Clinical Theranostics Trademark of Exosome in Glioblastoma Metastasis

  • Sagnik Nag
  • , Bikramjit Bhattacharya
  • , Swagata Dutta
  • , Debashmita Mandal
  • , Sayantanee Mukherjee
  • , Krishnan Anand
  • , Rajalakshmanan Eswaramoorthy
  • , Nanasaheb Thorat
  • , Saurabh Kumar Jha
  • , Sukhamoy Gorai

Research output: Contribution to journalReview articlepeer-review

Abstract

Glioblastoma (GBM) is an aggressive type of cancer that has led to the death of a large population. The traditional approach fails to develop a solution for GBM’s suffering life. Extensive research into tumor microenvironments (TME) indicates that TME extracellular vesicles (EVs) play a vital role in cancer development and progression. EVs are classified into microvacuoles, apoptotic bodies, and exosomes. Exosomes are the most highlighted domains in cancer research. GBM cell-derived exosomes participate in multiple cancer progression events such as immune suppression, angiogenesis, premetastatic niche formation (PMN), ECM (extracellular matrix), EMT (epithelial-to-mesenchymal transition), metastasis, cancer stem cell development and therapeutic and drug resistance. GBM exosomes also carry the signature of a glioblastoma-related status. The exosome-based GBM examination is part of the new generation of liquid biopsy. It also solved early diagnostic limitations in GBM. Traditional therapeutic approaches do not cross the blood-brain barrier (BBB). Exosomes are a game changer in GBM treatment and it is emerging as a potential platform for effective, efficient, and specific therapeutic development. In this review, we have explored the exosome-GBM interlink, the clinical impact of exosomes on GBM biomarkers, the therapeutics signature of exosomes in GBM, exosome-based research challenges, and future directions in GBM. Therefore, the GBM-derived exosomes offer unique therapeutic opportunities, which are currently under preclinical and clinical testing.

Original languageEnglish
Pages (from-to)5205-5221
Number of pages17
JournalACS Biomaterials Science and Engineering
Volume9
Issue number9
DOIs
Publication statusPublished - 11 Sep 2023

Keywords

  • biomarker
  • exosome
  • glioblastoma
  • metastasis
  • therapeutic

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