Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Cellular and Molecular Research Center, Department of Molecular Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Wound Repair Regen. 2022 Sep;30(5):585-594. doi: 10.1111/wrr.13043. Epub 2022 Aug 13.
There are several successive and overlapping phases in wound healing as a complex process. By the disruption of each of these phases, chronic non-healing wounds are resultant. Despite the present soothing surgeries, standard wound dressings and topical gels, the wound is often not completely closed. Today, stem cells have attracted a huge deal of attention therapeutically and pharmaceutically considering their unique features. However, they have some restrictions. Moreover, it is hoped to eliminate the limitations of cellular therapies based on their derivatives known as exosomes. Exosomes are extracellular vesicles secreted from cells. They have a diameter of almost 30-150 nm and miRNAs, mRNAs, and proteins that are possibly different from the source cell are included in exosomal contents. Such nanovesicles have a key role in the intercellular communication of pathological and physiological procedures. Exosome-based therapy is a new significant method for wound healing. By exosomes effects, wound management may be improved and a new therapeutic model may be highlighted for cell-free therapies with reduced side effects for the wound repair.
创伤愈合是一个复杂的过程,存在几个连续且重叠的阶段。通过破坏这些阶段中的任何一个,都会导致慢性不愈合的伤口。尽管目前有舒缓手术、标准伤口敷料和局部凝胶,但伤口往往无法完全闭合。如今,鉴于其独特的特性,干细胞在治疗和药物方面引起了极大的关注。然而,它们存在一些限制。此外,人们希望通过基于其衍生物的细胞疗法来消除这些限制,这些衍生物被称为外泌体。外泌体是细胞分泌的细胞外囊泡。它们的直径几乎为 30-150nm,外泌体的内容物中包含与源细胞不同的 miRNAs、mRNAs 和蛋白质。这些纳米囊泡在外周病理和生理过程的细胞间通讯中起着关键作用。基于外泌体的治疗是创伤愈合的一种新的重要方法。通过外泌体的作用,可以改善伤口管理,并为无细胞治疗提出新的治疗模型,减少伤口修复的副作用。