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Tumor Discovery                                                         Melanoma exosomes in metastasis



            factors, which facilitate pre-metastatic niche formation and   4.2. Shaping the TME
            immune modulation. 55,56  Tumor-derived exosomes also   Melanoma-derived exosomes are crucial in remodeling the
            contain proteins involved in drug resistance, which modulate   surrounding tumor ecosystem. By transferring bioactive
            therapy responses by altering signaling pathways. 21  molecules to stromal cells, these exosomes can alter the
              Melanoma-derived exosomes contain a diverse set   behavior of the surrounding cells, creating a favorable
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            of proteins that participate in key signaling pathways   environment for tumor growth and metastasis.  For
            associated with metastasis. For example, proteins such as   instance,  exosomes can  stimulate fibroblasts to  produce
            MMPs  facilitate  ECM  degradation, allowing for  tumor   pro-inflammatory cytokines, leading to increased
            invasion and migration. 57,58  Furthermore, exosomal   angiogenesis and enhanced nutrient supply for the tumor.
            lipids can modulate signaling networks and influence the   Moreover, exosomes can modify the ECM, making it more
            activities of  recipient  cells, further  enhancing metastatic   conducive to tumor invasion. 65
            potential. 33
                                                               4.3. EMT
            3.4. Lipids                                        A  key process driven by  melanoma-derived exosomes
                                                                     7
            Exosomal lipids play a significant role in melanoma   is EMT,  a biological mechanism that enables epithelial
            progression by influencing membrane stability, intracellular   cells to acquire migratory and invasive characteristics.
            signaling, and metabolic adaptation.  Lipid rafts in   Exosomal miRNAs, such  as miR-211,  can downregulate
                                            59
            exosomes serve as platforms for signal transduction, while   E-cadherin, a key adhesion molecule, promoting EMT and
                                                                                                         6
            specific lipids, such as sphingolipids and ceramides, are   enhancing the invasive capacity of melanoma cells.  This
            involved in cell communication and apoptosis regulation.    transition not only aids in local invasion but also prepares
                                                         60
            Dysregulated lipid content in melanoma-derived exosomes   melanoma cells for dissemination to distant organs. 26
            has been associated with enhanced metastatic potential   4.4. Immune evasion
            and immune evasion. 61
                                                               Melanoma cells exploit exosomes to evade the immune
            3.5. Other biomolecules in exosomes                system. Exosomes can modulate the function of immune
            Beyond nucleic acids, proteins, and lipids, melanoma-  cells, including dendritic cells and T-cells, promoting a
            derived exosomes also contain small metabolites that   tolerogenic environment. For instance, melanoma-derived
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            influence tumor metabolism and interactions with the   exosomes can carry PD-L1,  which binds to programmed
            microenvironment.  These metabolites include amino   cell death PD-1 receptors on T-cells, leading to T-cell
                           39
                                                                       67
            acids, sugars, and vitamins, which support tumor   inhibition.  This immune suppression allows melanoma
            proliferation and modulate immune responses. Glycolytic   cells  to escape  detection and  destruction, thereby
                                                                                                 68
            intermediates found in tumor exosomes contribute to   facilitating their survival and proliferation.
            metabolic reprogramming, while vitamins and cofactors   4.5. Pre-metastatic niche formation
            regulate oxidative stress and mitochondrial function.
                                                         62
            Understanding the metabolic landscape of melanoma-  Exosomes also contribute to the formation of pre-
            derived exosomes could provide novel therapeutic targets   metastatic niches, which are sites in distant organs that
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            for disrupting tumor-supportive pathways. 39       are primed for the arrival and growth of metastatic cells.
                                                               Melanoma-derived exosomes can induce changes in the
            4. Contribution of melanoma-derived                microenvironment of these distant sites, such as the lungs
            exosomes to metastasis                             or liver, by promoting inflammation and altering the local
                                                               cellular composition. This pre-conditioning enhances
            Exosomes derived from melanoma cells play a multifaceted   the likelihood of successful colonization by circulating
            role in promoting metastasis through various mechanisms:  melanoma cells. 69

            4.1. Promotion of tumor growth                     4.6. Biomarkers and therapeutic targets
            Exosomes can carry and deliver oncogenic factors,   Given their role in metastasis, melanoma-derived
            such as growth molecules, including growth regulators   exosomes are being explored as potential biomarkers for
            and cytokines, to neighboring cells, thereby promoting   disease progression and therapeutic targets.  The unique
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            tumor growth and invasion. For example, melanoma-  molecular signatures of these exosomes can provide
            derived  exosomes  contain  vascular  endothelial  growth   insights into tumor dynamics and patient prognosis.
            factor, which promotes angiogenesis and enhances tumor   Furthermore, targeting exosomal pathways – whether by
            vascularization. 63                                inhibiting their release, blocking their uptake, or altering


            Volume 4 Issue 2 (2025)                         7                                 doi: 10.36922/td.7108
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