Abstract

The bone marrow (BM) represents a complex microenvironment containing stromal cells, immune cells, osteoclasts, osteoblasts, and hematopoietic cells, which are crucial for the immune response, bone formation, and hematopoiesis. Apart from soluble factors and direct cell-cell contact, extracellular vesicles (EVs), including exosomes, were recently identified as a third mediator for cell communication. Solid evidence has already demonstrated the involvement of various BM-derived cells and soluble factors in the regulation of multiple biological processes whereas the EV-mediated message delivery system from the BM has just been explored in recent decades. These EVs not only perform physiological functions but can also play a role in cancer development, including in Multiple Myeloma (MM) which is a plasma cell malignancy predominantly localized in the BM. This review will therefore focus on the multiple functions of EVs derived from BM cells, the manipulation of the BM by cancer-derived EVs, and the role of BM EVs in MM progression.

Highlights

  • The bone marrow (BM) is the source of blood cells and immune cells, and contains a complex environment composed of a cellular compartment, an extracellular matrix, and a liquid compartment [1]

  • The bone marrow (BM) represents a complex microenvironment containing stromal cells, immune cells, osteoclasts, osteoblasts, and hematopoietic cells, which are crucial for the immune response, bone formation, and hematopoiesis

  • Exosomes are nanometric membrane vesicles derived from late endosomes [7] and released through the fusion of multivesicular bodies (MVBs) with the plasma membrane [6, 8]

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Summary

Introduction

The bone marrow (BM) is the source of blood cells and immune cells, and contains a complex environment composed of a cellular compartment, an extracellular matrix, and a liquid compartment [1]. EVs, a class of membranous vesicles, are secreted by various cell types into the extracellular microenvironment and mediate short- and long-range communication by stimulating target cells with receptors or ligands, transferring membrane receptors to target cells, delivering functional intracellular molecules, and inducing epigenetic changes in recipient cells [4, 5]. Exosomes derived from DCs, called dexosomes, have recently gained much attention in tumor vaccination studies as they express functional MHC class I and II and T cell co-stimulatory molecules which are essential for activating immunologic effector cells [4750]. Protein-loaded dexosomes inhibited tumor growth in mice by inducing antitumor immunity in the assistance of proper activation of both CD4+ T and B cells [54] Both murine and human dexosomes promoted NK cell proliferation and activation in vivo in an IL-15Rα- and NKG2D-dependent manner, resulting in tumor regression [49]. We can conclude that dexosomes can have conflicting functions, and it seems that the regulation of www.impactjournals.com/oncotarget

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Findings
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