2017
DOI: 10.1038/nature22341
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Exosomes facilitate therapeutic targeting of oncogenic KRAS in pancreatic cancer

Abstract: Summary The mutant form of the GTPase KRAS is a key driver of pancreatic cancer but remains a challenging therapeutic target. Exosomes, extracellular vesicles generated by all cells, are naturally present in the blood. Here we demonstrate that enhanced retention of exosomes in circulation, compared to liposomes, is due to CD47 mediated protection of exosomes from phagocytosis by monocytes and macrophages. Exosomes derived from normal fibroblast-like mesenchymal cells were engineered to carry siRNA or shRNA spe… Show more

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Cited by 2,023 publications
(1,793 citation statements)
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References 52 publications
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“…Recent advances in cellular genetic editing techniques such as CRISPR‐Cas9 could be harnessed to upregulate or augment intrinsic MSCs enzyme function before implantation in order to achieve maximal benefit. Alternatively, the growing field of exosomal/hydrogel engineering has shown growing promise as a novel, efficacious disease treatment strategy 71, 72. With increasing mechanistic insight, these treatment strategies may converge and be used to guide further studies aimed at engineering the optimal use of cells or cell components for future iterations of cell‐based therapy in MI/R injury.…”
Section: Discussionmentioning
confidence: 99%
“…Recent advances in cellular genetic editing techniques such as CRISPR‐Cas9 could be harnessed to upregulate or augment intrinsic MSCs enzyme function before implantation in order to achieve maximal benefit. Alternatively, the growing field of exosomal/hydrogel engineering has shown growing promise as a novel, efficacious disease treatment strategy 71, 72. With increasing mechanistic insight, these treatment strategies may converge and be used to guide further studies aimed at engineering the optimal use of cells or cell components for future iterations of cell‐based therapy in MI/R injury.…”
Section: Discussionmentioning
confidence: 99%
“…These exosomes harbour CD47 (a fundamental “don’t eat me” signal) on their surface, and were found to evade phagocytosis by circulating monocytes. This strategy could contribute to limiting the clearance of exosomes from circulation and enhance their accumulation in target tumour tissues [100]. …”
Section: Therapeutic Applications Of Surface-modified Evsmentioning
confidence: 99%
“…EVs with αv integrin‐specific arginine–glycine–aspartic acid peptides and loaded with doxorubicin selectively inhibited breast cancer progression, whereas unmodified EVs were mostly eliminated without affecting the tumor 47. Modified EVs have also demonstrated potential in specific targeting of oncogenic KRAS for tumor therapy 109. Recently, tumor necrosis factor (TNF)‐related apoptosis‐inducing ligand (TRAIL) was attached to the membrane of EVs, and these TRAIL‐armed EVs were found to inhibit tumor growth via transmission of proapoptotic signals 110…”
Section: Modular Design Of Surface Proteinsmentioning
confidence: 99%