Title:Extracellular Vesicles as Innovative Tools for Assessing Adverse
Effects of Immunosuppressant Drugs
Volume: 29
Issue: 20
关键词:
细胞外囊泡,免疫抑制剂,生物标志物,治疗疗效,不良反应,治疗个性化。
摘要:
Background: Extracellular vesicles (EVs) are a heterogeneous family of small
vesicles released by donor cells and absorbed by recipient cells, which represent important
mediators with fundamental roles in both physiological and pathological conditions.
EVs are present in a large variety of biological fluids and have a great diagnostic and
prognostic value. They have gained the interest of the scientific community due to their
extreme versatility. In fact, they allow us to hypothesize new therapeutic strategies since,
in addition to being cell signal mediators, they play an important role as biomarkers, drug
vehicles, and potential new therapeutic agents. They are also involved in immunoregulation,
have the ability to transmit resistance to a drug from one cell to a more sensitive
one, and can act as drug delivery systems.
Objective: The main reciprocal interactions between EVs and immunosuppressive drugs
will be presented.
Results: The known interactions between EVs and immunosuppressive drugs, in particular
cyclosporin, glucocorticoids, rapamycin, methotrexate, cyclophosphamide, eculizumab,
infliximab, certolizumab, etanercept, glatiramer acetate, and fingolimod are presented.
Conclusion: This review provides relevant information on the links between EVs and immunosuppressive
drugs with a focus on EVs' role as tools to assess the effects of immunosuppressants,
suggesting innovative properties and new possible therapeutic uses.