Exosomes include plasma-transported vesicles that are secreted by human tissues and reflect metabolic status. The profile of exosomes (particularly microRNA content) is altered in metabolic disease. In type 2 diabetes mellitus, exosomes circulating in plasma induce transcriptional changes related to tumour progression and pro-metastatic phenotypes in target cancer cells, potentially linking obesity to cancer progression and metastasis.
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G.V.D. and N.J. are inventors on US patent 63/171,689 to use exosomes as a cancer diagnostic. P.L. declares no competing interests.
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Jafari, N., Llevenes, P. & Denis, G.V. Exosomes as novel biomarkers in metabolic disease and obesity-related cancers. Nat Rev Endocrinol 18, 327–328 (2022). https://doi.org/10.1038/s41574-022-00666-7
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DOI: https://doi.org/10.1038/s41574-022-00666-7
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