# Exploring two tumor treatment strategies: effectiveness of ribosome inactivating proteins and mesenchymal stem cells/MSC derived extracellular vesicles in cancer treatment

**Authors:** Maryamosadat Mavaei, Simin Farokhi, Mohammad Hasan Yousefi, Arshia Fakouri, Alireza Shadab, Mohammad Hossein Abdolmohammadi, Faranak Fallahian, Hamed Afkhami

PMC · DOI: 10.3389/fonc.2025.1533065 · Frontiers in Oncology · 2025-05-13

## TL;DR

This paper proposes combining ribosome-inactivating proteins and mesenchymal stem cells to improve cancer treatment by enhancing targeting and reducing toxicity.

## Contribution

A novel hypothesis is introduced for combining RIPs and MSC-derived EVs to synergistically treat cancer.

## Key findings

- RIPs can effectively target tumor cells due to their cytotoxic properties.
- MSCs can act as delivery vehicles to enhance targeting precision and reduce toxicity.
- Combining these approaches may overcome cancer complexity and resistance.

## Abstract

Cancer is a complex and heterogeneous disease that often requires multifaceted treatment strategies to achieve optimal therapeutic outcomes. Given the limitations of single-agent therapies, particularly in the face of intricate biological signaling networks and treatment resistance, there is a growing need for combinatory approaches. This article presents a novel hypothesis: the simultaneous use of ribosome-inactivating proteins (RIPs) and mesenchymal stem cells (MSCs) or MSC-derived extracellular vesicles (EVs) in cancer treatment. RIPs, with their potent cytotoxic properties, can target tumor cells effectively, while MSCs, known for their tumor-homing abilities and regenerative potential, can serve as delivery vehicles, potentially enhancing the targeting precision and reducing the systemic toxicity of RIPs. This hypothesis explores the synergistic potential of combining these two therapeutic modalities, leveraging the advantages of both techniques to create a more effective cancer treatment strategy. By combining RIPs’ ability to inhibit protein synthesis with MSCs or MSC-derived EVs’ capability to modulate the tumor microenvironment and deliver therapeutic agents. This approach offers a promising avenue for overcoming cancer’s inherent complexity. However, challenges remain, such as optimizing dosing protocols, addressing safety concerns, and ensuring efficient drug delivery. Future research and clinical trials are necessary to validate this combination as a viable cancer therapy.

The effect of RIP and MSC on cancer

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Diseases:** cytotoxic (MESH:D064420), Cancer (MESH:D009369)

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12120475/full.md

## References

231 references — full list in the complete paper: https://tomesphere.com/paper/PMC12120475/full.md

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Source: https://tomesphere.com/paper/PMC12120475