Table 2.
Mechanisms of Action | Drugs | Effect | Block | References |
---|---|---|---|---|
EV trafficking/EV release | Calpeptin MDL28170 |
Inhibits calpain, cleavage of cortactin, and MVB formation | EV biogenesis/release | [229,231] |
Manumycin | Blocks farnesyl transferase, hinders Ras from binding to plasma membrane, prevents budding from plasma membrane, stimulates n-SMase 2 activity | EV release | [232,233] | |
Tipifarnib | Inhibits the activity of farnesyltransferase | EV release | [220] | |
Y27632 | Inhibits Rho-associated kinase ROCK1 and ROCK2 | EV release | [234] | |
Neticonazole | Decreases Alix, Rab27a, and nSMase2 | EV release | [220,221] | |
Lipid metabolism/EV release | GW4869 | Inhibits nSMase 2 and subsequent incorporation of ceramide into EVs | EV release | [235,236] |
Cambinol | Inhibits nSMase2 | EV release | [237] | |
Imipramine | Promotes the degradation of aSMase that later detaches from the plasma membrane | EV (i.e., MV) release | [219,238] | |
Pantethine | Inhibits fatty acid and cholesterol synthesis to block MV biogenesis | EV (i.e., MV) biogenesis | [239,240] | |
EV uptake | Dynasore | Blocks Dynamin-2-mediated clathrin- and caveolin-dependent endocytosis | EV uptake | [222] |
Annexin V Diannexin | Blocks EV ligand (e.g., phosphatidylserine EV surface) | EV uptake | [223,241] | |
Cytochalasin B Cytochalasin D | Blocks actin polymerization and endocytosis | EV uptake | [224,225] | |
Filipin Simvastatin |
Blocks EV uptake via lipid raft-mediated endocytosis | EV uptake | [222] | |
PPIs | Alters pH and blocks EV uptake via membrane fusion | EV uptake | [222,226] |