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Isolation and Profiling of MicroRNA-containing Exosomes from Human Bile
Published on: June 13, 2016
Advances in the study of the breast carcinoma exosomal microRNAs: From basic mechanisms to clinical applications
Zhi-Min Chen1, Peng Huang1, Dun-Yang Yang1
1Department of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian 362000, P.R. China.
Abstract:
Breast carcinoma remains a major global health burden requiring innovative diagnostic and therapeutic strategies. Exosomal miRNAs have emerged as key factors in breast carcinoma that influence tumor progression, metastasis and treatment resistance. Recent studies have elucidated their mechanisms of action, including their roles in regulating oncogenic and tumor‑suppressive pathways, modulating the tumor microenvironment and promoting chemo‑resistance. Advances in miRNA‑based therapies such as miRNA mimics and inhibitors have shown promise in combination treatments, enhancing their therapeutic efficacy. Furthermore, exosomal miRNAs play a role in breast carcinoma calcification, offering novel insights into tumor progression. Unlike previous reviews that focus on a single function or therapeutic potential of miRNAs, the present review systematically integrated the multilevel role of exosomal miRNAs in breast cancer from the two dimensions of oncogenicity and tumor inhibition and the regulatory mechanism of breast carcinoma calcification and proposes that the exosomal miRNA calcification axis may be a key link connecting tumor metabolism and pathological calcification. Despite the potential of miRNAs, challenges remain in optimizing exosome isolation techniques and standardizing miRNA detection methods for clinical applications. Future research should focus on refining miRNA‑based liquid biopsies, developing delivery systems that target exosomes to enhance therapeutic efficacy and early detection strategies and ultimately improving patient survival and quality of life. The present review comprehensively explored the roles of exosomal miRNAs and highlighted their importance in breast carcinoma research. The present review illustrated the potential of exosomal miRNAs as non‑invasive biomarkers and therapeutic targets in precision medicine.
Insights
Exosomal microRNAs (miRNAs) are crucial in breast cancer progression and treatment resistance. This review highlights their potential as biomarkers and therapeutic targets for precision medicine.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Breast carcinoma is a significant global health challenge.
- Exosomal microRNAs (miRNAs) are increasingly recognized for their roles in breast cancer progression, metastasis, and treatment resistance.
- Understanding exosomal miRNAs is vital for developing innovative diagnostic and therapeutic strategies.
Purpose of the Study:
- To systematically review the multilevel roles of exosomal miRNAs in breast cancer, encompassing oncogenicity, tumor inhibition, and the regulation of breast carcinoma calcification.
- To explore the potential of the exosomal miRNA-calcification axis as a link between tumor metabolism and pathological calcification.
- To highlight exosomal miRNAs as non-invasive biomarkers and therapeutic targets in precision medicine.
Main Methods:
- Systematic literature review and integration of existing research on exosomal miRNAs in breast cancer.
- Analysis of mechanisms of action, including regulation of oncogenic/tumor-suppressive pathways and the tumor microenvironment.
- Evaluation of therapeutic potential, including miRNA mimics and inhibitors, and their role in combination treatments.
Main Results:
- Exosomal miRNAs significantly influence tumor progression, metastasis, and chemo-resistance in breast cancer.
- These miRNAs regulate key oncogenic and tumor-suppressive pathways and modulate the tumor microenvironment.
- Exosomal miRNAs are implicated in breast carcinoma calcification, suggesting a novel axis linking tumor metabolism and pathological calcification.
Conclusions:
- Exosomal miRNAs represent promising non-invasive biomarkers for early detection and monitoring of breast cancer.
- miRNA-based therapies, such as mimics and inhibitors, hold potential for enhancing treatment efficacy, particularly in combination therapies.
- Further research is needed to optimize exosome isolation and miRNA detection methods for clinical translation and to refine exosome-targeted delivery systems.
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