Trends in Cancer
Volume 6, Issue 1, January 2020, Pages 20-30
Journal home page for Trends in Cancer

Opinion
Decoding the Biology of Exosomes in Metastasis

https://doi.org/10.1016/j.trecan.2019.11.007Get rights and content

Highlights

  • Metastasis organotropism is not entirely explained by the anatomy of the blood and lymphatic circulatory networks. Other factors influence metastatic cells’ ability to seed and prosper in a host organ, including its microenvironment and specific cues originating from the tumor of origin.

  • Exosomes have been proposed to be both short- and long-distance mediators of intercellular communication through the modulation of recipient cells on ligand–receptor interaction and/or cargo release.

  • In addition to cancer exosomes, exosomes derived from other cells of the tumor microenvironment have been described as key players in the various steps of the metastatic cascade.

  • Exosomes derived from the primary tumor influence circulating tumor cells to enhance their tumor self-seeding ability.

Metastasis is the leading cause of cancer mortality. Cancer cells must adapt to colonize and thrive at the metastatic site. The modulation of the receptive organ microenvironment is a key event in the adaptation process and is partially accomplished at a distance by the primary tumor. Exosomes, a subclass of extracellular vesicles (EVs), are distal mediators of communication that carry genetic and molecular information to neighboring and distant cells. Cancer exosomes have been involved in restructuring metastatic sites to support cancer cell colonization. In this article, we discuss the role of exosomes in the metastatic process.

Section snippets

Cancer Exosomes

A large body of evidence has shown that virtually all organisms, despite their complexity and diversity, secrete EVs. This secretion appears to be a conserved mechanism across all three domains of life: Archaea, Bacteria, and Eukarya [1]. EVs have been found in all human body fluids tested to date, including urine, saliva, cerebrospinal fluid, milk, blood, and ascites [2]. Since EVs are easily accessible and the content reflects the biological context of their cell of origin, they are an

Tumor Growth and Local Invasion

If a tumor is considered a foreign entity growing in a body, this entity can be understood as trying to influence the host tissues to survive and prosper; the metastatic cascade is a clear reflection of this. To colonize other organs, cancer cells adopt various strategies to survive and grow at a distance on leaving the primary tumor [14]. The invasion of cancer cells is one of the early steps in the metastatic cascade. Cancer exosomes contribute directly to this event by remodeling the

Concluding Remarks

The current state of the art focuses predominantly on the identification of exosomal functions throughout the various stages of tumor development. Based on the current observations, little doubt remains on the important role played by these EVs in cancer. Nevertheless, the function of exosomes from the metastasis at the metastatic site remains largely unexplored (see Outstanding Questions). Importantly, most of the evidence gathered to date was obtained from in vitro experiments or in vivo

Acknowledgments

The laboratory is supported by the European Regional Development Fund (ERDF) through COMPETE 2020 – Operacional Programme for Competitiveness and Internationalization (POCI), Portugal 2020, and by FCT – Fundação para a Ciência e a Tecnologia (FCT)/Ministério da Ciência, Tecnologia e Inovação in the framework of the project ‘Institute for Research and Innovation in Health Sciences’ POCI-01-0145-FEDER-032189; by Norte Portugal Regional Programme (NORTE 2020), under the PORTUGAL 2020 Partnership

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