Fakouri Arshia, Razavi Zahra-Sadat, Mohammed Adil Tawfeeq, Hussein Abbas Hameed Abdul, Afkhami Hamed, Hooshiar Mohammad Hosseini
Student Research Committee, USERN Office, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran.
Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Burns Trauma. 2024 Aug 13;12:tkae021. doi: 10.1093/burnst/tkae021. eCollection 2024.
The healing process at a wound is made up of many types of cells, growth factors, the extracellular matrix, nerves and blood vessels all interacting with each other in complex and changing ways. Microbial colonization and proliferation are possible at the place of injury, which makes infection more likely. Because of this, any cut has a chance of getting an infection. Researchers have found that wound infections make patients more upset and cost the healthcare system a lot of money. Surgical site infections happen a lot to people who have recently had surgery. This study shows that such surgical infection is linked to a high rate of illness and death. This is shown by the fact that 25% of patients get serious sepsis and need to be transferred to an intensive care unit. In both animal models and people, mesenchymal stem cells (MSCs) play an active role in all stages of wound healing and have positive effects. Exosomes are one of the main things MSCs release. They have effects that are similar to those of the parent MSCs. Various effector proteins, messenger RNA and microRNAs can be transported by extracellular vesicles to control the activity of target cells. This has a big impact on the healing process. These results suggest that using MSC-exosomes as a new type of cell-free therapy could be a better and safer option than whole cell therapy. This review is mostly about how to use parts of MSC-exosomes to help wound infections heal.
伤口的愈合过程由多种类型的细胞、生长因子、细胞外基质、神经和血管组成,它们以复杂且不断变化的方式相互作用。在损伤部位可能发生微生物定植和增殖,这增加了感染的可能性。因此,任何伤口都有感染的风险。研究人员发现,伤口感染会让患者更加不适,还给医疗系统带来高昂成本。手术部位感染在近期接受手术的人群中很常见。这项研究表明,此类手术感染与高发病率和高死亡率相关。25%的患者会发生严重脓毒症并需要转入重症监护病房,这一事实就证明了这一点。在动物模型和人类中,间充质干细胞(MSCs)在伤口愈合的各个阶段都发挥着积极作用并具有积极影响。外泌体是MSCs释放的主要物质之一。它们具有与亲代MSCs相似的作用。各种效应蛋白、信使核糖核酸和微小核糖核酸可通过细胞外囊泡运输,以控制靶细胞的活性。这对愈合过程有很大影响。这些结果表明,使用MSC外泌体作为一种新型无细胞疗法可能比全细胞疗法是更好、更安全的选择。这篇综述主要探讨如何利用MSC外泌体的组成部分来促进伤口感染的愈合。