PMID- 27713136 OWN - NLM STAT- MEDLINE DCOM- 20180305 LR - 20220317 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 2 DP - 2017 Jan 10 TI - The role of extracellular vesicles in mediating progression, metastasis and potential treatment of hepatocellular carcinoma. PG - 3683-3695 LID - 10.18632/oncotarget.12465 [doi] AB - Hepatocellular carcinoma (HCC) is a major cause of cancer-related death worldwide. As vectors for intercellular information exchange, the potential role of extracellular vesicles (EVs) in HCC formation, progression and therapy has been widely investigated. In this review, we explore the current status of the researches in this field. Altogether there is undeniable evidence that EVs play a crucial role in HCC development, metastasis. Moreover, EVs have shown great potential as drug delivery systems (DDSs) for the treatment of HCC. Exosomal miRNAs derived from HCC cells can enhance transformed cell growth in recipient cells by modulating the expression of transforming growth factor-beta activated kinase-1(TAK1) and downstream signaling molecules. Furthermore, vacuolar protein sortin 4 homolog A(VPS4A) and insulin-like growth factor(IGF)-1 regulate exosome-mediated miRNAs transfer. Immune cells- derived EVs containing integrin alphaMbeta2 or CD147 may facilitate HCC metastasis. In addition, EVs-mediated shuttle of long non-coding RNAs (lncRNAs), specifically linc- VLDLR and linc-ROR promote chemoresistance of malignant cells. Heat shock proteins (HSPs)-harboring exosomes derived from HCC tumor cells increase the antitumor effect of natural killer (NK) cells, thus enhancing HCC immunotherapy. Indeed, inhibition of HCC tumor growth has been associated with tumor cell-derived exosomes (TEX)-pulsed dentritic cells (DCs). Exosomes are also essential in liver metastasis during colorectal carcinoma (CRC) and pancreatic ductal adenocarcinomas (PDAC). Therefore, as nucleic acid and drug delivery vehicles, EVs show a tremendous potential for effective treatment against HCC. FAU - Yang, Naibin AU - Yang N AD - Department of Infection and Liver Diseases, Ningbo First Hospital, Ningbo, China. FAU - Li, Shanshan AU - Li S AD - Department of Infection and Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Institute of Liver Research, Wenzhou Medical University, Wenzhou, China. FAU - Li, Guoxiang AU - Li G AD - Department of Infection and Liver Diseases, Ningbo First Hospital, Ningbo, China. FAU - Zhang, Shengguo AU - Zhang S AD - Department of Infection and Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Institute of Liver Research, Wenzhou Medical University, Wenzhou, China. FAU - Tang, Xinyue AU - Tang X AD - Department of Infection and Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Institute of Liver Research, Wenzhou Medical University, Wenzhou, China. FAU - Ni, Shunlan AU - Ni S AD - Department of Infection and Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Institute of Liver Research, Wenzhou Medical University, Wenzhou, China. FAU - Jian, Xiaomin AU - Jian X AD - Department of The First Clinical Medical, Wenzhou Medical University, Wenzhou, China. FAU - Xu, Cunlai AU - Xu C AD - Department of Respiration, Lishui People's Hospital of Wenzhou Medical University, Lishui, China. FAU - Zhu, Jiayin AU - Zhu J AD - Laboratory Animal Center, Wenzhou Medical University, Wenzhou, China. FAU - Lu, Mingqin AU - Lu M AD - Department of Infection and Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Institute of Liver Research, Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article PT - Review PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology/therapeutic use MH - Carcinoma, Hepatocellular/genetics/*metabolism/*pathology/therapy MH - Cell-Derived Microparticles/metabolism MH - Cholangiocarcinoma MH - Disease Progression MH - Drug Delivery Systems MH - Drug Resistance, Neoplasm MH - Exosomes/*metabolism MH - Extracellular Vesicles/*metabolism MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunotherapy MH - Liver Neoplasms/genetics/*metabolism/*pathology/therapy MH - Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/cytology/metabolism MH - Neoplasm Metastasis MH - Signal Transduction PMC - PMC5356911 OTO - NOTNLM OT - MSCs OT - exosomes OT - extracellular vesicles OT - hepatocellular carcinoma OT - miRNA COIS- CONFLICTS OF INTEREST The authors declare no conflict of interests. EDAT- 2016/10/08 06:00 MHDA- 2018/03/06 06:00 PMCR- 2017/01/10 CRDT- 2016/10/08 06:00 PHST- 2016/04/28 00:00 [received] PHST- 2016/09/28 00:00 [accepted] PHST- 2016/10/08 06:00 [pubmed] PHST- 2018/03/06 06:00 [medline] PHST- 2016/10/08 06:00 [entrez] PHST- 2017/01/10 00:00 [pmc-release] AID - 12465 [pii] AID - 10.18632/oncotarget.12465 [doi] PST - ppublish SO - Oncotarget. 2017 Jan 10;8(2):3683-3695. doi: 10.18632/oncotarget.12465.