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探索外泌体见解及其在眼科疾病治疗中的应用:深入研究临床批准情况和当前试验

Exploring the Insights on Exosomes and their Utility in Treating Ophthalmic Disease: Delving into the Clinical Approval and Present Trials.

作者信息

Dwivedi Ashish Ranjan, Murti Yogesh, Rawat Pramod, Mahajan Shriya, Kandhari Harsimrat, Joshi Gaurav, Kumar Bhupinder

机构信息

Department of Medicinal Chemistry, GITAM School of Pharmacy Hyderabad campus GITAM University, Hyderabad- 502329, India.

Institute of Pharmaceutical Research, GLA University Mathura-281406, India.

出版信息

Curr Drug Deliv. 2024 Sep 16. doi: 10.2174/0115672018324046240905134931.

Abstract

Ophthalmic diseases include a wide array of conditions, each requiring individualized treatment approaches. In ophthalmic research and as therapeutics against potential pharmacological indications, several subtypes of exosomes (EVs) have been reconnoitered, mainly for their regenerative, neuroprotective, and anti-inflammatory characteristics. EVs are recently gaining wider attention as promising vehicles for therapies because of their natural participation in communication between cells and targeted delivery. These small vesicles, derived from cells, transport numerous molecules between cells, thus contributing advantages like low immunogenicity, stability, and the ability to target cells specifically. These inherent advantages of carrying the therapeutic cargo and enabling intercellular signaling make them a captivating avenue for progressing ophthalmic disease treatment options. While research is ongoing, and clinical applications are still emerging, several EV subtypes have shown promise for possible applications in addressing several ophthalmic diseases, such as glaucoma, age-related macular degenerative disorders, retinal degenerative disorders, and ocular inflammatory conditions.

摘要

眼科疾病包括各种各样的病症,每种病症都需要个性化的治疗方法。在眼科研究以及作为针对潜在药理学适应症的治疗手段方面,已经对几种外泌体(细胞外囊泡)亚型进行了探索,主要是因其具有再生、神经保护和抗炎特性。由于外泌体自然参与细胞间通讯和靶向递送,最近它们作为有前景的治疗载体受到了更广泛的关注。这些源自细胞的小囊泡在细胞间运输众多分子,因而具有低免疫原性、稳定性以及特异性靶向细胞等优势。携带治疗性货物并实现细胞间信号传导的这些固有优势,使其成为推进眼科疾病治疗选择的一个引人注目的途径。虽然研究仍在进行中,临床应用也仍在不断涌现,但几种外泌体亚型已显示出在治疗几种眼科疾病(如青光眼、年龄相关性黄斑变性疾病、视网膜退行性疾病和眼部炎症性病症)方面可能应用的前景。

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