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再生间充质干细胞衍生的细胞外囊泡:病毒感染和疾病损伤控制中基于细胞治疗的潜在替代方案。

Regenerative mesenchymal stem cell-derived extracellular vesicles: A potential alternative to cell-based therapy in viral infection and disease damage control.

作者信息

Ipinmoroti Ayodeji O, Pandit Rachana, Matthews Qiana L

机构信息

Microbiology Program, Department of Biological Sciences, College of Science, Technology, Engineering and Mathematics, Alabama State University, Montgomery, Alabama, USA.

Department of Biological Sciences, College of Science, Technology, Engineering and Mathematics, Alabama State University, Montgomery, Alabama, USA.

出版信息

WIREs Mech Dis. 2022 Nov;14(6):e1574. doi: 10.1002/wsbm.1574. Epub 2022 Sep 5.

Abstract

Extracellular vesicles (EVs) released by regenerative cells such as mesenchymal stem cells are effective facilitators of healing, therapy, and repair. Conversely, EVs released from infected and/or diseased cells could be useful as markers in the detection and diagnosis of disease conditions such as cancer at their earliest most detectable, and treatable stage. A very important type of EVs, termed exosomes offer a hypothetical new paradigm in disease detection, diagnosis, and treatment. A broad range of exosome-based biomedical and therapeutic applications are now being evaluated in recent clinical trials. Exosomes are found in virtually all bodily fluids and cells and are capable of crossing tight junctions and toughly regulated boundaries such as the blood-brain barrier. Exosomes' expedition ends when they are taken up by bystander cells which corroborates the fact that they are conduits for cells releasing them. Exosomes released by diseased cells have been associated with cell-to-cell progression of diseases like viral disease, neurodegeneration, and certain cancers. Due to high discrimination in most disease conditions, exosome uptake is usually cell-specific. Lots of research evidence have revealed that infusion of exosomes derived from regenerative cells such as stem cells could impede the development of certain infections and age-related diseases by activating self-repair machinery through RNA, DNA, protein, and lipid transfer between cells in patients. They have also been demonstrated in the restoration of the circulating population of exosomes in tissues and the fluid of recipients. The first human clinical trials of exosome therapies are now underway, establishing the future of regenerative exosome in regenerative medicine. This article is categorized under: Cancer > Stem Cells and Development Immune System Diseases > Stem Cells and Development Immune System Diseases > Molecular and Cellular Physiology.

摘要

间充质干细胞等再生细胞释放的细胞外囊泡(EVs)是促进愈合、治疗和修复的有效介质。相反,从受感染和/或患病细胞释放的EVs可用作疾病标志物,用于在癌症等疾病最早可检测和可治疗阶段进行检测和诊断。一种非常重要的EVs类型,即外泌体,为疾病检测、诊断和治疗提供了一种假设的新范式。目前,一系列基于外泌体的生物医学和治疗应用正在近期的临床试验中进行评估。外泌体几乎存在于所有体液和细胞中,能够穿过紧密连接和严格调控的边界,如血脑屏障。当外泌体被旁观细胞摄取时,它们的“旅程”就结束了,这证实了它们是释放它们的细胞的传导介质这一事实。患病细胞释放的外泌体与病毒疾病、神经退行性疾病和某些癌症等疾病的细胞间进展有关。由于在大多数疾病情况下具有高度特异性,外泌体的摄取通常是细胞特异性的。大量研究证据表明,输注源自干细胞等再生细胞的外泌体可以通过患者细胞间的RNA、DNA、蛋白质和脂质转移激活自我修复机制,从而阻碍某些感染和与年龄相关疾病的发展。它们还被证明可恢复组织和受体体液中外泌体的循环数量。外泌体疗法的首批人体临床试验正在进行中,确立了再生外泌体在再生医学中的未来。本文分类如下:癌症>干细胞与发育;免疫系统疾病>干细胞与发育;免疫系统疾病>分子与细胞生理学。

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