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Exosomal circRNAs: A key factor of tumor angiogenesis and therapeutic intervention
Xue-Ping Zhang1, Jun-Peng Pei1, Chun-Dong Zhang1
1Department of Gastrointestinal Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, China.
Abstract:
Over the last few decades, our understanding of the molecular mechanisms underlying tumor angiogenesis has advanced at a significant pace and the clinical translation of these mechanisms has benefited millions of patients. However, limited efficacy and the rapid expansion of drug resistance remain unresolved issues. Recent studies in both preclinical and clinical settings have revealed that circRNAs, as a novel identified non-coding RNA can mediate intercellular communication and regulate the microenvironment within tumors after being selectively packaged, secreted, and transmitted via exosomes. This review aims to provide a comprehensive understanding of how exosomal circRNAs orchestrate inducers and inhibitors of angiogenesis, including their functions, molecular mechanisms, and potential roles as diagnostic biomarkers and therapeutic targets. Finally, we discuss the technological advances in exosome functionalization and exosome-mimetic nanovesicles intending to improve the clinical translation of exosomal circRNAs.
Insights
Circular RNAs (circRNAs) packaged in exosomes regulate tumor angiogenesis. This review explores their functions, mechanisms, and potential as cancer biomarkers and therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tumor angiogenesis research has advanced, but drug resistance and limited efficacy persist.
- Circular RNAs (circRNAs) are newly identified non-coding RNAs involved in intercellular communication.
- Exosomes facilitate the transport of circRNAs, influencing the tumor microenvironment.
Purpose of the Study:
- To comprehensively review the role of exosomal circRNAs in regulating angiogenesis.
- To elucidate the functions and molecular mechanisms of exosomal circRNAs in tumor growth.
- To explore the potential of exosomal circRNAs as diagnostic biomarkers and therapeutic targets in cancer.
Main Methods:
- Literature review of preclinical and clinical studies on circRNAs and exosomes.
- Analysis of molecular mechanisms underlying circRNA-mediated angiogenesis regulation.
- Examination of technological advancements in exosome engineering for therapeutic applications.
Main Results:
- Exosomal circRNAs can act as both inducers and inhibitors of angiogenesis.
- Specific circRNAs are selectively packaged and secreted via exosomes to modulate the tumor microenvironment.
- Exosomal circRNAs show promise as biomarkers for early cancer detection and prognosis.
Conclusions:
- Exosomal circRNAs represent a novel class of regulators in tumor angiogenesis.
- Targeting exosomal circRNAs offers a promising strategy to overcome drug resistance and improve cancer therapy.
- Advances in exosome-mimetic nanovesicles could enhance the clinical translation of exosomal circRNA therapeutics.
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