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The significance of exosomes in the development and treatment of hepatocellular carcinoma
Abstract
Hepatocellular carcinoma (HCC) is the most commonmalignancy. Exsome plays a significant role in the elucidation of signal transduction pathways between hepatoma cells, angiogenesis and early diagnosis of HCC. Exosomes are small vesicular structures that mediate interaction between different types of cells, and contain a variety of components (including DNA, RNA, and proteins). Numerous studies have shown that these substances in exosomes are involved in growth, metastasis and angiogenesis in liver cancer, and then inhibited the growth of liver cancer by blocking the signaling pathway of liver cancer cells. In addition, the exosomal substances could also be used as markers for screening early liver cancer. In this review, we summarized to reveal the significance of exosomes in the occurrence, development, diagnosis and treatment of HCC, which in turn might help us to further elucidate the mechanism of exosomes in HCC, and promote the use of exosomes in the clinical diagnosis and treatment of HCC.
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![Fig. 1 a Biosynthesis of exosomes. Firstly, the inward budding of cell membrane forms early endosomes. Secondly, the multivesicular bodies (MVBs) are generated by further inward budding of endosomes and several miRNAs, proteins and other selected substances are incorporated. Finally, the MVBs either fuse with cell membrane, leading to inclusion of extracellular DNA, or fuse with lysosome, causing degradation of biological information containers of MVBs. The mechanism of the formation of exosomes is depicted in detail. b The concrete structure of the 4 kinds of ESCRT (ESCRT 0, I, II, and III0), and ALIX, a cytosolic protein, interacts with ESCRT-III subunit SNF7, finally combining with MVBs [33]](/paper-figures/5bc12da653d14bda9e8bb049e316c241/the-significance-of-exosomes-in-the-development-and-treatment-of-hepatocellular-figure-1.jpg)

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“In recent times, both in lab and in living organisms’ studies have revealed that exosomes might play an essential role in the initiation, progression, diagnosis, and treatment of HCC [112].”
From Emerging role of exosomes in cancer therapy: progress and challenges (2025) · cites this paper as [112]
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Metadata
- Authors
- Li, X., Li, C., Zhang, L., Wu, M., Cao, K., Jiang, F., Chen, D., Li, N., & Li, W.
- Venue
- Molecular Cancer
- Published
- 2020-01-04
- Volume
- 19
- Issue
- 1
- ISSN
- 1476-4598
- PMC
- PMC6942270
- Cited by
- 395
- References
- 17
- Language
- en
- Funders
- Innovative Research Group Project of the National Natural Science Foundation of China (81603552)
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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