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Updated: Jul 18, 2025

In Vivo Immunogenicity Screening of Tumor-Derived Extracellular Vesicles by Flow Cytometry of Splenic T Cells
Published on: September 23, 2021
MicroRNAs Derived from Extracellular Vesicles: Keys to Understanding SARS-CoV-2 Vaccination Response in Cancer
Beatriz Almeida1,2, Tânia R Dias1,3, Ana Luísa Teixeira1
1Molecular Oncology and Viral Pathology Group, Research Center of IPO Porto (CI-IPOP) & RISE@CI-IPOP (Health Research Network), Portuguese Oncology Institute of Porto (IPO Porto), Porto Comprehensive Cancer Center (Porto.CCC), 4200-072 Porto, Portugal.
Abstract:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) provoked a global pandemic identified as coronavirus disease (COVID-19), with millions of deaths worldwide. However, several important questions regarding its impact on public health remain unanswered, such as the impact of vaccination on vulnerable subpopulations such as cancer patients. Cytokine storm and a sustained inflammatory state are commonly associated with immune cell depletion, being manifested in most immunocompromised individuals. This strong immunosuppression can lead to a dysfunctional antiviral response to natural viral infection and compromised vaccination response. Extracellular vesicles (EVs) are membrane-bound vesicles released from cells that are involved in intercellular communication. EVs carry various molecules including microRNAs that play a crucial role in COVID-19 pathophysiology, influencing cellular responses. This review summarizes the state of the art concerning the role of EV-derived miRNAs in COVID-19 infection and their potential use as prognosis biomarkers for vaccination response in cancer patients.
Insights
This review explores how extracellular vesicle-derived microRNAs (EV-miRNAs) impact COVID-19 and vaccination responses in cancer patients. EV-miRNAs may serve as biomarkers for predicting vaccine efficacy in immunocompromised individuals.
Area of Science:
- Immunology
- Virology
- Biochemistry
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic (COVID-19), highlighting unanswered questions about vaccination in vulnerable groups like cancer patients.
- Immunocompromised individuals, including cancer patients, often experience immune cell depletion, cytokine storms, and impaired antiviral and vaccination responses.
- Extracellular vesicles (EVs) are crucial for intercellular communication, carrying molecules like microRNAs (miRNAs) that influence cellular responses and COVID-19 pathophysiology.
Purpose of the Study:
- To review the current understanding of EV-derived miRNAs in COVID-19 infection.
- To explore the potential of EV-derived miRNAs as prognostic biomarkers for vaccination response in cancer patients.
- To highlight the role of miRNAs in immune dysfunction and viral response.
Main Methods:
- Literature review of studies on extracellular vesicles, microRNAs, COVID-19, and cancer immunology.
- Analysis of the role of EV-derived miRNAs in SARS-CoV-2 infection and immune response.
- Evaluation of EV-derived miRNAs as potential biomarkers for vaccine response.
Main Results:
- EV-derived miRNAs are implicated in the pathophysiology of COVID-19.
- These miRNAs influence cellular responses and immune dysregulation.
- EV-derived miRNAs show potential as biomarkers for predicting vaccination outcomes.
Conclusions:
- EV-derived miRNAs play a significant role in COVID-19 infection and immune responses.
- Further research into EV-derived miRNAs could lead to novel biomarkers for assessing vaccine efficacy in cancer patients.
- Understanding EV-miRNA dynamics is crucial for managing COVID-19 in immunocompromised populations.
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