2nd Extracellular Vesicles Conference (TURSEV-26), Ankara, Türkiye, 5 - 06 Haziran 2026, ss.114, (Özet Bildiri)
Pancreatic cancer remains one of the most lethal malignancies due to challenges in early diagnosis and the limited efficacy of current
therapeutic strategies. Mesenchymal stem cells (MSCs), as key components of the tumor microenvironment, exhibit context-dependent pro- or
anti-tumorigenic effects. MSC-derived extracellular vesicles (EVs) have emerged as important mediators of intercellular communication,
capable of modulating tumor progression depending on their molecular cargo. Polarization of MSCs through Toll-like receptors, particularly
TLR4 activation, induces a phenotype (MSC1) associated with anti-tumor properties. However, the effects of EVs derived from TLR4-
stimulated MSCs on pancreatic cancer cells remain poorly understood. This study aimed to investigate the impact of EVs obtained from
lipopolysaccharide (LPS)-stimulated MSCs on pancreatic cancer cell lines. Umbilical cord-derived MSCs were cultured in serum-free medium
and stimulated with 1 μg/mL LPS. EVs were isolated from conditioned media using ultracentrifugation and ultrafiltration. Characterization
was performed by tunable resistive pulse sensing (TRPS) for size, concentration, and distribution, bicinchoninic acid (BCA) assay for protein
quantification, and flow cytometry for CD63 and CD81 expression. EVs were then applied to MiaPaCa-2 and Panc-1 pancreatic cancer cell
lines, and apoptosis and cell cycle progression were analyzed by flow cytometry. MSC-derived EVs exhibited dose-dependent cytotoxic and
anti-proliferative effects in both cell lines. In Panc-1 cells, cell viability decreased from 76.08% to 60.22%, while late apoptosis increased from
15.80% to 23.64%, reaching 29.65% following LPS-MSC EV treatment. MiaPaCa-2 cells demonstrated greater sensitivity, with viability
decreasing from 75.15% to 56.89% and late apoptosis increasing from 10.22% to 29.24%. The strongest effect was observed in the LPS-MSC
EV group (5000 EV/cell), where viability decreased to 48.01% and late apoptosis reached 37.99%. Cell cycle analysis revealed G1 phase
arrest in Panc-1 cells (increase from 56.11% to 63.29%) and G2/M phase arrest in MiaPaCa-2 cells (increase from 18.85% to ~25%). In
conclusion, MSC-derived EVs exert dose-dependent anti-tumor effects in pancreatic cancer cells, which are significantly enhanced following
LPS-mediated priming. These effects are primarily mediated through the induction of late apoptosis and cell cycle arrest. Our findings suggest
that inflammatory preconditioning enhances the therapeutic potential of MSC-derived EVs, highlighting their promise as a novel strategy for
pancreatic cancer treatment.