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Table 1 Tumor-derived exosomal circRNAs in tumor progression

From: Exosomal circRNA: emerging insights into cancer progression and clinical application potential

Exosomal circRNAs

Parent cell

Target cell

Expression

Signaling pathway

Functions

References

Tumor immunity

      

circCCAR1

Hepatocellular carcinoma cells

CD8 + T cell

↑

circCCAR1/PD1 deubiquitination

CD8 + T cell dysfunction, resistance to anti-PD1 immunotherapy

[18]

circUSP7

Non-small cell lung cancer cells

CD8 + T cell

↑

circUSP7/miR-934/SHP2

CD8 + T cell dysfunction, resistance to anti-PD1 immunotherapy

[26]

circRNA-002178

Lung adenocarcinoma cells

CD8 + T cell

↑

circRNA-002178/miR-34/PDL1/PD1

Immune escape, T-cell exhaustion

[29]

circTRPS1

Bladder cancer cells

CD8 + T cell

↑

circTRPS1/miR141-3p/GLS1

CD8 + T cell exhaustion, modulate intracellular ROS balance

[99]

circGSE1

Hepatocellular carcinoma cells

Tregs

↑

circGSE1/miR-324-5p/TGFBR1/Smad3

Immune escape, Tregs expansion

[28]

circ-0001068

Ovarian cancer cells

Jurkat T cell

↑

circ-0001068/miR-28-5p/PD1

Immune escape, induce PD1 expression

[49]

circSAFB2

Renal cell carcinoma cells

Macrophages

↑

circSAFB2/miR-620/JAK1/STAT3

Immune escape, promote M2 macrophage polarization

[31]

circNEIL3

Glioma cells

Macrophages

↑

circNEIL3/HECTD4/IGF2BP3

Promote M2 macrophage polarization

[17]

circ_0001142

Breast cancer cells

Macrophages

↑

circ_0001142/miR-361-3p/PIK3CB

Promote M2 macrophage polarization

[32]

circSHKBP1

Non-small cell lung cancer cells

Macrophages

↑

circSHKBP1/miR-1294/PKM2

Promote M2 macrophage polarization

[98]

circZNF451

Lung adenocarcinoma cells

Macrophages

↑

circZNF451/FXR1-ELF4-IRF4

Induce the pro-inflammatory phenotype of macrophages, CD8 + T cell dysfunction, resistance to anti-PD1 immunotherapy

[33]

circ0048117

Esophageal squamous cell carcinoma

Macrophages

↑

circ-0048117/miR-140/TLR4

Promote M2 macrophage polarization

[34]

circRNA cSERPINE2

Breast cancer cells

Macrophages

↑

cSERPINE2/MALT1/NF-κB/IL-6

Promotes IL-6 secretion, proliferation and invasion of BC cells and TAM recruitment

[37]

hsa_circ_0074854

Hepatocellular carcinoma cells

Macrophages

↓

hsa_circ_0074854/HUR

Suppress macrophage M2 polarization

[35]

hsa_circ_0017252

Gastric cancer cells

Macrophages

↓

hsa_circ_0017252/miR-17-5p/DUSP2

Suppress macrophage M2 polarization

[36]

circUHRF1

Hepatocellular carcinoma cells

NK cells

↑

circUHRF1/miR-449c-5p/TIM-3

Immune escape, NK cell dysfunction, resistance to anti-PD1 immunotherapy

[39]

circPACRGL

Colorectal cancer cells

Neutrophils

↑

circPACRGL/miR-142-3p/miR-506-3p-TGF-β1

Promote N2 neutrophil polarization

[46]

Tumor angiogenesis

      

circSHKBP1

Gastric cancer cells

HUVECs

↑

circSHKBP1/miR-582-3p/HUR/VEGF and inhibit HSP90 degradation

Promote GC cell angiogenesis, proliferation, migration and invasion

[56]

circ29

Gastric cancer cells

HUVECs

↑

circ29/miR-29a/VEGF

Impair HUVEC proliferation, migration and tube formation

[57]

circ_0007334

Colorectal cancer cells

HUVECs

↑

circ_0007334/miR-577/KLF12

Promote cell viability, colony formation, migration, invasion and angiogenesis of CRC cells

[58]

circRNA-100338

Hepatocellular carcinoma cells

HUVECs

↑

circRNA-100338/VE-cadherin

Promote cell proliferation, angiogenesis, permeability, and vasculogenic mimicry (VM) formation ability of HUVEC

[59]

circKIF18A

Glioblastoma multiforme cells

Human brain microvessel endothelial cells

↑

circKIF18A/FOXC2/PI3K/AKT

Promote angiogenesis in GBM

[60]

circHIPK3

Breast cancer cells

Human endothelial cells

↑

circHIPK3/miR-124-3p/MTDH

Promote tube formation in ECs

[61]

circ-CCAC1

Cholangiocarcinoma cells

Endothelial monolayer cells

↑

circ-CCAC1/miR-514a-5p/YY1

Disrupt endothelial barrier integrity and induces angiogenesis

[62]

Tumor metabolism

      

circ_0008928

CDDP-resistant cells

_

↑

circ_0008928/miR-488/HK2

Promote CDDP drug resistance, glycolysis metabolism, proliferation, migration, invasion in NSCLC

