Macrophage-Derived Extracellular Vesicles: A Promising Tool for Personalized Cancer Therapy

Antonella Barone1, Nicola d'Avanzo2, Maria Chiara Cristiano1

  • 1Department of Experimental and Clinical Medicine, University "Magna Græcia" of Catanzaro Campus Universitario-Germaneto, Viale Europa, 88100 Catanzaro, Italy.

Biomedicines
|June 24, 2022
PubMed

Insights

Macrophage-derived extracellular vesicles (EVs) are key mediators in the tumor microenvironment (TME), influencing cancer progression. This review explores their role and potential for personalized nanomedicine therapies.

Area of Science:

  • Oncology
  • Immunology
  • Nanomedicine

Background:

  • Cancer incidence and mortality are rising globally, with limited therapeutic efficacy due to delayed diagnosis, tumor recurrence, and multidrug resistance (MDR).
  • The tumor microenvironment (TME), including tumor-associated immune cells like macrophages, significantly impacts cancer progression through physicochemical changes.
  • Macrophages exhibit plasticity, with M1 (anti-tumor) and M2 (pro-tumor) phenotypes influencing cancer fate.

Purpose of the Study:

  • To review the critical role of macrophage-derived extracellular vesicles (EVs) in mediating cell-cell and organ-cell communication within the TME.
  • To discuss the impact of macrophage-derived EVs on cancer progression and their potential as diagnostic and therapeutic agents.
  • To explore the implications of macrophage-derived EVs for developing personalized anticancer nanomedicine.

Main Methods:

  • Literature review focusing on macrophage biology, extracellular vesicles, and cancer immunology.
  • Analysis of studies investigating the composition and function of macrophage-derived EVs in the TME.
  • Synthesis of current research on nanomedicine approaches utilizing EVs for cancer therapy.

Main Results:

  • Macrophage-derived EVs act as crucial intercellular communicators in the TME, delivering nucleic acids and proteins.
  • EVs, as natural nanosystems, possess inherent targeting capabilities due to their composition mirroring parent cells.
  • Evidence suggests macrophage EVs can promote or suppress tumor growth depending on macrophage polarization (M1/M2).

Conclusions:

  • Macrophage-derived EVs are significant players in cancer progression and TME modulation.
  • These EVs hold considerable promise for the development of novel, personalized nanomedicine strategies against cancer.
  • Targeting macrophage-derived EVs represents a potential avenue for innovative cancer treatment approaches.