Membrane bleb - spherical membrane protrusion that is Ca regulated with involvement of a range of enzymes
Phosphatidylserine PS molecule found predominantly on the inner leaflet of the plasma membrane
As bleb begins, PS can be seen distributed evenly on both sides of the membrane (important feature - usually for macrophages to identify apoptotic cells)
DC is stimulated with antigenic peptides from cancer cells
Immunisation with live cell or derived exosome > exosome immunisation was able to induce protective, long term immunity against that cancer cell, a much stronger response than the parent cell
Possible reason for stronger immune response with exosome immunisation
DC respond to the immunosuppressive environment induced by the tumour and elicit a weak immune response
Exosome, a cell product, however lacks that ability to adapt and change. This is perhaps it is still able to induce a large immune response irrespective of the immunosuppressive environment
Cancer exosomes were able to prevent proliferation in T cells in the presence of an artificial/normal physiological stimuli. The interaction appears to be independent of the stimulus
Exosomes elicit a range of mechanisms to inhibit the proliferation of T cells: Delivery of TGFB stimulation of Treg cells > inhibits other T cell responses, Fas-L on surface > contact with Fas on T cell T cell apoptosis, NKG2DL decrease cytokine secretion from T cells and decrease NK cell responses, CD39 and 73 enzymes that convert ATP to adenosine > regulation of TCR-dependent activation
Fibroblast Myofibroblast (by TGFB shown by expression of aSMA)
Myofibroblasts have contractile activity (able to pull things together), release a range of matrix-modulating factors and changes collagen deposition > physical change and architecture alteration in the tissue
Exosome treated cells are able to interact with endothelial cells and promote their survival and organisation in a hostile environment similar to disease (similar to angiogenesis)
TGFB-treated stromal cells inserted into mice with tumour cells are tumour protective and prevented growth. However, the EV treated stroma was able to accelerate tumour growth almost to the level of tumour treated stroma
Hypoxic stimulation can also cause increased packing of VEGF and IL8 (pro-angiogenic factors). In vivo model also demonstrated increased endothelial cell and blood vessel formation and organisation compared to normoxic conditions
Soluble VEGF delivery is able to induce angiogenesis in the tumour but inhibited by Bevacizumab (mAb targeting all isoforms of VEGF)
sEV-delivery is similar in induction of angiogenesis but Bevacizumab has no effect. The VEGF might be enclosed in the vesicle, protected by the membrane, therefore the Ab has no access. Another explanation could be VEGF is associated with something on the outer membrane that prevents access (steric hindrance)
Exosomal integrins may act to control organ-tropism and metasis
Researchers isolated cancer cells known to metastasise to the lung and liver. They extracted exosomes from these cells and swapped the exosomes with each other. Lung cell with liver exosome and liver cell with lung exosome). The lung cells now metastasise to the liver and vice versa. The integrins on exosomes allow targeting of the organ and change the environment for easier tumour invasion
DC is stimulated with antigenic peptides from cancer cells
1. Exosome immunisation was able to induce protective, long term immunity against that cancer
2. Possible reason: DC respond to the immunosuppressive environment induced by the tumour and elicit a weak immune response
3. Exosome, a cell product, however lacks that ability to adapt and change. This is perhaps it is still able to induce a large immune response irrespective of the immunosuppressive environment