Dendritic cell-derived exosomes: A new horizon in personalized cancer immunotherapy?

Cancer Lett. 2023 May 28:562:216168. doi: 10.1016/j.canlet.2023.216168. Epub 2023 Apr 7.

Abstract

Dendritic cells (DCs) release nanometer-sized membrane vesicles known as dexosomes, containing different molecules, particularly proteins, for presenting antigens, i.e., major histocompatibility complex (MHC)-I/II and CD86. Dexosomes can, directly and indirectly, stimulate antigen-reactive CD8+ and CD4+ T cell responses. Antigen-loaded dexosomes can lead to the development of potent anti-tumoral immune responses. Notably, developing dexosome-based cell-free vaccines could serve as a new vaccination platform in the era of immunotherapy for various cancers. Furthermore, combining dexosomes vaccination strategies with other treatment approaches can considerably increase tumor-specific T cell responses. Herein, we aimed to review how dexosomes interact with immune cells, e.g., CD4+ and CD8+ T cells and natural killer (NK) cells. Besides, we discussed the limitations of this approach and suggested potential strategies to improve its effectiveness for affected patients.

Keywords: CD4(+) T cells; CD8(+) T cells; Cancer immunotherapy; Dendritic cells; Dexosomes; NK cells.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD8-Positive T-Lymphocytes
  • Cancer Vaccines* / therapeutic use
  • Dendritic Cells
  • Exosomes*
  • Humans
  • Immunotherapy
  • Neoplasms* / metabolism
  • Neoplasms* / therapy

Substances

  • Cancer Vaccines