2021
DOI: 10.3389/fcell.2021.689947
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TKI-Resistant Renal Cancer Secretes Low-Level Exosomal miR-549a to Induce Vascular Permeability and Angiogenesis to Promote Tumor Metastasis

Abstract: Tyrosine kinase inhibitors (TKI)-resistant renal cancer is highly susceptible to metastasis, and enhanced vascular permeability promotes the process of metastasis. To evaluate the effect of cancer-derived exosomes on vascular endothelial cells and clarify the mechanism of metastasis in TKI-resistant renal cancer, we studied the crosstalk between clear cell renal cell carcinoma (ccRCC) cells and human umbilical vein endothelial cells (HUVECs). Exosomes from ccRCC cells enhanced the expression of vascular permea… Show more

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Cited by 36 publications
(28 citation statements)
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“…Previous studies have revealed that RCC-derived exosomes are associated with tumor proliferation and metastasis ( 13 ). To verify the mechanism of exosomes in RCC, we isolated cancer cell-derived exosomes from the supernatant of two RCC cell lines, 769-P and ACHN.…”
Section: Resultsmentioning
confidence: 99%
“…Previous studies have revealed that RCC-derived exosomes are associated with tumor proliferation and metastasis ( 13 ). To verify the mechanism of exosomes in RCC, we isolated cancer cell-derived exosomes from the supernatant of two RCC cell lines, 769-P and ACHN.…”
Section: Resultsmentioning
confidence: 99%
“…In addition, Fu et al found that multidrug-resistant HCC Bel/5-FU cells transported exosomal miR-32-5p to Bel7402-sensitive cells and activated the PI3K/AKT pathway, thereby regulating angiogenesis and EMT to further induce multidrug resistance [141]. Additionally, exosomal miR-549a promotes angiogenesis and enhances vascular permeability by regulating the expression of HIF-1α in vascular ECs, thereby promoting tumorigenesis and metastasis in TKI-resistant clear cell renal cell carcinoma [142]. Therefore, overcoming drug resistance during cancer treatment is key to achieving good results.…”
Section: Ev-derived Ncrnas As Potential Anti-angiogenic Therapeutic T...mentioning
confidence: 99%
“…Interestingly, a proof-of-principle validation was carried out in three NSCLC patients that were administered osimertinib and from whom plasma was drawn, for exosome isolation, before and after the onset of osimertinib resistance. In renal cancer, miR-549a was found to be reduced and such lower levels were reflected in the derived exosomes that were taken up by endothelial cells and the reduced miR-549a levels resulted in de-repression of HIF-1α and VEGF ultimately leading to increased angiogenesis [ 78 ]. In support of an interplay between lncRNAs and the miRNAs, lncRNA LNC000093 was found to be downregulated while the miRNA it sponged, miR-675, is elevated in imatinib-resistant leukemia cells [ 79 ].…”
Section: Mechanisms Of Exosome-mediated Cancer Drug Resistancementioning
confidence: 99%