[67]

ciRS-122

Oxaliplatin-resistant cells

Oxaliplatin- sensitive cells

↑

ciRS-122/miR-122/PKM2

Promote glycolysis and transmits resistance to oxaliplatin

[71]

circNRIP1

Gastric cancer cells

Gastric cancer cells

↑

circNRIP1/miR-149-5p/AKT1/mTOR

Promote GC metastasis by altering metabolism and autophagy

[74]

circFBLIM1

Hepatocellular carcinoma cells

Hepatocellular carcinoma cells

↑

circFBLIM1/miR-338/LRP6

Promote HCC progression and glycolysis

[76]

circ-MEMO1

Non-small cell lung cancer cells

Non-small cell lung cancer cells

↑

circ-MEMO1/miR-101-3p/KRAS

Accelerate the proliferation, cell cycle progression, and glycolytic metabolism in NSCLC

[77]

circ-ZNF652

Hepatocellular carcinoma cells

Hepatocellular carcinoma cells

↑

circ-ZNF652/miR-29a-3p/GUCD1

Promote HCC progression, migration, invasion and glycolysis

[78]

circ_0072083

TMZ-resistant cells

TMZ-sensitive cells

↑

circ_0072083/miR-1252-5p/NANOG/ALKBH5

Promote TMZ resistance in glioma

[79]

circ93

Lung adenocarcinoma cells

Lung adenocarcinoma cells

↑

cir93/FABP3/AA

Essential for desensitizing LUAD cells to ferroptosis

[97]

Tumor proliferation and metastasis

      

circIFT80

Colorectal cancer cells

Colorectal cancer cells

↑

circIFT80/miR-1236-3p/HOXB7

Promote CRC growth, proliferation, migration and invasion by activating EMT transcription factors

[100]

circSETDB1

Hypoxic cells

Normoxic cells

↑

circSETDB1/miR-7/Sp1

Promote aggressive growth and EMT in lung adenocarcinoma

[101]

circ-133

Hypoxic cells

Normoxic cells

↑

circ-133/miR-133a/GEF-H1/RhoA

Promote CRC cell migration

[102]

circRNA_PVT1

Cervical cancer cells

Cervical cancer cells

↑

circRNA_PVT1/miR-1286

Induce migration and invasion of cervical cancer cells, promote pulmonary metastasis

[103]

circ-0004277

Hepatocellular carcinoma cells

Surrounding normal cells

↑

circ-0004277/ZO-1

Promote HCC EMT progression

[104]

circWHSC1

Ovarian cancer cells

Peritoneal mesothelial cells

↑

circWHSC1/miR-145/MUC1 and circWHSC1/miR-1182/hTERT

Promote ovarian cancer occurrence and metastasis

[105]

circ-PDE8A

Pancreatic ductal adenocarcinoma cells

Pancreatic ductal adenocarcinoma cells

↑

circ-PDE8A/miR-338/MACC1/MET

Promote invasive growth of PDAC cells

[106]

hsa_circ_0000437

Gastric cancer cells

Human lymphatic endothelial cells

↑

hsa_circ_0000437/HSPA2-ERK

Promote lymph node metastasis, invasion, migration and tube formation

[110]

circ_0026611

Esophageal squamous carcinoma cells

Human lymphatic endothelial cells

↑

circ_0026611/NAA10/PROX1

Promote lymphangiogenesis

[111]

circZNF652

Glioblastoma cells

Glioblastoma cells

↑

circZNF652/miR-486-5p/SERPINE1

Promote GBM proliferation, migration and EMT malignant phenotypes

[112]

circPTGR1

Higher metastatic HCC cells

HCC cells with low or no metastatic potential

↑

circPTGR1/miR-449a/MET

Promote the increased migration and invasion capacity of HCC cells

[113]

circ-0072088

Hepatocellular carcinoma cells

Hepatocellular carcinoma cells

↑

circ-0072088/miR-375/MMP-16

Suppress HCC metastasis

[114]

circPUM1

Ovarian cancer cells

Peritoneum

↑

circPUM1/miR-615-5p/NF-kB and circPUM1/miR-6753-5p/MMP2

Promote ovarian cancer proliferation, migration and invasion

[115]

Drug resistance

      

circATG4B

Oxaliplatin-resistant CRC cells

CRC cells

↑

circATG4B-222aa/TMED10/ATG4B

Increase autophagy followed by induction of chemoresistance

[116]

circ_0000337

CDDP-resistant cells

CDDP-sensitive cells

↑

circ_0000337/miR-377-3p/JAK2

Promote CDDP-resistant metastasis, cell proliferation, and metastasis in esophageal cancer

[117]

circVMP1

CDDP-resistant cells

CDDP-sensitive cells

↑

circVMP1/miR-524-5p-METTL3/SOX2

Promote CDDP-resistant metastasis in NSCLC

[118]

circWDR62

TMZ-resistant cells

TMZ-sensitive cells

↑

circWDR62/miR-370-3p/MGMT

Promote TMZ-resistant metastasis in gliomas, prognostic markers

[119]

circDNER

PTX-resistant cells

PTX-sensitive cells

↑

circDNER/miR-139-5p/ITGB8

Associated with PTX resistance in lung cancer, prognostic markers

[120]

circDLGAP4

Doxorubicin-resistant cells

Doxorubicin- sensitive cells

↑

circDLGAP4/miR-143/HK2

Promote doxorubicin resistance transmission, glycolysis, proliferation and invasion in NB

[121]

circZNF91

Hypoxic PC cells

Normoxic PC cells

↑

circZNF91/miR-23b-3p/SIRT1/HIF-1α

Enhance GEM resistance of PC cells

[122]