Exosome, a new interesting therapeutic to promote wound regeneration
Keywords:
exosome, extracellular vesicle, wound regenerationAbstract
Introduction: Exosomes are tiny extracellular vesicles secreted by mesenchymal cells. They are derived from a variety of sources, including human umbilical cord stem cells, epithelial cells, and fibroblasts. They have demonstrated therapeutic potential in wound healing, particularly for acute and chronic wounds, which are resistant to conventional treatments. Aim: This review summarizes the current understanding of exosome biogenesis, cargo composition, and their role in regulating inflammation, re-epithelialization, angiogenesis, and remodeling during wound healing. Results: Exosomes derived from MSCs promote wound healing by mitigating the inflammatory response, stimulating keratinocyte and fibroblast proliferation, enhancing angiogenesis, and regulating collagen deposition. Conclusion: The therapeutic effects of exosomes are attributed to their cargo of proteins, mRNAs, miRNAs, and lipids, which influence various cellular signaling pathways.
References
1. di Summa PG, Di Marzio N, Jafari P, Jaconi ME, Nesic D. FastSkin® concept: a novel treatment for complex acute and chronic wound management. J Clin Med. 2023; 12(20):6564.
2. Guo S, DiPietro LA. Critical review in oral biology & medicine: factors affecting wound healing. J Dent Res. 2010; 89(3):219–229.
3. Han G, Ceilley R. Chronic wound healing: a review of current management and treatments. Vol. 34, Adv Ther. 2017; 34(3):599–610.
4. Kolimi P, Narala S, Nyavanandi D, Youssef AAA, Dudhipala N. Innovative treatment strategies to accelerate wound healing: trajectory and recent advancements. Cells. 2022; 11(15):2439.
5. Yin W, Wang J, Jiang L, James Kang Y. Cancer and stem cells. Exp biol med. 2021; 246(16):1791–1801.
6. Bisht S, Nigam M, Kunjwal SS, Sergey P, Mishra AP, Sharifi-Rad J. Cancer stem cells: from an insight into the basics to recent advances and therapeutic targeting. Stem Cells Int. 2022; 2022:9653244.
7. Wang Y, Zhang Y, Li T, et al. Adipose mesenchymal stem cell derived exosomes promote keratinocytes and fibroblasts embedded in collagen/platelet‐rich plasma scaffold and accelerate wound healing. Adv Mater. 2023; 35(40):e2303642
8. Zhang Y, Zhang P, Gao X, Chang L, Chen Z, Mei X. Preparation of exosomes encapsulated nanohydrogel for accelerating wound healing of diabetic rats by promoting angiogenesis. Mater Sci Eng C Mater Biol Appl. 2021; 120:111671
9. Yang G, Waheed S, Wang C, Shekh M, Li Z, Wu J. Exosomes and their bioengineering strategies in the cutaneous wound healing and related complications: current knowledge and future perspectives. Vol. 19, Int J Biol Sci. 2023; 19(5):1430–1454.
10. Wallace HA, Basehore BM, Zito PM. Wound healing phases [Internet]. StatPearls Publishing; 2024 [cited 2024 Apr 12]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470443/
11. Zhang Y, Bi J, Huang J, Tang Y, Du S, Li P. Exosome: a review of its classification, isolation techniques, storage, diagnostic and targeted therapy applications. Int J Nanomedicine. 2020; 15:6917–6934.
12. Isola AL, Chen S. Exosomes: the messengers of health and disease. Curr Neuropharmacol. 2017; 15(1):157–165.
13. Spada S, Rudqvist NP, Wennerberg E. Isolation of DNA from exosomes. Methods Enzymol. 2020; 636: 173–183.
14. Whitehead CA, Luwor RB, Morokoff AP, Kaye AH, Stylli SS. Cancer exosomes in cerebrospinal fluid. Transl Cancer Res. 2017; 6(S8):352–370.
15. Wright A, Snyder OL, Christenson LK, He H, Weiss ML. Effect of pre-processing storage condition of cell culture-conditioned medium on extracellular vesicles derived from human umbilical cord-derived mesenchymal stromal cells. Int J Mol Sci. 2022; 23(14):7716.
