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Exosome-Mediated Regulation of Aerobic Glycolysis in Hepatocellular Carcinoma: Mechanisms and Therapeutic Implications.

Created on 13 Sep 2026

Authors

Ye Zang, Rui Zhao

Published in

Journal of hepatocellular carcinoma. Volume 13. Pages 580617. Epub Mar 21, 2026.

Abstract

Hepatocellular carcinoma (HCC) is one of the most common and poor prognosis digestive malignant tumors with high morbidity and mortality worldwide. Aerobic glycolysis, also known as the Warburg effect, is a hallmark of cancer metabolism and plays a pivotal role in the genesis, development, metastasis and drug resistance of HCC. Exosomes are nanoscale membrane vesicles secreted by cells and widely found in various body fluids, capable of carrying a variety of bioactive molecules, such as proteins, nucleic acids, lipids, etc, and mediating intercellular communication. Increasing evidence indicates that exosomes regulate metabolic reprogramming in HCC by transferring specific bioactive molecules or modulating key signaling pathways. Through these mechanisms, exosomes influence the expression and activity of glycolysis-related enzymes, ultimately affecting the proliferation, invasion, migration, and chemosensitivity of HCC cells. This review focuses on the exosome-mediated regulation of aerobic glycolysis in HCC and highlights the therapeutic potential of targeting exosome-mediated metabolic pathways, offering new perspectives for combination treatment strategies in HCC.

PMID:
41909197
Bibliographic data and abstract were imported from PubMed on 13 Sep 2026.

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