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. 2021 Oct 12;9(10):e003217. doi: 10.1136/jitc-2021-003217

Table 1.

Tumor-derived EVs induce alterations of immune-related molecules in T cells

Tumor types/EV sources EV cargoes Targeted T cell types Changes of cytokines and immune-related molecules in T cells T cell functional changes References
Colorectal cancer
DLD-1, WiDr cells
TGF-β1 Jurkat cell; CD4+ cells FoxP3, LAG3, IL-10, PRF1, and GZMB ↑ EVs containing TGF-β1 inhibit T cell growth and promote Treg cell development. 183
Plasma of patients FasL, TRAIL Activated CD8+ T cells NA FasL and TRAIL in EVs induce T cell apoptosis. 78
Prostate cancer
DU145 and PC3
PGE2 CD4+ T cells; IL-2 and TNF-α ↓
Adenosine ↑
Exosomal PGE2 contributes to CD73 induction in DCs; suppress T cell response and function. 65 73 82
Melanoma
MEL624; B16-F10; WM9 cells
PD-L1 CD8+ T cells IFN-γ, IL-2, and TNF-α ↓ Exosomal PD-L1 inhibit T cell proliferation and cytotoxicity. 74
Glioma
UPN933 cells; blood of patients
NA Jurkat cell; PBMC; T cells IL-2, IFN-γ, IL-4, IL-5, IL-17, TNF-α, GM-CSF ↓
IL-6, IL-1, G-CSF ↑
Decrease T cell activation and affect cytokine output. 184
Head and neck cancer
Tu167 CGM; HN60; SCC0209
Galectin-1 CD8+ T cells IFN-γ, CD27, CD28 ↓ Loss of CD27 and CD28 expression; suppress T cell proliferation and induce suppressor T cell phenotype. 185
PCI-13 NA Activated CD4+ and CD8+ T cells; Treg cells PD-L1, CTLA-4, IL-10, COX2, FOXP3, FasL ↑ Regulate expression of immune function-related genes in T cell subsets. 186
Plasma of patients NA CD8+ T cells  NA CD45 exosomes induce CD39+ Treg differentiation and CD8+ T cell apoptosis. 85
Plasma of patients CD39, CD73 CD4+ CD39+ Treg cells 5′‐AMP and purines ↑ CD3 exosomes promote production of adenosine in Treg cells. 126
Oral squamous cell carcinoma
Cal-27; SCC-9
HSP70 γδ T cells IFN-γ, TNF-α, GZMB, perforin ↑ Induce γδ T cell cytotoxicity, expansion and proliferation. 100
Sera of patient FasL Jurkat cells and activated T cells TCR chain ↓ Exosomal FasL induces T cell apoptosis. 77
Breast cancer
MCF7
CD73, CD39 CD4+ T cells IL-2, TNF-α ↓
Adenosine ↑
Exosomal CD73 and CD39 suppress T cell response. 65
Nasopharyngeal carcinoma
TW03; C666; CNE2
miR-24–3 p; CD4+ and CD8+ T cells IL-1β, IL-6, IL-10 ↑
IFN-γ, IL-2, IL-17, FGF11 ↓
Exosomal miRNAs inhibit T cell proliferation and Th1 and Th17 differentiation; induce development of FOXP3+ Treg cells. 63 61
Plasma of patients, C15 and C17 cells CCL20,
Galectin-9
CD4+, CD8+, and Treg cells TNFRSF4, SELL, ICAM1, CCR6, TNF, GZMB, TGFβ1, IL10, IL2, IL15 ↑ Exosomal CCL20 promotes Treg cell recruitment; exosomal galectin-9 induces T cell apoptosis. 81 96
Pancreatic cancer
BxPC‐3 cell
NA CD8+ T cells PERK, ATF4 and P-eIF2α ↑ Induce ER-stress and p38 dependent T cell apoptosis and cytotoxicity. 79
Ovarian cancer
Ascites of patient
TGF-β1, IL-10 CD3+ CD4+ T cells FasL, IL-10, TGF-β1, CTLA-4, GZMB and perforin ↑ Promote proliferation of Treg and convert CD4+ T cells to CD4+CD25+ Treg cells; up-regulate Treg suppressor functions. 93
Skov-3 cell line, ascites of patient Arginase-1 CD4+ and CD8+ T cells CD3ζ ↓ Increased arginase in EVs suppresses proliferation and immune response of CD4+ and CD8+ T cells. 64
Hepatocellular carcinoma
Serum of patients
14-3-3ζ CD8+ T cells PD-1, TIM-3, LAG3, CTLA-4 ↑ Exosomal 14-3-3ζ induces exhausted phenotype of T cells; impaires the functions, proliferation and activation of T cells. 95
Hepa1-6, H22, H7402 cells and HepG2 cells SALL4/miR-146a-5p CD3+ T cells IL-2, IFN-γ, TNF-α ↓
PD-1, TIGIT, CTLA-4 ↑
Exosomal SALL4 and miRNA promote T cell exhaustion and inhibit T cell immune response. 108
Lung cancer
Plasma of patients, A549, PC9, and 95D cells
circRNA- 002178 CD8+ T cells PD-1 ↑ circRNA in exosomes induces T cell exhaustion. 67

ATF4, activating transcription factor 4; CCR6, C-C motif chemokine receptor 6; circRNA, circular RNA; COX2, cyclooxygenase-2; CTLA-4, cytotoxic T-lymphocyte-associated protein 4; DCs, dendritic cells; EVs, extracellular vesicles; FGF11, fibroblast growth factor 11; FOXP3, forkhead box P3; G-CSF, granulocyte colony-stimulating factor; GM-CSF, granulocyte-macrophage colony-stimulating factor; GZMB, granzyme B; ICAM1, intercellular adhesion molecule 1; IFN-γ, interferon gamma; IL, Interleukin; LAG3, lymphocyte-activation gene 3; miRNA, microRNA; NA, not available; PD-1, programmed death-1; PD-L1, programmed cell death ligand 1; P-eIF2α, phosphorylation of eukaryotic initiation factor-2α; PERK, PKR-like ER kinase; PRF1, perforin 1; SCC, squamous cell carcinoma; SELL, selectin L; TGF-β, transforming growth factor beta; TIM3, T-cell immunoglobulin and mucin-domain containing-3; TNF-α, tumor necrosis factor; TNFRSF4, TNF receptor superfamily member 4; Treg, regulatory T cell.