Extracellular Vesicle- and Mitochondria-Based Targeting of Non-Small Cell Lung Cancer Response to Radiation:

Sergey Leonov1,2, Anna Dorfman1, Elizaveta Pershikova1

  • 1Department of Cell Technologies, Institute of Future Biophysics, 141700 Dolgoprudny, Russia.

Cancers
|June 27, 2024
PubMed

Insights

Extracellular vesicles (EVs) transfer mitochondria in non-small cell lung cancer (NSCLC), influencing cell behavior and radiation response. This review explores the controversy and potential new radiation therapies.

Area of Science:

  • Cell Biology
  • Cancer Research
  • Oncology

Background:

  • Extracellular vesicles (EVs) mediate intercellular cargo transfer, influencing recipient cell functions like proliferation and apoptosis.
  • Metastatic cancer cells utilize EVs to remodel the tumor microenvironment (TME), promoting invasion and metastasis.
  • Intercellular transfer of mitochondria, including mitochondrial DNA (mtDNA) and RNA (mtRNA), via EVs and tunneling nanotubes (TNTs) is observed in non-small cell lung cancer (NSCLC).

Purpose of the Study:

  • To review the current understanding of EV-mediated mitochondrial transfer in NSCLC.
  • To highlight the controversy surrounding the impact of mitochondria transfer on cancer progression and radiation response.
  • To discuss novel radiation therapy approaches that may overcome cancer resistance mechanisms.

Main Methods:

  • Literature review of studies investigating EVs, mitochondria transfer, and radiation response in NSCLC.
  • Analysis of experimental data on the mechanisms of mitochondrial transfer (EVs, TNTs).
  • Exploration of emerging radiation therapy modalities.

Main Results:

  • EVs can transfer intact mitochondria organelles (MtO), mtDNA, and mitochondrial signatures (MtS) in NSCLC.
  • Cancer cells can acquire mitochondria from TME cells via TNTs, potentially restoring metabolic function.
  • The role of mitochondria transfer in modulating NSCLC radiation sensitivity remains debated, with conflicting evidence.

Conclusions:

  • EV-mediated mitochondrial transfer is a complex process in NSCLC with implications for tumor behavior.
  • Understanding mitochondria transfer mechanisms is crucial for deciphering cancer resistance to therapy.
  • New radiation strategies are needed to address mitochondria-driven resistance in NSCLC.