16. Armstrong D, Wildman DE. Extracellular vesicles and the promise of continuous liquid biopsies. J Pathol Transl Med. 2018; 52(1):1–8.
17. Lässer C, Seyed Alikhani V, Ekström K, et al. Human saliva, plasma and breast milk exosomes contain RNA: uptake by macrophages. J Transl Med. 2011; 9:9.
18. Cano A, Ettcheto M, Bernuz M, et al. Extracellular vesicles, the emerging mirrors of brain physiopathology. Int J Biol Sci. 2023; 19(3):721–743.
19. Kaur G, Lakkaraju A. Early endosome morphology in health and disease. Adv Exp Med Biol. 2018; 1074:335–343.
20. Krylova S V., Feng D. The machinery of exosomes: biogenesis, release, and uptake. Int J Mol Sci. 2023; 24(2):1337.
21. Janockova J, Slovinska L, Harvanova D, Spakova T, Rosocha J. New therapeutic approaches of mesenchymal stem cells-derived exosomes. J Biomed Sci. 2021; 28(1):39.
22. Ghosh S, Ghosh S. Exosome: the “off-the-shelf” cellular nanocomponent as a potential pathogenic agent, a disease biomarker, and neurotherapeutics. Front Pharmacol. 2022; 13:878058.
23. Bian D, Wu Y, Song G, Azizi R, Zamani A. The application of mesenchymal stromal cells (MSCs) and their derivative exosome in skin wound healing: a comprehensive review. Stem Cell Res Ther. 2022; 13(1):24.
24. Wang P, Theocharidis G, Vlachos IS, et al. Exosomes derived from epidermal stem cells improve diabetic wound healing. J Invest Dermatol. 2022; 142(9):2508-2517.
25. Lv H, Liu H, Sun T, Wang H, Zhang X, Xu W. Exosome derived from stem cell: a promising therapeutics for wound healing. Front Pharmacol. 2022; 13:957771.
26. Hong P, Yang H, Wu Y, Li K, Tang Z. The functions and clinical application potential of exosomes derived from adipose mesenchymal stem cells: a comprehensive review. Stem Cell Res Ther. 2019; 10(1):242.
27. Wilkinson HN, Hardman MJ. Wound healing: cellular mechanisms and pathological outcomes. In: Advances in Surgical and Medical Specialties. New York. Jenny Stanford Publishing. 2023; 13:341–370.
28. Vaka R, Parent S, Risha Y, Khan S, Courtman D, Stewart DJ, et al. Extracellular vesicle microRNA and protein cargo profiling in three clinical-grade stem cell products reveals key functional pathways. Mol Ther Nucleic Acids. 2023; 32:80–93.
29. Jakhar R, Crasta K. Exosomes as emerging pro-tumorigenic mediators of the senescence-associated secretory phenotype. Int J Mol Sci. 2019; 20(10):2547.
30. Prasai A, Jay JW, Jupiter D, Wolf SE, El Ayadi A. Role of exosomes in dermal wound healing: a systematic review. J Invest Dermatol. 2022; 142(3):662-678.
31. Yuan F, Li YM, Wang Z. Preserving extracellular vesicles for biomedical applications: consideration of storage stability before and after isolation. Drug Deliv. 2021; 28(1):1501–1509.
32. Leng L, Dong X, Gao X, et al. Exosome-mediated improvement in membrane integrity and muscle function in dystrophic mice. Mol Ther. 2021; 29(4):1459–1470.
33. Ortega A, Martinez-Arroyo O, Forner MJ, Cortes R. Exosomes as drug delivery systems: endogenous nanovehicles for treatment of systemic lupus erythematosus. Pharmaceutics. 2020; 13(1):3.
34. Chiaradia E, Tancini B, Emiliani C, et al. Extracellular vesicles under oxidative stress conditions: biological properties and physiological roles. Cells. 2021; 10(7):1763.
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