Exosomes and pancreatic diseases: status, challenges, and hopes

Int J Biol Sci. 2019 Jul 20;15(9):1846-1860. doi: 10.7150/ijbs.35823. eCollection 2019.

Abstract

Pancreatic disease, including pathologies such as acute pancreatitis (AP), chronic pancreatitis (CP), and pancreatic cancer (PC), is a complicated and dangerous clinical condition involving the disruption of exocrine or endocrine function. PC has one of the highest mortality rates among cancers due to insufficient diagnosis in early stages. Furthermore, efficient treatment options for the disease etiologies of AP and CP are lacking. Thus, the identification of new therapeutic targets and reliable biomarkers is required. As essential couriers in intercellular communication, exosomes have recently been confirmed to play an important role in pancreatic disease, but the specific underlying mechanisms are unknown. Herein, we summarize the current knowledge of exosomes in pancreatic disease with respect to diagnosis, molecular mechanisms, and treatment, proposing new ideas for the study of pancreatic disease.

Keywords: Acute pancreatitis; Chronic pancreatitis; Exosomes; Noncoding RNA; Pancreatic cancer.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acute Disease
  • Animals
  • Exosomes / genetics
  • Exosomes / metabolism*
  • Humans
  • Pancreatic Diseases / genetics
  • Pancreatic Diseases / metabolism*
  • Pancreatic Diseases / pathology
  • Pancreatic Neoplasms / genetics
  • Pancreatic Neoplasms / metabolism*
  • Pancreatic Neoplasms / pathology
  • Pancreatitis, Chronic / genetics
  • Pancreatitis, Chronic / metabolism
  • Pancreatitis, Chronic / pathology
  • RNA, Untranslated / genetics

Substances

  • RNA, Untranslated