Abstract:
:Liver metastases develop in more than half of the patients with colorectal cancer (CRC) and are associated with a poor prognosis. The factors influencing liver metastasis of CRC are poorly characterized, but this information is urgently needed. We have now discovered that small extracellular vesicles (sEVs; exosomes) derived from CRC can be specifically targeted to liver tissue and induce liver macrophage polarization toward an interleukin-6 (IL-6)-secreting proinflammatory phenotype. More importantly, we found that microRNA-21-5p (miR-21) was highly enriched in CRC-derived sEVs and was essential for creating a liver proinflammatory phenotype and liver metastasis of CRC. Silencing either miR-21 in CRC-sEVs or Toll-like receptor 7 (TLR7) in macrophages, to which miR-21 binds, abolished CRC-sEVs' induction of proinflammatory macrophages. Furthermore, miR-21 expression in plasma-derived sEVs was positively correlated with liver metastasis in CRC patients. Collectively, our data demonstrate a pivotal role of CRC-sEVs in promoting liver metastasis by inducing an inflammatory premetastatic niche through the miR-21-TLR7-IL-6 axis. Thus, sEVs-miR-21 represents a potential prognostic marker and therapeutic target for CRC patients with liver metastasis.
journal_name
Carcinogenesisjournal_title
Carcinogenesisauthors
Shao Y,Chen T,Zheng X,Yang S,Xu K,Chen X,Xu F,Wang L,Shen Y,Wang T,Zhang M,Hu W,Ye C,Yu X,Shao J,Zheng Sdoi
10.1093/carcin/bgy115subject
Has Abstractpub_date
2018-12-13 00:00:00pages
1368-1379issue
11eissn
0143-3334issn
1460-2180pii
5090278journal_volume
39pub_type
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