间充质干细胞衍生的细胞外囊泡在帕金森病治疗中的治疗潜力
Therapeutic Potential of Mesenchymal Stem Cell-Derived Extracellular Vesicles in the Treatment of Parkinson's Disease.
作者信息
Volarevic Ana, Harrell Carl Randall, Arsenijevic Aleksandar, Djonov Valentin, Volarevic Vladislav
机构信息
Departments of Psychology, Center for Research on Harmful Effects of Biological and Chemical Hazards, Faculty of Medical Sciences University of Kragujevac, 69 Svetozara Markovica Street, 34000 Kragujevac, Serbia.
Regenerative Processing Plant, LLC, 34176 US Highway 19 N, Palm Harbor, FL 34684, USA.
出版信息
Cells. 2025 Apr 16;14(8):600. doi: 10.3390/cells14080600.
Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by the gradual loss of dopamine-producing neurons. Oxidative stress, mitochondrial dysfunction, detrimental immune response, and neuroinflammation are mainly responsible for the injury and degeneration of dopaminergic neurons in the brains of patients suffering from PD. Mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) have emerged as a promising therapeutic approach for treating PD due to their ability to suppress the activation of inflammatory immune cells and enhance the viability and function of dopamine-producing neurons. MSC-EVs can easily bypass the blood-brain barrier and deliver their cargo (neuroprotective factors, immunosuppressive proteins, and microRNAs) to injured dopamine-producing neurons and brain-infiltrated inflammatory immune cells. A large number of recently published experimental studies demonstrated that MSC-EVs efficiently alleviated PD-related motor and behavioral deficits in animal models, indicating that MSC-EVs should be considered as potentially new therapeutic agents for the treatment of PD. Accordingly, in this review article, we summarized current knowledge about the therapeutic potential of MSCs-EVs in the treatment of PD, paving the way for their future clinical use in the treatment of neurodegenerative and neuroinflammatory disorders.
帕金森病(PD)是一种进行性神经退行性疾病,其特征是产生多巴胺的神经元逐渐丧失。氧化应激、线粒体功能障碍、有害的免疫反应和神经炎症是导致PD患者大脑中多巴胺能神经元损伤和退化的主要原因。间充质干细胞衍生的细胞外囊泡(MSC-EVs)因其能够抑制炎性免疫细胞的激活并增强产生多巴胺的神经元的活力和功能,已成为治疗PD的一种有前景的治疗方法。MSC-EVs能够轻松绕过血脑屏障,并将其货物(神经保护因子、免疫抑制蛋白和微小RNA)递送至受损的产生多巴胺的神经元和脑内浸润的炎性免疫细胞。最近发表的大量实验研究表明,MSC-EVs可有效减轻动物模型中与PD相关的运动和行为缺陷,这表明MSC-EVs应被视为治疗PD的潜在新型治疗药物。因此,在这篇综述文章中,我们总结了目前关于MSC-EVs在治疗PD方面的治疗潜力的知识,为其未来在治疗神经退行性和神经炎性疾病中的临床应用铺平了道路。