Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues

Most eukaryotic cells secrete extracellular vesicles called exosomes, which are involved in intercellular communication. Exosomes play a role in tumor development and metastasis by transporting bioactive chemicals from cancerous cells to other cells in local and distant microenvironments. However, t...

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Main Authors: Mohsen Safaei, Seyedeh Somayeh Rajabi, Mahtab Tirgar, Najmeh Namdar, Mahsa Dalfardi, Farnia Mohammadifar, Arash Goodarzi, Ahmad Reza Farmani, Vahid Ramezani, Zahra Abpeikar
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Regenerative Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352320425000598
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author Mohsen Safaei
Seyedeh Somayeh Rajabi
Mahtab Tirgar
Najmeh Namdar
Mahsa Dalfardi
Farnia Mohammadifar
Arash Goodarzi
Ahmad Reza Farmani
Vahid Ramezani
Zahra Abpeikar
author_facet Mohsen Safaei
Seyedeh Somayeh Rajabi
Mahtab Tirgar
Najmeh Namdar
Mahsa Dalfardi
Farnia Mohammadifar
Arash Goodarzi
Ahmad Reza Farmani
Vahid Ramezani
Zahra Abpeikar
author_sort Mohsen Safaei
collection DOAJ
description Most eukaryotic cells secrete extracellular vesicles called exosomes, which are involved in intercellular communication. Exosomes play a role in tumor development and metastasis by transporting bioactive chemicals from cancerous cells to other cells in local and distant microenvironments. However, the potential of exosomes can be used by engineering them and considering different therapeutic approaches to overcome tumors. Exosomes are a promising drug delivery approach that can help decrease side effects from traditional treatments like radiation and chemotherapy by acting as targeted agents at the tumor site. The present review provides an overview of exosomes and various aspects of the role of exosomes in cancer development, which include these items: exosomes in cancer diagnosis, exosomes and drug delivery, exosomes and drug resistance, exosomal microRNAs and exosomes in tumor microenvironment, etc. Cancer stem cells release exosomes that nurture tumors, promoting unwanted growth and regeneration, and these types of exosomes should be inhibited. Ironically, exosomes from other cells, such as hepatocytes or mesenchymal stem cells (MSCs), are vital for healing organs like the liver and repairing gastric ulcers. Without proper treatment, this healing process can backfire, potentially leading to disease progression or even cancer. What can be found from various studies about the role of exosomes in the field of cancer is that exosomes act like a double-edged sword; on the other hand, natural exosomes in the body may play an important role in the process and progression of cancer, but by engineering exosomes, they can be directed towards target therapy and targeted delivery of drugs to tumor cells. By examining the role and application of exosomes in various mechanisms of cancer, it is possible to help treat this disease more efficiently and quickly in preclinical and clinical research.
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spelling doaj-art-fe87af7bd8ff4db7ad8a3a379396d02d2025-08-20T03:09:41ZengElsevierRegenerative Therapy2352-32042025-06-012920221610.1016/j.reth.2025.03.005Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissuesMohsen Safaei0Seyedeh Somayeh Rajabi1Mahtab Tirgar2Najmeh Namdar3Mahsa Dalfardi4Farnia Mohammadifar5Arash Goodarzi6Ahmad Reza Farmani7Vahid Ramezani8Zahra Abpeikar9Department of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Pharmaceutics, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, IranDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Fasa University of Medical Sciences, Fasa, Iran; Corresponding author.Most eukaryotic cells secrete extracellular vesicles called exosomes, which are involved in intercellular communication. Exosomes play a role in tumor development and metastasis by transporting bioactive chemicals from cancerous cells to other cells in local and distant microenvironments. However, the potential of exosomes can be used by engineering them and considering different therapeutic approaches to overcome tumors. Exosomes are a promising drug delivery approach that can help decrease side effects from traditional treatments like radiation and chemotherapy by acting as targeted agents at the tumor site. The present review provides an overview of exosomes and various aspects of the role of exosomes in cancer development, which include these items: exosomes in cancer diagnosis, exosomes and drug delivery, exosomes and drug resistance, exosomal microRNAs and exosomes in tumor microenvironment, etc. Cancer stem cells release exosomes that nurture tumors, promoting unwanted growth and regeneration, and these types of exosomes should be inhibited. Ironically, exosomes from other cells, such as hepatocytes or mesenchymal stem cells (MSCs), are vital for healing organs like the liver and repairing gastric ulcers. Without proper treatment, this healing process can backfire, potentially leading to disease progression or even cancer. What can be found from various studies about the role of exosomes in the field of cancer is that exosomes act like a double-edged sword; on the other hand, natural exosomes in the body may play an important role in the process and progression of cancer, but by engineering exosomes, they can be directed towards target therapy and targeted delivery of drugs to tumor cells. By examining the role and application of exosomes in various mechanisms of cancer, it is possible to help treat this disease more efficiently and quickly in preclinical and clinical research.http://www.sciencedirect.com/science/article/pii/S2352320425000598CancerExosomeDrug deliveryDiagnosisExosomal microRNAsTumor microenvironment
spellingShingle Mohsen Safaei
Seyedeh Somayeh Rajabi
Mahtab Tirgar
Najmeh Namdar
Mahsa Dalfardi
Farnia Mohammadifar
Arash Goodarzi
Ahmad Reza Farmani
Vahid Ramezani
Zahra Abpeikar
Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
Regenerative Therapy
Cancer
Exosome
Drug delivery
Diagnosis
Exosomal microRNAs
Tumor microenvironment
title Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
title_full Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
title_fullStr Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
title_full_unstemmed Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
title_short Exosome-based approaches in cancer along with unlocking new insights into regeneration of cancer-prone tissues
title_sort exosome based approaches in cancer along with unlocking new insights into regeneration of cancer prone tissues
topic Cancer
Exosome
Drug delivery
Diagnosis
Exosomal microRNAs
Tumor microenvironment
url http://www.sciencedirect.com/science/article/pii/S2352320425000598
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