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Table 2 The effect of exosomal miRNAs in the tumor microenvironment (TME)

From: Exosomal miRNA-mediated intercellular communications and immunomodulatory effects in tumor microenvironments

miRNAs

The source of miRNAs

The effect of miRNAs & Mechanism of action

miR-21

Glioma

Induce angiogenesis by targeting VEGF/p-FLK/ VEGFR2 signaling pathway [113]

miR-210-3p

HCC

Induce angiogenesis by targeting SMAD4 and STAT6 [117]

miR-142-3p

NSCLC

Induce angiogenesis by inhibiting TGFβR1, PDGFR-β, and p SMAD2/3 [116]

miR-141-3p

Ovarian Cancer

Induce angiogenesis by activating the JAK-STAT3 pathway [121]

miR-23a

NPC

Induce angiogenesis by targeting TSGA10 and modulate the growth, migration, and tube formation of HUVECs [112]

miR-100

MSCs

Induce angiogenesis by targeting the mTOR/HIF-1α/VEGF signaling axis [118]

miR-619-5p

NSCLC

Induce angiogenesis by inhibiting the expression of RCAN1.4 [115]

miR-15a miR-181b miR-320c

miR-874

HLSC

Inhibit tumor angiogenesis by downregulation of the target genes including ITGB3, FGF1, EPHB4, and PLAU [126]

miR-205

Ovarian Cancer

Induce angiogenesis by targeting the PTEN/AKT pathway [120]

miR-25-3p

Colorectal Cancer

Induce angiogenesis by targeting KLF2 and KLF4 through the VEGFR2/p-Erk/p-Akt pathway and ZO-1/Occludin/Claudin5 pathway respectively [124]

miR-23a

Lung Cancer

Induce angiogenesis by inhibiting PHD1, PHD2, and ZO-1 and accumulating HIF-1α [125]

miR-9

Glioma

Induce angiogenesis by targeting the MYC/OCT4 pathway [114]

miR-451a

HCC

Inhibit angiogenesis by targeting LPIN1 [127]

miR-9

NPC

Inhibit angiogenesis by regulating MDK and activating the PDK/Akt signaling pathway [128]

miR-126a

MDSCs

Induce angiogenesis by activating inflammatory circuits and increasing IL-13 and IL-33 [119]

miR-212-3p

Pancreatic Cancer

Suppress the immune system by interfering with DCs function by targeting MHC II TF RFXAP resulting in reduced expression of HLA-DR, -DP, and -DQ molecules [139]

miR-203

Pancreatic Cancer

Suppress the immune system by Influence on NKs activation by reducing TLR4, TNF-α, and IL-12 levels in DCs [140]

miR-let-7i

Breast cancer

Suppress the immune system by changing the levels of IL-6, IL-17, IL-1b, TGFβ, SOCS1, KLRK1, IFNγ, and TLR4 [142]

miR-150-5p miR-142-3p

Treg

Suppress the immune system by stimulating a cell-refractory phenotype of DCs, resulting in increased IL-10 and decreased IL-6 levels [141]

miR-let-7d

Treg

Suppress the immune system by inhibiting Th1 cell proliferation and IFNγ secretion [65]

miR-125b

NSCLC

Enhancing the immune system by macrophage repolarization to M1 phenotype [159]

miR-125b-5p

Melanoma

Enhancing the immune system by targeting LIPA and increasing IL-1β, CCL1, CCL2, and CD80 marker’s level of M1 phenotype [5]

miR-21

Head and Neck Cancer

Suppress the immune system by macrophage polarization to M2 phenotype and increasing MRC1 level of M2 [137]

miR-222-3p

EOC

Suppress the immune system by macrophage polarization to M2 phenotype by phosphorylation of STAT3 and downregulating SOCS3 [134]

miR-21-3p

miR-125b-5p

miR-181d-5p

miR940

EOC

Suppress the immune system by TAMs polarization to M2 phenotype [135]

miR-301a-3p

Pancreatic Cancer

Suppress the immune system by M2 phenotype polarization of macrophages by activation of the PTEN/PI3Kγ signaling pathway [160]

miR-1246

Colon Cancer

Suppress the immune system by M2 phenotype polarization of macrophages by increasing IL-10, TGFβ, and MMPs level [136]

miR-155

CLL

Suppress the immune system by reprogramming conventional monocytes into MDSCs by nuclear translocation of NFkB and phosphorylation of STAT1 [144]

miR-10a

Glioblastoma

Suppress the immune system by abnormal differentiation of MDSCs by targeting RORA through the NFκB pathway [143]

miR-21

Glioblastoma

Suppress the immune system by abnormal function of MDSCs by targeting PTEN through the p-STAT3/p-p65/p-Akt pathway [143]

miR-124

Ovarian Cancer

Remodel ECM by differentiating NFs into CAFs by targeting SPHK1 and upregulation α-SMA and FAP [147]

miR-27b-3p

miR-214-3p

Myeloma

Remodel ECM by activation of fibroblast marker, α-SMA, and FAP, through targeting the FBXW7 and PTEN/AKT/GSK3 pathways [148]

miR-27a

Gastric Cancer

Remodel ECM by differentiating NFs into CAFs by decreasing the level of CSRP2, and increasing the level of α-SMA [149]

miR-10b

Colorectal Cancer

Remodel ECM by differentiating NFs into CAFs by inhibiting PIK3CA level and PI3K/Akt/mTOR pathway activity, increasing the level of TGF-β and α-SMA [150]

miR-21

HCC

Remodel ECM and enhance angiogenesis by reprogramming hepatic stellate cells (HSCs) into CAFs by targeting PTEN, activating PDK1/Akt signaling, and increasing VEGF, MMP2, MMP9, bFGF, and TGF-β [152]

miR-9

Breast Cancer

Remodel ECM by differentiating NFs into CAFs by affecting MMP1, EFEMP1, and COL1A1 [154]

miR-105

Breast Cancer

Remodel ECM by reprogramming stromal cells by activating MYC signal transduction in CAFs [155]

miRNA-142-

3p

Lung Cancer Cells

Remodel ECM by differentiating NFs into CAFs [116]

miR-155

Melanoma

Remodel ECM and enhance angiogenesis by reprogramming NFs into CAFs by inhibiting SOCS1 and activating the JAK2/STAT3 signaling pathway and increasing levels of VEGFa, FGF2, and MMP9 in fibroblasts [151]

miR‐1249‐5p

miR‐6737‐5p

miR‐6819‐5p

Colorectal Cancer

Remodel ECM by activating fibroblasts to CAFs by suppressing TP53 expression in fibroblasts [161]

miR-1247

HCC

Remodel ECM by activating β1-integrin–NF-κB signaling in fibroblasts to reprogramme into CAFs by targeting B4GALT3, leading to increasing in IL-6 and IL-8 levels [162]