Table 1 EVs regulate the biogenesis of immune checkpoints.

From: Influencing immunity: role of extracellular vesicles in tumor immune checkpoint dynamics

Type of cancer

Origin

Cargos

Target Cells

Target Immune Checkpoints

Mechanism

impacts on cancer progression

References

Hepatocellular Carcinoma

Cancer cell derived EVs

LOXL4

M2-polarized tumor-associated macrophages

PD-L1

Induce PD-L1 expression by activating STAT1

Promoted the immune escape of HCC cells by inhibiting the killing ability of CD8 + T cells

197

Cancer cell derived EVs

GOLM1

cancer cells

PD-L1

Promote CSN5-mediated PD-L1 deubiquitination

Promotes PD-L1 stabilization

60

macrophages/NK cells

Upregulate PD-L1 expressed by TAMs

Suppresses NK cells

cancer cells

Suppresses Rab27b diverts PD-L1 to the membrane

Increase the exosomal PD-L1 levels

M1-polarized tumor-associated macrophages derived EVs

MISP

cancer cells

PD-L1

Upregulated phosphorylation of STAT3

Advance immune escape of HCC cells

30

Ovarian Cancer

M2-polarized tumor-associated macrophages derived EVs

NEAT1

cancer cells

PD-L1

Sponged miR-101-3p to increase translate factor ZEB1 and PD-L1 expression

Promote OC cell proliferation and CD8 + T cell apoptosis

34

Esophageal Squamous Cell Carcinoma

Cancer cell derived EVs

PIK3CB

cancer cells

PD-L1

Promoted the transcriptional activity of the PD-L1 promoter

Promote epithelial-mesenchymal transition

29

Esophageal carcinoma stem cells derived EVs

OGT

CD8 + T cells

PD-1

unknown

Affect the expansion and function of cytotoxic CD8 + T cells

44

Breast Cancer

Cancer cell derived EVs

miR-106b-5p

M2-polarized tumor-associated macrophages

PD-L1

Promote phosphorylation of PI3K downstream products by inhibiting PTEN translation

Regulate PD-L1 expression in macrophages and their polarization

30

miR-18a-5p

Promote the binding of STAT3 and PD-L1 coding gene by inhibiting PIAS3 translation

Head and Neck Cancer

Cancer cell derived EVs

IFNGR1

fibroblastic reticular cells

PD-L1

Activate downstream JAK and STAT1 to promote PD-L1 transcription

Facilitate pre-metastatic niche formation and tumor metastasis in sentinel lymph node

32

Cancer cell derived EVs

miR-21-5p

cancer cells

LAG3

Inhibit expression of LAG3 transcriptional regulatory factor early growth response protin 3

Participate in tumor cell drug resistance and regulate epithelial-mesenchymal transition

198

Colorectal Cancer

Colorectal cancer stem cells-derived exosomes

miR-17-5p

cancer cells

PD-L1

Targeted inhibition of SPOP expression, limiting the binding of ubiquitin-activating enzyme to PD-L1

Promote growth and inhibit anti-tumor immunity in CRC cells through promoting PD-L1

51

Cancer cell derived EVs

LncRNAKcnq1OT1

PD-L1

LncRNAKcnq1OT1 competitively binds with MIR-30A-5P to Ubiquitin-Specific Protease 22 (USP22), thereby facilitating the cleavage of ubiquitin chains from ubiquitinated PD-L1 by USP22

Suppress basic apoptosis rate of tumor cells

53

Cancer cell derived EVs

miR-21-5p

M2-polarized tumor-associated macrophages

PD-L1

Promote phosphorylation of PI3K downstream products by inhibiting PTEN translation

Regulate PD-L1 expression in macrophages and their polarization

199

Cancer cell derived EVs

miR‐200a

PD-L1

Promote phosphorylation of PI3K downstream products by inhibiting PTEN translation; Promote phosphorylation of STAT1 by inhibiting SOCS1 translation

Lymphoma

Cancer cell derived EVs

unknown

CD8 + T cells

CTLA4

Promote CTLA4 expression with unknown mechanism

Transform effect CD8 + T cells into regulatory CD8 + T cells with active immunosuppressive function, secreting inhibitory cytokines IL10 and TGF-β

98

unknown

Chimeric antigen receptor modified CD8 + T cells

CTLA4

Promote CTLA4 expression with unknown mechanism

Damage tumor killing ability of chimeric antigen receptor modified CD8 + T cells

99

Hepatocellular Carcinoma

Hepatic stellate cell derived EVs

circWDR25

hepatic stellate cell

CTLA4

Up-regulates ALOX15 via sponging mir-4474-3p, thereby promote CTLA4 expression

Facilitated HCC cell proliferation and invasion

103

Triple-negative Breast Cancer

Cancer cell derived EVs

CCL5

M2-polarized tumor-associated macrophages

CTLA4

Promote CTLA4 expression with unknown mechanism

Remodel the surrounding tumor stroma and immune infiltrate; increase tumor metastasis to the lung

200

Nasopharyngeal Carcinoma

Cancer cell derived EVs

Galectin-9

Dendritic cells

TIM3

Binding to TIM3 on the surface of dendritic cells induces the generation of regulatory dendritic cells.

Regulatory dendritic cells with mature phenotype inhibit T cell proliferation and secrete high level of IL-4.

112

Advanced Lung Cancer

Malignant pleural effusion derived EVs

CEACAM1

CD3 + CD4-CD8-double-negative T cells

TIM3

Binding to TIM3 on the surface of double-negative T cells downregulates their ability to kill tumors.

Create immunosuppressive environment for intrathoracic metastasis of tumors.

115

Epithelial Ovarian Cancer

Tumor-associated macrophages derived PD-L1+ exosomes

PD-L1

CD8 + T cells

LAG3

Unknow, possibly from the increased expression of CPT1A in CD8 + T cells that lead to an increase in reactive oxygen species-related cellular damage

Promote the apoptosis of CD8 + T cells

87

Lung Adenocarcinoma

Adipocyte‐derived exosomes

miR‐27a‐3p

CD4 + T cells

ICOS

Inhibit the transcription of ICOS

Reduce the release of IFN-γ by CD4 + T cells.

134