer treatment efficacy.
- Targeting or modulating immune cell-derived EVs offers potential therapeutic strategies.
- Further research into EV biology is essential for advancing cancer immunotherapy and preventing resistance.
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