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源自人牙髓干细胞的外泌体可提高伴有缺血再灌注损伤皮瓣的存活率。

Exosomes derived from human dental pulp stem cells increase flap survival with ischemia-reperfusion injuries.

作者信息

Shi Xin, Yang Guang, Liu Ming-Yue, Yuan Meng-Tong, Wang Dong, Wang Xiao-Feng

机构信息

Department of Prosthodontics, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, 150000, PR China.

Department of Oral & Maxillofacial Surgery, The First Hospital of Qiqihar, Qiqihar, Heilongjiang Province, 161000, PR China.

出版信息

Regen Med. 2023 Apr;18(4):313-327. doi: 10.2217/rme-2022-0206. Epub 2023 Mar 23.

DOI:10.2217/rme-2022-0206
PMID:36950900
Abstract

To investigate the effect of hDPSC-Exos in flap I/R injury, a condition in which tissue damage increases after blood flow is restored to the flap after ischemia. HUVECs were used to investigate the influences and mechanisms of hDPSC-Exos on cell proliferation and migration. A rat model was established to verify the role of hDPSC-Exos in flap I/R injuries . hDPSC-Exos promoted the proliferation, migration and tube formation of HUVECs in a dose-dependent way by activating PI3K/AKT signaling pathway, and improved the survival and microvessel density of the flap and suppressed epithelial cell apoptosis. hDPSC-Exos can enhance flap repair after I/R injury. This process may be mediated by the activation of PI3K/AKT signaling pathway.

摘要

为研究人牙髓干细胞外泌体(hDPSC-Exos)在皮瓣缺血再灌注(I/R)损伤中的作用,皮瓣缺血再灌注损伤是指缺血后恢复皮瓣血流时组织损伤增加的一种情况。采用人脐静脉内皮细胞(HUVECs)研究hDPSC-Exos对细胞增殖和迁移的影响及机制。建立大鼠模型以验证hDPSC-Exos在皮瓣I/R损伤中的作用。hDPSC-Exos通过激活PI3K/AKT信号通路以剂量依赖的方式促进HUVECs的增殖、迁移和管腔形成,并改善皮瓣的存活和微血管密度,抑制上皮细胞凋亡。hDPSC-Exos可增强I/R损伤后皮瓣的修复。这一过程可能由PI3K/AKT信号通路的激活介导。

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引用本文的文献

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Tailored Extracellular Vesicles from Dental Stem Cells: Advances in Specific Modifications for Enhanced Therapeutic Applications.来自牙干细胞的定制细胞外囊泡:增强治疗应用的特定修饰进展
Int J Nanomedicine. 2025 Jun 26;20:8327-8341. doi: 10.2147/IJN.S528190. eCollection 2025.
2
Exosomes in Skin Flap Survival: Unlocking Their Role in Angiogenesis and Tissue Regeneration.皮瓣存活中的外泌体:揭示其在血管生成和组织再生中的作用
Biomedicines. 2025 Feb 4;13(2):353. doi: 10.3390/biomedicines13020353.
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Engineering exosomes from fibroblast growth factor 1 pre-conditioned adipose-derived stem cells promote ischemic skin flaps survival by activating autophagy.
来自成纤维细胞生长因子1预处理的脂肪来源干细胞的工程化外泌体通过激活自噬促进缺血性皮瓣存活。
Mater Today Bio. 2024 Oct 26;29:101314. doi: 10.1016/j.mtbio.2024.101314. eCollection 2024 Dec.
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The Role of Dental-derived Stem Cell-based Therapy and Their Derived Extracellular Vesicles in Post-COVID-19 Syndrome-induced Tissue Damage.基于牙源性干细胞的治疗及其衍生的细胞外囊泡在 COVID-19 后综合征诱导的组织损伤中的作用。
Stem Cell Rev Rep. 2024 Nov;20(8):2062-2103. doi: 10.1007/s12015-024-10770-y. Epub 2024 Aug 16.