Review Article

An Update on Novel Therapeutic Warfronts of Extracellular Vesicles (EVs) in Cancer Treatment: Where We Are Standing Right Now and Where to Go in the Future

Table 2

Different types of potential EVs in cancer treatment.

Serial no.EV typeCancer typeMode of actionRemarksReferences

1DC-derived exosomesTumor-associated fibroblastImmunotherapyCD8+ T-cells releasing EVs kill mesenchymal stem cells (MSCs) and attenuate tumor growth[137]

2(i) Rab27a-regulated exosomesBreast cancer(i) Exosome release(i) RNAi-dependent knockdown of Rab27a reduced exosome secretion, decreased tumor growth[59]
(ii) PEG-SMRwt-Clu regulated exosomes(ii) Exosome release(ii) Regulates secretion of Nef-positive exosome-like vesicles[138]
(iii) NK and DC-modulated exosomes(iii) Exosome internalization(iii) Impairment of DC differentiation by IL6 overexpression and Stat3 phosphorylation[139]

3Dimethyl amiloride- (DMA-) regulated exosomesAcute myeloid leukemiaExosome releaseDMA inhibit exchange of Na+/H+ and Na+/Ca2+, improve efficacy of cyclophosphamide[140]

4(i) GBM-derived EVsGlioblastoma(i) Binding inhibition(i) Heparin inhibits oncogenic EFGRvIII mRNA transferation[141]
(ii) Stromal cell-derived exosomes(ii) Exosome overexpression(ii) miR-302-367 in glioma cells overexpress exosomes[113]

5Prostate cancer cell-derived exosomesCastration-resistant prostate cancer cellExosome releaseManumycin-A (MA) inhibits Ras/Raf/ERK1 signaling and ERK-dependent oncogenic splicing factor hnRNP H1 and release exosome in cancer[142]

6ExosomesPancreatic cancerDelivery vehicleThe exosomes deliver RNAi to oncogenic KRAS[143]

7Colorectal cancer cell line-derived exosomesColorectal cancerExosome knockoutAmiloride inhibits exosome production and blunts MDSC suppressor functions[140]