De Abhishek, Chakraborty Disha, Agarwal Ishad, Sarda Aarti
From the Department of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India.
Department of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Indian J Dermatol. 2024 Nov-Dec;69(6):461-470. doi: 10.4103/ijd.ijd_491_23. Epub 2024 Oct 29.
Exposure to external environmental stimuli can lead to skin aging, pigmentation, hair loss, and various immune-mediated as well as connective tissue diseases. Although conventional treatments are routinely used and favoured, they fail to achieve an adequate balance between clinical and cosmetic outcomes. Exosomes are vesicles with a lipid bilayer released by several cell types. These bioactive vesicles play a crucial role in intercellular communication and in several other physiological and pathological processes. They serve as vehicles for bioactive substances including lipids, nucleic acids, and proteins, making them appealing as cell-free treatments. According to studies, exosomes play a vital role in preventing scarring, and senescence, and promoting wound healing. Moreover, research on the biology of exosomes is growing, which has enabled the creation of specific guidelines and quality control methodologies to support their potential implementation in the future. In this review, we have mainly focused on the role of exosomes in various dermatological diseases, their clinical applications, and the potential for further research pertaining to this.
暴露于外部环境刺激会导致皮肤老化、色素沉着、脱发以及各种免疫介导和结缔组织疾病。尽管常规治疗经常被使用且受到青睐,但它们未能在临床和美容效果之间取得充分平衡。外泌体是由多种细胞类型释放的具有脂质双层的囊泡。这些生物活性囊泡在细胞间通讯以及其他一些生理和病理过程中发挥着关键作用。它们作为包括脂质、核酸和蛋白质在内的生物活性物质的载体,使其作为无细胞治疗方法具有吸引力。根据研究,外泌体在预防瘢痕形成和衰老以及促进伤口愈合方面发挥着重要作用。此外,对外泌体生物学的研究正在不断发展,这使得能够制定特定的指南和质量控制方法,以支持其未来的潜在应用。在本综述中,我们主要关注外泌体在各种皮肤病中的作用、它们的临床应用以及与此相关的进一步研究潜力。