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World J Stem Cells. Aug 26, 2025; 17(8): 107400
Published online Aug 26, 2025. doi: 10.4252/wjsc.v17.i8.107400
Comparison of therapeutic potential of macrophage- or mesenchymal stem cell-derived exosomes in pancreatic cancer: An updated review
Demet Kacaroglu, Nilgun Gurbuz
Demet Kacaroglu, Department of Medical Biology, Faculty of Medicine, Lokman Hekim University, Ankara 06520, Türkiye
Nilgun Gurbuz, Department of Medical Biology, Faculty of Medicine, Suleyman Demirel University, Isparta 32260, Türkiye
Author contributions: Gurbuz N contributed to the supervision, analysis and/or interpretation of this manuscript; Kacaroglu D contributed to the materials of this manuscript; Kacaroglu D and Gurbuz N contributed to the concept, data collection and/or processing, and writing.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nilgun Gurbuz, PhD, Professor, Department of Medical Biology, Faculty of Medicine, Suleyman Demirel University, Çünür, Doğu Yerleşkesi, 32200 Merkez/ Isparta, Isparta 32260, Türkiye. nilgungurbuz@sdu.edu.tr
Received: March 24, 2025
Revised: April 27, 2025
Accepted: July 7, 2025
Published online: August 26, 2025
Processing time: 151 Days and 22.7 Hours
Core Tip

Core Tip: Pancreatic cancer has high metastatic potential and low survival rates due to its dense desmoplastic microenvironment, which limits drug delivery. Exosomes, with their low immunogenicity and targeting ability, are promising therapeutic carriers. Mesenchymal stem cell- and macrophage-derived exosomes show potential in pancreatic cancer treatment. This review compares their effects, summarizing in vitro, in vivo, and clinical studies while highlighting their advantages and disadvantages.