PMID- 35117707 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220501 IS - 2219-6803 (Electronic) IS - 2218-676X (Print) IS - 2218-676X (Linking) VI - 9 IP - 5 DP - 2020 May TI - Tumor-derived exosomes facilitate tumor cells escape from drug therapy in clear cell renal cell carcinoma. PG - 3416-3425 LID - 10.21037/tcr-19-2246 [doi] AB - BACKGROUND: Clear cell renal cell carcinoma (ccRCC) is one of the most prevalent cancers in renal cancer patients. Currently, mTOR and vascular endothelial growth factor (VEGF) inhibitors are the main targets of clinical drugs used to treat ccRCC. However, the major clinical challenge with these treatments is drug resistance. So far, the mechanisms of drug resistance in cancer are not fully understood. METHODS: We applied tumor-derived exosomes to treat renal cells to detect the survival rate after co-treated with anti-tumor drugs-TNFalpha, mammalian target of rapamycin (mTOR) inhibitor or STAT3 inhibitor. Meanwhile, we also detected the expression change in the protein level related to the proliferation and exosome secretion. RESULTS: Exosomes derived from renal carcinoma cells facilitate resistance in tumors cells when given drug therapy via the mTOR-ERK-STAT-NF-kappaB signaling pathway. CONCLUSIONS: Our results provide new insights on tumor cells resistance to drug therapies in general, and that exosomes could be the potential targets in treatment of ccRCC in future clinical therapy. CI - 2020 Translational Cancer Research. All rights reserved. FAU - Wang, Xiaogang AU - Wang X AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Shi, Qianqian AU - Shi Q AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Cui, Li AU - Cui L AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Wang, Kai AU - Wang K AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Gong, Pengfeng AU - Gong P AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - He, Xiaozhou AU - He X AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Xu, Renfang AU - Xu R AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. FAU - Tan, Mingdian AU - Tan M AD - Tongji University Cancer Center, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China. AD - Current Address Program in Metabolic Biology, Nutritional Sciences & Toxicology, University of California, Berkeley, CA, USA. FAU - Cao, Yunjie AU - Cao Y AD - Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, China. LA - eng PT - Journal Article PL - China TA - Transl Cancer Res JT - Translational cancer research JID - 101585958 PMC - PMC8798292 OTO - NOTNLM OT - Exosomes OT - clear cell renal cell carcinoma (ccRCC) OT - drug resistance OT - mammalian target of rapamycin (mTOR) COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tcr-19-2246). The authors have no conflicts of interest to declare. EDAT- 2020/05/01 00:00 MHDA- 2020/05/01 00:01 PMCR- 2020/05/01 CRDT- 2022/02/04 05:51 PHST- 2019/10/21 00:00 [received] PHST- 2020/03/03 00:00 [accepted] PHST- 2022/02/04 05:51 [entrez] PHST- 2020/05/01 00:00 [pubmed] PHST- 2020/05/01 00:01 [medline] PHST- 2020/05/01 00:00 [pmc-release] AID - tcr-09-05-3416 [pii] AID - 10.21037/tcr-19-2246 [doi] PST - ppublish SO - Transl Cancer Res. 2020 May;9(5):3416-3425. doi: 10.21037/tcr-19-2246.