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Interplay Between Exosomes and the PD-1/PD-L1 Axis in Hepatocellular Carcinoma: Implications for Immune Escape and Immunotherapy - PubMed

4 hours ago
  • #Immunotherapy
  • #HCC
  • #Exosomes
  • Exosomes play a key role in the immunosuppressive tumor microenvironment of hepatocellular carcinoma (HCC).
  • Exosomal PD-L1 contributes to immune evasion by maintaining T-cell exhaustion and causing resistance to immune checkpoint inhibitors (ICIs).
  • Various exosomal cargoes in HCC, including microRNAs and non-coding RNAs, enhance PD-L1 expression and promote immune dysfunction.
  • Certain immune-cell-derived or engineered exosomes can counteract immunosuppression, offering potential therapeutic strategies.
  • Circulating exosomal biomarkers like PD-L1 and specific lncRNAs show predictive value for ICI response in HCC.
  • Targeting exosome-mediated immunosuppression could lead to more effective immunotherapies for HCC.