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外泌体作为一种治疗工具,可促进神经恢复和改善神经病变中的认知功能:一石二鸟。

Exosomes as a therapeutic tool to promote neurorestoration and cognitive function in neurological conditions: Achieve two ends with a single effort.

机构信息

Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Physiology, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

CNS Neurosci Ther. 2024 May;30(5):e14752. doi: 10.1111/cns.14752.

Abstract

Exosomes possess a significant role in intercellular communications. In the nervous system, various neural cells release exosomes that not only own a role in intercellular communications but also eliminate the waste of cells, maintain the myelin sheath, facilitate neurogenesis, and specifically assist in normal cognitive function. In neurological conditions including Parkinson's disease (PD), Alzheimer's disease (AD), traumatic brain injury (TBI), and stroke, exosomal cargo like miRNAs take part in the sequela of conditions and serve as a diagnostic tool of neurological disorders, too. Exosomes are not only a diagnostic tool but also their inhibition or administration from various sources like mesenchymal stem cells and serum, which have shown a worthy potential to treat multiple neurological disorders. In addition to neurodegenerative manifestations, cognitive deficiencies are an integral part of neurological diseases, and applying exosomes in improving both aspects of these diseases has been promising. This review discusses the status of exosome therapy in improving neurorestorative and cognitive function following neurological disease.

摘要

外泌体在细胞间通讯中具有重要作用。在神经系统中,各种神经细胞释放的外泌体不仅在细胞间通讯中发挥作用,而且还能清除细胞废物、维持髓鞘、促进神经发生,并特别有助于正常认知功能。在外泌体 cargo 如 microRNA 参与包括帕金森病 (PD)、阿尔茨海默病 (AD)、创伤性脑损伤 (TBI) 和中风在内的神经疾病的后遗症的同时,它们也可以作为神经障碍的诊断工具。外泌体不仅是一种诊断工具,而且其抑制或来自各种来源(如间充质干细胞和血清)的管理也显示出治疗多种神经疾病的巨大潜力。除了神经退行性表现外,认知缺陷是神经疾病的一个组成部分,应用外泌体改善这些疾病的这两个方面已经很有希望。本文综述了外泌体疗法在改善神经疾病后神经修复和认知功能方面的现状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c02/11110007/766022e89fca/CNS-30-e14752-g006.jpg

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