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干细胞外泌体:骨关节炎治疗的一个潜在前沿领域。

Exosomes of stem cells: a potential frontier in the treatment of osteoarthritis.

作者信息

Wang Xiaofei, Xu Lei, Wu Zhimin, Lou Linbing, Xia Cunyi, Miao Haixiang, Dai Jihang, Fei Wenyong, Wang Jingcheng

机构信息

The Graduate School, Dalian Medical University, Dalian 116044, China.

Department of Orthopedics, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou 225001, China.

出版信息

Precis Clin Med. 2024 Nov 26;8(1):pbae032. doi: 10.1093/pcmedi/pbae032. eCollection 2025 Mar.

DOI:10.1093/pcmedi/pbae032
PMID:39781279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705996/
Abstract

The aging population has led to a global issue of osteoarthritis (OA), which not only impacts the quality of life for patients but also poses a significant economic burden on society. While biotherapy offers hope for OA treatment, currently available treatments are unable to delay or prevent the onset or progression of OA. Recent studies have shown that as nanoscale bioactive substances that mediate cell communication, exosomes from stem cell sources have led to some breakthroughs in the treatment of OA and have important clinical significance. This paper summarizes the mechanism and function of stem cell exosomes in delaying OA and looks forward to the development prospects and challenges of exosomes.

摘要

人口老龄化导致了骨关节炎(OA)这一全球性问题,它不仅影响患者的生活质量,还对社会造成了巨大的经济负担。虽然生物疗法为OA治疗带来了希望,但目前可用的治疗方法无法延缓或预防OA的发作或进展。最近的研究表明,作为介导细胞通讯的纳米级生物活性物质,干细胞来源的外泌体在OA治疗中取得了一些突破,具有重要的临床意义。本文总结了干细胞外泌体在延缓OA方面的作用机制,并展望了外泌体的发展前景与挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/e2987a2d3eff/pbae032fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/ff653c6e74bf/pbae032fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/a645bd784c7d/pbae032fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/e2987a2d3eff/pbae032fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/ff653c6e74bf/pbae032fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/a645bd784c7d/pbae032fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20c/11705996/e2987a2d3eff/pbae032fig3.jpg

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1
Exosomes of stem cells: a potential frontier in the treatment of osteoarthritis.干细胞外泌体:骨关节炎治疗的一个潜在前沿领域。
Precis Clin Med. 2024 Nov 26;8(1):pbae032. doi: 10.1093/pcmedi/pbae032. eCollection 2025 Mar.
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本文引用的文献

1
Risk of metabolic abnormalities in osteoarthritis: a new perspective to understand its pathological mechanisms.骨关节炎代谢异常的风险:理解其病理机制的新视角。
Bone Res. 2023 Dec 6;11(1):63. doi: 10.1038/s41413-023-00301-9.
2
Chondroprotective effects of bone marrow mesenchymal stem cell-derived exosomes in osteoarthritis.骨髓间充质干细胞来源的外泌体对骨关节炎的软骨保护作用。
J Bioenerg Biomembr. 2024 Feb;56(1):31-44. doi: 10.1007/s10863-023-09991-6. Epub 2023 Nov 28.
3
Evaluation and Treatment of Knee Pain: A Review.膝关节疼痛的评估与治疗:综述
JAMA. 2023 Oct 24;330(16):1568-1580. doi: 10.1001/jama.2023.19675.
4
Consensus cluster analysis of apoptosis-related genes in patients with osteoarthritis and their correlation with immune cell infiltration.共识聚类分析骨关节炎患者凋亡相关基因及其与免疫细胞浸润的相关性。
Front Immunol. 2023 Oct 4;14:1202758. doi: 10.3389/fimmu.2023.1202758. eCollection 2023.
5
Inflammation is a relevant treatment target in osteoarthritis.炎症是骨关节炎中一个相关的治疗靶点。
Lancet. 2023 Nov 11;402(10414):1725-1726. doi: 10.1016/S0140-6736(23)01726-9. Epub 2023 Oct 12.
6
Exosomes from osteoarthritic fibroblast-like synoviocytes promote cartilage ferroptosis and damage via delivering microRNA-19b-3p to target SLC7A11 in osteoarthritis.骨关节炎成纤维样滑膜细胞来源的外泌体通过将 microRNA-19b-3p 递送至 SLC7A11 靶点促进软骨铁死亡和损伤在骨关节炎中。
Front Immunol. 2023 Aug 24;14:1181156. doi: 10.3389/fimmu.2023.1181156. eCollection 2023.
7
Exosomes Derived from Hypoxia-Cultured Human Adipose Stem Cells Alleviate Articular Chondrocyte Inflammaging and Post-Traumatic Osteoarthritis Progression.缺氧培养的人脂肪干细胞来源的外泌体减轻关节软骨细胞衰老相关炎症和创伤后骨关节炎进展。
Int J Mol Sci. 2023 Aug 29;24(17):13414. doi: 10.3390/ijms241713414.
8
Hypoxia-treated adipose mesenchymal stem cell-derived exosomes attenuate lumbar facet joint osteoarthritis.缺氧处理的脂肪间充质干细胞衍生的外泌体减轻腰椎小关节骨关节炎。
Mol Med. 2023 Sep 5;29(1):120. doi: 10.1186/s10020-023-00709-3.
9
Strategies for Cartilage Repair in Osteoarthritis Based on Diverse Mesenchymal Stem Cells-Derived Extracellular Vesicles.基于多种间充质干细胞衍生的细胞外囊泡的骨关节炎软骨修复策略。
Orthop Surg. 2023 Nov;15(11):2749-2765. doi: 10.1111/os.13848. Epub 2023 Aug 24.
10
Lyophilization Based Isolation of Exosomes.基于冷冻干燥的外泌体分离。
Int J Mol Sci. 2023 Jun 22;24(13):10477. doi: 10.3390/ijms241310477.