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Ntly of uptake [153]. This response is mediated by the 189-amino-acid heparin-bound isoform of VEGF, which, as opposed to other frequent isoforms of VEGF, is preferentially enriched around the exosome surface [153]. On the other hand, cancer-derived exosomes may also market angiogenesis in an uptakedependent manner. Within this sense, Li et al. [154] showed that hepatocellular carcinomaderived exosomes transporting lysyl oxidase-like four (LOXL4) induce angiogenesis. In one more study, Zhang et al. [155] demonstrated that ovarian cancer-derived exosomes expressing prokineticin receptor 1 (PKR1) promote angiogenesis by promoting the migration and tube formation of HUVEC cells. Related results were also described by Umezu et al. [156], who demonstrated that hypoxia increases the production of various myeloma cell-derived exosomes transporting miR-135b, which can bind to factor-inhibiting hypoxia-inducible factor 1 (FIH-1) in endothelial cells, enhancing the formation of endothelial tubes. In a further study, Zeng et al. [157] showed that colorectal cancer-derived exosomes drive miR-25-3p to endothelial cells, targeting Kruppel-like elements 1 and four (KLF2 and KF4, respectively) and advertising vascular permeability and angiogenesis. Altogether, these information strongly recommend that cancer-derived exosomes are involved in angiogenesis. 4.three.three. Cancer-Derived Exosomes Contribute to Pre-Oprozomib In Vitro metastatic Niche (PMN) Formation Angiogenesis contributes to both cancer cell and cancer-derived exosome dissemination. Having said that, the outcome of cancer metastasis depends on the interactions betweenCells 2021, 10,10 ofmetastatic cells and also the host microenvironment [158]. These interactions amongst the cancer cells (“seeds”) along with the host microenvironment (“soils”) were first discovered by the English surgeon Stephen Paget in 1889 [158]. About 40 years later (in 1928), James Ewing postulated that metastasis is determined by a mechanism linked with hemodynamic aspects of your vascular method [159]. Within a complementary hypothesis postulated in the 1970s, Isaiah Fidler demonstrated that, though the mechanical properties of blood flow are critical, metastatic colonization only occurs at specific organ web pages (organotropism) [159]. Fidler’s theory was supported by more discoveries, which revealed that tumors induce the formation of microenvironments in distant organs, Golvatinib custom synthesis facilitating the survival and outgrowth of cancer cells ahead of they arrived at these web pages [15962]. These predetermined microenvironments are termed `pre-metastatic niches’ (PMNs) [163]. Inside the context on the “seed and soil” theory (Paget’s theory), the exosomes are equivalent to fertilizers, which can make barren land fertile and facilitate the colonization of cancer cells [16366]. This happens since exosomes exhibit adhesion molecules on their surface, specifically integrins (ITGs), which bind for the ECM and organ-specific PMN receptors [164]. Supporting this theory, within a study evaluating the biodistribution of exosomes from unique cancer cell lines, Hoshino et al. [167] provided proof that cancer-derived exosomes are preferentially uptaken by tissues typically recognized as metastatic sites. The authors also demonstrated that this site-specific biodistribution is associated with higher expression levels of integrins (ITG6, ITG4, and ITG1 for lung tropism; ITG5 and ITGv for liver tropism; and ITG3 for brain tropism) [167], reinforcing the view that the integrins involved in PMN formation. Cumulative studies have offered proof t.

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