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Table 2 The application of exosomes-based exogenous miRNA delivery system in cancer treatment in the last decade

From: Recent advances in exosome-mediated nucleic acid delivery for cancer therapy

Exosome

The source of exosome

Therapeutic cargo

Loading method

Target gene

Mechanisms

Cancer types (cell lines)

Effects

References

Engineering exosome (Apo-A1-modified exosome)

HEK293T cells

miR-26a

Electroporation

CCNE2, CDK6, CCND2

Down regulating of the expression levels of CCNE2, CCND2 and CDK6

Liver cancer (HepG2)

Decreasing the rates of cell migration and proliferation

[21]

Engineering exosome (GE11 peptide or EGF-modified exosome)

HEK293T cells

let-7a

HiPerFect transfection reagent

Unidentified or uncharacterized genes

 

Breast cancer (HCC70 HCC1954, MCF-7)

Inhibiting tumor development

[41]

Engineering exosome (magnetic molecules and L17E peptide- modified exosome)

Serum

dox, cholesterol-modified miR-21 inhibitor

Co-incubation

miR-21

Interfering with nuclear DNA activity and down regulating the expression of oncogenes bcl-2, caspase-3 and p-akt

Human glioblastoma (U87), breast cancer (MDA-MB-231)

Inhibiting the growth of the tumors and alleviating side effects

[108]

Stem-cell-derived exosome

Human umbilical cord mesenchymal stromal cells

miR-145-5p

Exo-Fectâ„¢ exosome transfection reagent

Smad3

Activating the TGF-β/Smad3 pathways

Pancreatic ductal adenocarcinoma (Capan-1, CFPAC-1, BxPC-3, Panc-1)

Inhibiting cell proliferation and invasion and increasing apoptosis and cell cycle arrest

[109]

Stem-cell-derived exosome

Bone marrow mesenchymal stem cells

LNA-antimiR-142-3p

Electroporation

APC, P2X7R

Decreasing the levels of miR-142-3p and miR-150, and increasing the targeted regulation of APC and P2X7R

Breast cancer (MCF-7)

Reducing cell clonogenicity and tumorigenicity

[110]

Stem-cell-derived exosome

Human umbilical cord mesenchymal stem cells

miR-6785-5p mimic

Lipofectamine 2000 transfection reagent

INHBA

Inhibiting the expression of INHBA

Gastric cancer (SGC7901, MGC803)

Suppressing cell angiogenesis and metastasis

[111]

Stem-cell-derived exosome

Human bone marrow mesenchymal stem cells

miR-205 mimic

Lipofectamine 2000 transfection reagent

RHPN2

Inhibiting the expression of RHPN2

Prostate cancer (LNCaP)

inhibiting cell proliferation, invasion, and migration and promoting cell apoptosis

[112]

Stem-cell-derived exosome

Human umbilical cord mesenchymal stem cells

miR-139-5p mimic

Lipofectamine 2000 transfection reagent

PRC1

Inhibiting the expression of PRC1

Bladder cancer (T24, J82, UMUC3, 5637)

Impeding the cell proliferation, migration, and invasion potentials

[113]

cancer-associated fibroblasts

Cancer-associated fibroblasts

miR-3188 mimic

Lipofectamine 2000 transfection reagent

BCL2

Downregulating the expression of BCL2

Head and neck cancer (HN4, HN30)

Inhibiting cell proliferation, colony formation ability and G1 to S cell cycle transition

[114]

Cancer-associated fibroblasts

Cancer-associated fibroblasts

miR-320a mimic

Lipofectamine 2000 transfection reagent

PBX3

Suppressing the activation of the MAPK pathway

Hepatocellular carcinoma (MHCC97-H, SMMC-7721, Huh7)

Suppressing cell proliferation, migration and metastasis

[115]

Cancer-associated fibroblasts

Cancer-associated fibroblasts

miR-139 mimic

Lipofectamine 2000 transfection reagent

MMP11

Decreasing the expression of MMP11

Gastric cancer (N87, AGS)

Inhibiting cell growth and metastasis

[116]

Cancer-associated fibroblasts

Cancer-associated fibroblasts

miR-34 mimic

Lipofectamine 3000 transfection reagent

AR, CCL22, CCND1, CCNE2, CDK4, CDK6, c-Met, E2F3, E2F5, HMGA2, LETK3, MTA2, N-Myc, PAR2, SFRS2, SIRT1

Downregulating the expression of target genes

Gastric cancer (AGS, AZ521, MKN1, NUGC3)

Inhibiting cell proliferation and invasion

[117]

Exosome-liposome hybrid

Human ovarian cancer cells

miR497, triptolide

Liposome

PI3K, AKT, mTOR

activatingpi3k/AKT/mTOR signaling pathway

Ovarian cancer (SKOV3)

Signifcantly enhancing tumor cell apoptosis and overcoming chemoresistant ovarian cancer

[118]

Engineering exosome (Her2-LAMP2-modified exosome)

HEK293T cells

miR-21 inhibitor, 5-FU

Electroporation

miR-21

Downregulating miR-21 and rescuing PTEN and hMSH2 expressions

Colon cancer (HCT-1165FR)

