Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China.
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Colloids Surf B Biointerfaces. 2024 Jul;239:113938. doi: 10.1016/j.colsurfb.2024.113938. Epub 2024 May 3.
Neurologic disorders (NDs) are serious diseases that threaten public health. However, due to the complex pathogenesis and significant individual differences in traditional treatments, specific treatment methods for NDs are still lacking. Exosomes, the smallest extracellular vesicles secreted by eukaryotic cells, are receiving increasing attention in the field of NDs. They contain misfolded proteins related to various NDs, including amyloid-beta, Tau proteins, and α-synuclein, indicating their promising roles in the diagnosis and treatment of NDs. In this review, an overview of the biogenesis, composition, and biological functions of exosomes is provided. Moreover, we summarize their potential roles in the pathogenesis of three prevalent NDs (including Alzheimer's disease, Ischemic stroke, and Parkinson's disease). On this basis, the diagnostic potential and therapeutic value of exosomes carrying various bioactive molecules are discussed in detail. Also, the concerns and perspectives of exosome-based diagnosis and therapy are discussed.
神经疾病(NDs)是严重威胁公众健康的疾病。然而,由于传统治疗方法的发病机制复杂且个体差异显著,NDs 仍然缺乏特定的治疗方法。外泌体是真核细胞分泌的最小的细胞外囊泡,在 NDs 领域受到越来越多的关注。它们包含与各种 NDs 相关的错误折叠蛋白,包括淀粉样β、Tau 蛋白和α-突触核蛋白,表明它们在 NDs 的诊断和治疗中有很大的应用潜力。在这篇综述中,我们概述了外泌体的生物发生、组成和生物学功能。此外,我们总结了它们在三种常见的 NDs(包括阿尔茨海默病、缺血性中风和帕金森病)发病机制中的潜在作用。在此基础上,详细讨论了携带各种生物活性分子的外泌体的诊断潜力和治疗价值。此外,还讨论了基于外泌体的诊断和治疗的关注点和前景。