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Potential Role of Exosomes in the Pathogenesis, Diagnosis, and Treatment of Ovarian Cancer.

Created on 13 Sep 2026

Authors

Anna Markowska, Michał Antoszczak, Janina Markowska, Adam Huczyński

Published in

Cancers. Volume 18. Issue 11. May 22, 2026. Epub May 22, 2026.

Abstract

Ovarian cancer (OC) remains one of the most lethal gynaecological malignancies, which is mainly due to late diagnosis, high frequency of metastasis, and the risk of developing resistance to systemic therapy. In recent years, exosomes-small extracellular vesicles (EVs) secreted by cancer cells and components of the tumour microenvironment (TME)-have been identified as potential mediators of OC progression. Exosomes participate in intercellular communication and enable the transfer of RNA, proteins, and lipids. These vesicles may modulate the immune response, promote angiogenesis, remodel the extracellular matrix, and drive epithelial-mesenchymal transitions. Exosomes also appear to play a role in the development of drug resistance via direct transfer of resistance factors or indirect modification of TME. In this review article, we summarise current knowledge on the biological role of exosomes in OC pathogenesis. We also discuss their possible diagnostic, prognostic, and therapeutic relevance. The properties and composition of exosomes make them promising noninvasive liquid biomarkers and convenient carriers for anticancer drugs. However, to fully exploit their potential, further large-scale preclinical and clinical studies are required, which should focus primarily on standardising research methods and assessing the safety and efficacy of exosome-based diagnostic and therapeutic methods.

PMID:
42279274
Bibliographic data and abstract were imported from PubMed on 13 Sep 2026.

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