Exosomes reflect the hypoxic status of glioma cells and mediate hypoxia-dependent activation of vascular cells during tumor development
Open accessAbstract
Hypoxia, or low oxygen tension, is a major regulator of tumor development and aggressiveness. However, how cancer cells adapt to hypoxia and communicate with their surrounding microenvironment during tumor development remain important questions. Here, we show that secreted vesicles with exosome characteristics mediate hypoxia-dependent intercellular signaling of the highly malignant brain tumor glioblastoma multiforme (GBM). In vitro hypoxia experiments with glioma cells and studies with patient materials reveal the enrichment in exosomes of hypoxia-regulated mRNAs and proteins (e.g., matrix metalloproteinases, IL-8, PDGFs, caveolin 1, and lysyl oxidase), several of which were associated with poor glioma patient prognosis. We show that exosomes derived from GBM cells grown at hypoxic compared with normoxic conditions are potent inducers of angiogenesis ex vivo and in vitro through phenotypic modulation of endothelial cells. Interestingly, endothelial cells were programmed by GBM cell-derived hypoxic exosomes to secrete several potent growth factors and cytokines and to stimulate pericyte PI3K/AKT signaling activation and migration. Moreover, exosomes derived from hypoxic compared with normoxic conditions showed increased autocrine, promigratory activation of GBM cells. These findings were correlated with significantly enhanced induction by hypoxic compared with normoxic exosomes of tumor vascularization, pericyte vessel coverage, GBM cell proliferation, as well as decreased tumor hypoxia in a mouse xenograft model. We conclude that the proteome and mRNA profiles of exosome vesicles closely reflect the oxygenation status of donor glioma cells and patient tumors, and that the exosomal pathway constitutes a potentially targetable driver of hypoxia-dependent intercellular signaling during tumor development.
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Exosomes are a subclass of extracellular vesicles with a size of 30-100 nm and act as important mediators of signaling between tumor cells and other cells in the microenvironment.
“Exosomes are a subclass of EVs with a size of 30–100 nm, with a recognized role as an important mediator of signaling event between tumor cells and other cells in its microenvironment (8, 9).”
From Potential Therapeutic Effects of Exosomes Packed With a miR-21-Sponge Construct in a Rat Model of Glioblastoma (2019) · cites this paper as [9]
GBM cells employ exosomes for tumor cell/microenvironment communications and to facilitate proliferation, invasion, and metastatic behaviors.
“Similar to other cancer cell types, GBM cells employ exosomes for tumor cells/microenvironment communications and to facilitate its proliferation, invasion, and metastatic behaviors (8, 9).”
From Potential Therapeutic Effects of Exosomes Packed With a miR-21-Sponge Construct in a Rat Model of Glioblastoma (2019) · cites this paper as [9]
Diverse types of cells including neurons can secrete exosomes, which transfer functional proteins, mRNAs and/or microRNAs to recipient cells.
“Diverse types of cells including neurons can secrete exosomes, which transfer functional proteins11,12, mRNAs and/or microRNAs (miRNAs)13,14 to recipient cells.”
From Neurons secrete miR-132-containing exosomes to regulate brain vascular integrity (2017) · cites this paper as [12]
Exosomes isolated from plasma of GBM patients contain increased amounts of hypoxia-regulated proteins including MMP9, MMP8, PDGF, PAI1, and IGFBP3 compared to exosomes from sex- and age-matched controls.
“Interestingly, exosomes isolated from the plasma of GBM patients contain increased amounts of hypoxia-regulated proteins— including MMP9, MMP8, platelet-derived growth factor (PDGF), PAI1, and insulin-like growth factor–binding protein 3 (IGFBP3)—compared to exosomes isolated from plasma of sex- and age-matched controls (105).”
From Hypoxic control of metastasis (2016) · cites this paper as [105]
Exosomes mediate hypoxia-dependent stimulation of angiogenesis in glioblastoma multiforme through activation of paracrine signaling in endothelial cells and pericytes.
“Recent studies have shown that exosomes mediate hypoxia-dependent stimulation of angiogenesis in glioblastoma multiforme (GBM) through the activation of paracrine signaling in endothelial cells and pericytes (105).”
From Hypoxic control of metastasis (2016) · cites this paper as [105]
Hypoxia stimulates the release of extracellular vesicles that promote angiogenesis.
“Hypoxia stimulates the release of extracellular vesicles that promote angiogenesis [93–97] and increased exosome formation by hypoxic cancer cells requires HIF activity [96, 98], but the relevant HIF target genes have not been identified.”
From The hypoxic tumor microenvironment: A driving force for breast cancer progression (2016) · cites this paper as [96]
Increased exosome formation by hypoxic cancer cells requires HIF activity.
“Hypoxia stimulates the release of extracellular vesicles that promote angiogenesis [93–97] and increased exosome formation by hypoxic cancer cells requires HIF activity [96, 98], but the relevant HIF target genes have not been identified.”
From The hypoxic tumor microenvironment: A driving force for breast cancer progression (2016) · cites this paper as [96]
Hypoxia-induced extracellular vesicle formation is a means by which cancer cells influence the phenotype of vascular and other stromal cells.
“Previous studies implicated hypoxia-induced extracellular vesicle formation as a means by which cancer cells influence the phenotype of vascular and other stromal cells [93–96], whereas HIF- and RAB22A-dependent microvesicle formation increases the invasive and metastatic properties of a primary breast tumor by transferring the phenotype of hypoxic BCCs to non-hypoxic BCCs [100].”
From The hypoxic tumor microenvironment: A driving force for breast cancer progression (2016) · cites this paper as [96]
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- Authors
- Kucharzewska, P., Christianson, H. C., Welch, J. E., Svensson, K. J., Fredlund, E., Ringnér, M., Mörgelin, M., Bourseau-Guilmain, E., Bengzon, J., & Belting, M.
- Affiliations
- Lund University (SE)
- Karolinska Institutet (SE)
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2013-04-15
- Volume
- 110
- Issue
- 18
- Pages
- 7312-7317
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3645587
- OpenAlex
- W2081124475
- Cited by
- 939
- References
- 47
- Citations by year
- 2026: 28 · 2025: 39 · 2024: 67 · 2023: 56 · 2022: 101 · 2021: 110 · 2020: 93 · 2019: 89 · 2018: 85 · 2017: 73 · 2016: 54 · 2015: 60 · 2014: 68 · 2013: 16
- FWCI
- 29.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- exosomes, glioblastoma, tumor hypoxia, intercellular communication, angiogenesis, endothelial cells, pericytes, PI3K/Akt signaling, tumor microenvironment, exosomal cargo, matrix metalloproteinases, interleukin-8, platelet-derived growth factor, caveolin-1, lysyl oxidase, tumor vascularization, cell migration, autocrine activation, cancer prognosis
- MeSH terms
- Animals, Blood Vessels, Brain Neoplasms, Cell Transformation, Neoplastic, Female, Glioma, Humans, Neoplasm Proteins, Neovascularization, Pathologic, Tissue Donors, Signal Transduction, Cell Hypoxia, Gene Expression Regulation, Neoplastic, Mice, SCID, Autocrine Communication, Paracrine Communication, Pericytes, Proteome, Xenograft Model Antitumor Assays, Endothelial Cells, Cell Line, Tumor, Mice, Exosomes, Transcriptome
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