Recent progress in the study of exosomes in the gastric cancer immune microenvironment

Gastric cancer (GC) ranks among the most prevalent forms of cancer and contributes significantly to cancer-related mortality. There exists a pressing need to investigate novel approaches for GC management to improve diagnostic methods, therapeutic interventions, and patient outcomes. Exosomes are na...

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Main Authors: Haibo Liu, Lei Zhu, Jianmei Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1595124/full
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author Haibo Liu
Lei Zhu
Jianmei Yin
author_facet Haibo Liu
Lei Zhu
Jianmei Yin
author_sort Haibo Liu
collection DOAJ
description Gastric cancer (GC) ranks among the most prevalent forms of cancer and contributes significantly to cancer-related mortality. There exists a pressing need to investigate novel approaches for GC management to improve diagnostic methods, therapeutic interventions, and patient outcomes. Exosomes are nanoscale extracellular vesicles (EVs) derived from various cell types that carry a diverse range of biomolecular cargo, including DNA, RNA, proteins, lipids, and other bioactive constituents. They play significant roles in GC pathogenesis and tumor microenvironment (TME) modulation. Exosomes derived from cancer cells can enhance tumor progression, transform the TME, and modulate immune responses. Immune cell-derived exosomes can similarly modulate immune functions and the TME. Immunotherapy represents a GC treatment breakthrough and is expected to show efficacy when combined with exosome-targeted therapy. Abundant research has demonstrated that exosomes are crucial for tumor growth, immune evasion, immune microenvironment reconfiguration, and immunotherapy efficacy in GC. This review describes the role of exosomes in the GC microenvironment, focusing on the mechanisms by which exosomes regulate immune responses to GC, and summarizes the current status of and challenges in the development of exosome-based diagnostics and immunotherapy for GC.
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spelling doaj-art-3e87c88fe1fa4a8c8f11bc38ab5e915f2025-07-23T05:35:47ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.15951241595124Recent progress in the study of exosomes in the gastric cancer immune microenvironmentHaibo Liu0Lei Zhu1Jianmei Yin2Emergency Department, The First Hospital of Jilin University, Changchun, Jilin, ChinaEmergency Department, The First Hospital of Jilin University, Changchun, Jilin, ChinaDepartment of Otolaryngology-Head and Neck Surgery, The First Hospital of Jilin University, Changchun, Jilin, ChinaGastric cancer (GC) ranks among the most prevalent forms of cancer and contributes significantly to cancer-related mortality. There exists a pressing need to investigate novel approaches for GC management to improve diagnostic methods, therapeutic interventions, and patient outcomes. Exosomes are nanoscale extracellular vesicles (EVs) derived from various cell types that carry a diverse range of biomolecular cargo, including DNA, RNA, proteins, lipids, and other bioactive constituents. They play significant roles in GC pathogenesis and tumor microenvironment (TME) modulation. Exosomes derived from cancer cells can enhance tumor progression, transform the TME, and modulate immune responses. Immune cell-derived exosomes can similarly modulate immune functions and the TME. Immunotherapy represents a GC treatment breakthrough and is expected to show efficacy when combined with exosome-targeted therapy. Abundant research has demonstrated that exosomes are crucial for tumor growth, immune evasion, immune microenvironment reconfiguration, and immunotherapy efficacy in GC. This review describes the role of exosomes in the GC microenvironment, focusing on the mechanisms by which exosomes regulate immune responses to GC, and summarizes the current status of and challenges in the development of exosome-based diagnostics and immunotherapy for GC.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1595124/fullgastric cancerexosomesimmunitytumor microenvironmenttumor immunotherapy
spellingShingle Haibo Liu
Lei Zhu
Jianmei Yin
Recent progress in the study of exosomes in the gastric cancer immune microenvironment
Frontiers in Immunology
gastric cancer
exosomes
immunity
tumor microenvironment
tumor immunotherapy
title Recent progress in the study of exosomes in the gastric cancer immune microenvironment
title_full Recent progress in the study of exosomes in the gastric cancer immune microenvironment
title_fullStr Recent progress in the study of exosomes in the gastric cancer immune microenvironment
title_full_unstemmed Recent progress in the study of exosomes in the gastric cancer immune microenvironment
title_short Recent progress in the study of exosomes in the gastric cancer immune microenvironment
title_sort recent progress in the study of exosomes in the gastric cancer immune microenvironment
topic gastric cancer
exosomes
immunity
tumor microenvironment
tumor immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1595124/full
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