Reversing drug resistance and significantly enhancing the cytotoxicity in 5-FU-resistant colon cancer cells

[107]

 

HEK293T cells

Let7c-5p

Lipofectamine RNAiMAX reagent

HMGA2, c-Myc

Downregulating the expression of HMGA2 and c-Myc

Breast cancer (MDA-MB-231)

Inhibiting cell proliferation and migration

[119]

Stem-cell-derived exosome

Bone marrow-derived mesenchymal stem cells

LNA anti-miR-142-3p

Electroporation

APC, P2X7R

Suppressing the expression level of miR-142-3p and miR-150 and increasing the transcription of the regulatory target genes, APC and P2X7R

Breast cancer (4T1)

Decreasing cell proliferation

[120]

Stem-cell-derived exosome

Human umbilical cord mesenchymal stem cells

miR-375 mimic

Transfection

ENAH

Suppressing ENAH expression

Esophageal squamous cell carcinoma (KYSE70, ECA109, EC9706)

Inhibiting cell proliferation, invasion, migration, tumorsphere formation, and promoting apoptosis

[121]

Engineering exosome (TAT peptide-modified exosome)

A549 cells

miR-449a

TAT-TAR interaction

Bcl-2

Inhibiting the expression of apoptosis inhibitor protein Bcl-2

Non-small cell lung cancer (A549)

Inhibiting cell proliferation and promoting cell apoptosis

[43]

Engineering exosome (T7 peptide-modified exosome)

HEK293T cells

miR-21 antisense oligonucleotides

Electroporation

miR-21

Reducing of miR-21 and inducing the expression of PDCD4 and PTEN

Glioblastoma (C6)

Resulting in a reduction of tumor sizes

[106]

Cancer-cell-derived exosome

HT-29 and SW480 cells

miR-375-3p mimic

Modified calcium chloride method

ZEB1

Reducing the expression of β-catenin, vimentin, ZEB1, and snail significantly increasing the expression of E- cadherin in EMT process

Colon cancer (HT-29, SW480)

Reversing EMT process and inhibiting cell invasion and migration

[44]

 

FHC cells

miR-128-3p mimic

Electroporation

Bmi1, MRP5

Suppressing Bmi1 and MRP5 expression

Oxaliplatin-resistant colorectal cancer (HCT116OxR, HT29OxR)

Enhancing cell chemosensitivity

[122]

 

HEK293T cells

miRNA-497 mimic

Transfection

YAP1, HDGF, CCNE1, VEGF-A

Suppressing YAP1, HDGF, CCNE1, VEGF-A expression

Non-small cell lung cancer (A549)

Inhibiting the tumor growth and angiogenesis

[123]

 

SCC084 cisplatin- resistant strain

miR-30a mimic

Lipofectamine RNAiMAX

Beclin1

A concomitant decrease in Beclin1 and Bcl2 expression

Oral squamous cell carcinoma (SCC084)

Regaining sensitivity of the cisplatin-resistant OSCC cells

[124]

Cancer-cell-derived exosome

Oral cancer patients and oral squamous cell carcinoma (OSCC)

miR-155 mimic

Lipofectamine RNAimax

FOXO3a

Modulation of EMT pathway and downregulation of FOXO3a

Oral cancer (SCC131)

Conferring cisplatin resistance in OSCC

[104]

 

Parental and cisplatin-resistant human OSCC cell lines

miR-155 inhibitor

Modified calcium chloride transfection method

FOXO3a

Upregulation of FOXO3a and induction of the mesenchymal-to-epithelial transition

Oral squamous cell carcinoma (UPCI-SCC-131)

Reversing chemoresistance in oral cancer

[46]

 

Cisplatin-resistant OSCC cells

Anti-miR-21

Lipofectamine 3000

PTEN, PDCD4

Downregulating the expression of PTEN and PDCD4

Oral squamous cell carcinoma (HSC-3, SCC-9)

Inducing cisplatin resistance of OSCC cells

[125]

 

HEK293T cells

Anti-miR-214

Lipofectamine 2000 transfection reagent

miR-214

Downregulation of miR-214 and overexpression of possible target proteins (PARP9, XRCC, LIN28B)

Gastric cancer (SGC7901)

REVERSING chemoresistance and repressing tumor growth

[126]

 

HEK293T cells

miR-199a-3p mimic

Lipofectamine 2000 transfection reagent

ZEB1, MTOR, DNMT3A

Down-regulation of underlying target proteins (ZEB1, MTOR, DNMT3A)

Hepatocellular carcinoma (Huh-7)

Reversing chemoresistance to cisplatin in hepatocellular carcinoma

[127]

 

Doxorubicin-resistant gastric cancer SGC7901/ADR cell

miR-501 inhibitor

Lipofectamine 2000 transfection reagent

miR-501

Inducing downregulation of BLID, inactivating of caspase-9/-3 and phosphorylation of Akt

Gastric cancer (SGC7901)

Being sensitive to doxorubicin and attenuating proliferation, migration and invasion and increasing apoptosis

[105]