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Page 6 of 12                                  Jayachandran et al. Hepatoma Res 2018;4:44  I  http://dx.doi.org/10.20517/2394-5079.2018.59

               Table 2. Preclinical studies demonstrating function of exosomes in HCC
               Process                      HCC cell lines                  Effect               References
               mRNA surveillance      HepG2, Hep3B          Nup98 prevents p21 mRNA degradation by the   [52]
                                                            exosome
               Intercellular communication,   Hep3B, HepG2 and PLC/PRF/5 Modulate the constitutive expression and   [54]
               microRNA-based                               downstream signalling of TAK1
               communication
               Long noncoding RNA-based   Hep3B and PLC/PRF/5  Transfer of TUC339 to regulate HCC growth  [55]
               communication
               Tumour growth and metastasis  SMMC-7721      Self-derived exosomes promote growth and motility  [15]
                                      HKCI-C3, HKCI-8, MHCC97L   Motile cell-derived exosomes induced motility in non-  [56]
                                      and MIHA              motile cells
                                      MHCC97-H and SMMC-7721  miR-320a suppresses HCC cell migration  [44]
                                      Hep3B cell, 97H and LM3  Motile HCC cells secret more sugar metabolism   [28]
                                                            regulatory proteins
                                      HepG2 and Hep3B       miR-490 rich mast cell-derived exosomes blocked   [29]
                                                            motility of HCC cells
                                      MHCC97-H and MHCC97-L  Enriched adenylyl cyclase associated protein 1 in   [57]
                                                            motile HCC cells
                                      CSQT-2, HCC-LM3, HepG2 and  miR-1247-3p promotes lung metastasis  [19]
                                      MHCC-97L
               Immune modulation      PBTC, MHCC97H, SMCC-7721 14-3-3ζ promotes anti-tumour immune response  [32]
                                      DC2.4, Hepa1-6        Induces immune response to suppress tumour growth  [4]
                                      Hepa1-6               Induces anti-tumour response by decreasing T   [31]
                                                            regulatory cells
               Chemoresistance        HepG2, Hep3B, PLC/PRF-5 and  Exposure of HCC cells to diverse anti-cancer agents   [59]
                                      Huh-7, MzChA1 cells   increased exosomal linc-VLDLR expression
                                      HepG2 and Hep3B       miR-122 delivered via exosomes sensitised cells to   [49]
                                                            doxorubicin and sorafenib
                                      MHCC-97 L, MHCC-97H and   Larger tumours formed in mice treated with sorafenib   [60]
                                      LO2                   and invasive cell-derived exosomes
                                      MHCC97H, MHCC97L, HepG2,  Conditioned media from activated fibroblast with high   [19]
                                      Huh7, LX2             miR-1247-3p conferred sorafenib resistance
               Cancer stem cells      HepG2 and PLC/PRF/5   linc-RoR and TGF-β modulated stemness  [59]
                                      SMMC-7721             miR-1247-3p enhanced stemness          [19]
               EMT                    MHCC97-H              Overexpression of miR-320a induces an EMT  [44]

               the diverse functions of exosomes derived from HCC cells. These functions are summarised in Table 2.
               Collectively, these data may provide the foundation for further studies into the regulatory roles of exosomes
               in the development and progression of HCC.


               mRNA surveillance
               Exosomes have been known to participate in control mechanisms that remove aberrant RNAs in the nucleus
               and the cytoplasm . In HCC cell lines, HepG2 and Hep3B, the exosomes recognise and degrade p21mRNA
                               [51]
               upon Nup98 depletion as a process of mRNA surveillance related either to impaired export or defects in
               RNA protein complex formation in the 3’UTR region .
                                                            [52]
               Intercellular communication
               Exosomes have emerged as important mediators of intercellular communication that can shuttle protein and
               RNA to recipient cells and can elicit a potent overall effect on transformed cell tumours [13,53] . For example,
               Hep3B, HepG2 and PLC/PRF/5 cell-derived exosomes can modulate the expression of transforming growth
               factor-β activated kinase-1(TAK1) and associated downstream signalling and enhance transformed cell
               growth in recipient cells . Furthermore, vacuolar protein sortin 4 homolog A (VPS4A) regulates exosome-
                                    [54]
               mediated aberrant miRNA expression in HCC cells . The potential of exosomes to transfer lncRNA is
                                                            [15]
               increasingly recognised. Kogure et al.  first demonstrated that lncRNA with highly conserved sequences
                                               [55]
               ultraconserved RNAs (ucRNAs) influences intercellular signalling. In HCC cell lines PLC/PRF/5 and Hep3B,
               the intercellular transfer of ucRNA TUC339 by exosomes represents a unique signalling mechanism by
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