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Updated: Sep 23, 2025

In Vitro Assay to Study Tumor-macrophage Interaction
Published on: August 1, 2019
Exosomal microRNAs shuttling between tumor cells and macrophages: cellular interactions and novel therapeutic
Wen-Xiu Xu1, Dan-Dan Wang1, Zhi-Qiang Zhao2
1Department of General Surgery, The First Affiliated Hospital With Nanjing Medical University, 300 Guanzhou Road, Nanjing, 210029, China.
Abstract:
Extracellular vesicles secreted by tumor microenvironment (TME) cells are vital players in tumor progression through transferring nucleic acids and proteins. Macrophages are the main immune cells in TME and tumor associated macrophages (TAM) express M2 phenotype, which induce tumor proliferation, angiogenesis, invasion, metastasis and immune elimination, resulting in the subsequent evolution of malignancies. There are a high number of studies confirmed that tumor cells and TAM interact with each other through extracellular vesicles in various cancers, like pancreatic ductal adenocarcinoma, gastric cancer, breast cancer, ovarian cancer, colon cancer, glioblastoma, hepatocellular cancer, and lung cancer. Herein, this review summarizes the current knowledge on mechanisms of communications between tumor cells and TAM via extracellular vesicles, mainly about microRNAs, and targeting these events might represent a novel approach in the clinical implications of this knowledge into successful anti-cancer strategies.
Insights
Tumor cells and tumor-associated macrophages (TAMs) communicate via extracellular vesicles, transferring molecules like microRNAs to drive cancer progression. Targeting this communication offers a promising strategy for novel anti-cancer therapies.
Area of Science:
- Oncology
- Cell Biology
- Immunology
Background:
- Extracellular vesicles (EVs) mediate intercellular communication within the tumor microenvironment (TME).
- Tumor-associated macrophages (TAMs), often M2-polarized, promote tumor growth, angiogenesis, invasion, metastasis, and immune evasion.
- Interactions between tumor cells and TAMs are crucial for cancer progression and malignancy evolution.
Purpose of the Study:
- To review the mechanisms of communication between tumor cells and TAMs mediated by EVs.
- To highlight the role of microRNAs transferred via EVs in this interaction.
- To explore the potential of targeting these EV-mediated communications for anti-cancer strategies.
Main Methods:
- Literature review of studies investigating EV-mediated communication between tumor cells and TAMs.
- Analysis of mechanisms involving microRNA transfer.
- Synthesis of current knowledge on the role of EVs in various cancer types.
Main Results:
- EVs facilitate the transfer of nucleic acids and proteins between tumor cells and TAMs.
- MicroRNAs are key mediators in the communication pathways influenced by EVs.
- This crosstalk is observed across numerous cancer types, including pancreatic, gastric, breast, ovarian, colon, glioblastoma, hepatocellular, and lung cancers.
Conclusions:
- EVs play a significant role in the crosstalk between tumor cells and TAMs, influencing tumor progression.
- Targeting EV-mediated transfer of molecules, particularly microRNAs, presents a novel therapeutic avenue.
- Harnessing this knowledge could lead to the development of effective anti-cancer strategies.
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