Huang Yu-Xia, Wang Hai-Yan, Zhang Yi-Han, Lin Yi-Fei, Qiao Xiao-Qiang, Hu Liang-Hai
School of Life Sciences, Jilin University, Changchun 130012, China.
College of Pharmaceutical Sciences, Hebei University, Hebei 071002, China.
Se Pu. 2025 May;43(5):498-507. doi: 10.3724/SP.J.1123.2025.01025.
Exosomes are extracellular vesicles secreted by cells and are rich in genetic material and proteins. The surfaces of exosome membranes contain many blast-specific markers that provide an important basis for disease diagnosis, progression, and treatment. Herein, we searched the Web of Science core collection (SCI-EXPENED) database for research and review articles on "exosomes" and "biomarkers" or "diagnostics" or "liquid biopsy" as research topics between 2010 and 2024. Bibliometric analysis revealed that exosomes have received increasing levels of attention as disease biomarkers, with China contributing the most to these studies. Herein, we focus on marker diagnoses for cancer, inflammation, and diabetes, as well as neurodegenerative and cardiovascular diseases. Chromatography, mass spectrometry, Raman spectroscopy, and other techniques are typically used to analyze exosomal nucleic acids, proteins, and metabolites, with commonly used test samples including plasma, serum, urine, saliva, cerebrospinal fluid, and other bodily fluids. Research into exosomes as tumor markers has mainly focused on eight highly prevalent cancers, including lung, breast, and prostate cancers. This paper focuses on exosomes as disease biomarkers and uses a bibliometric tool system to analyze the use of exosomes and their contents as biomarkers in the disease diagnosis field between 2010 and 2024, analyzes development prospects, and discusses future exosome-mediated efforts for diagnosing and treating diseases, and is expected to provide a reference for studying and applying exosomes as disease markers.
外泌体是细胞分泌的细胞外囊泡,富含遗传物质和蛋白质。外泌体膜表面含有许多特异性标志物,为疾病的诊断、进展及治疗提供了重要依据。在此,我们在科学网核心合集(SCI-EXPANDED)数据库中检索了2010年至2024年间以“外泌体”和“生物标志物”或“诊断”或“液体活检”为研究主题的研究和综述文章。文献计量分析表明,外泌体作为疾病生物标志物受到了越来越多的关注,其中中国在这些研究中的贡献最大。在此,我们重点关注癌症、炎症、糖尿病以及神经退行性疾病和心血管疾病的标志物诊断。色谱法、质谱法、拉曼光谱法等技术通常用于分析外泌体的核酸、蛋白质和代谢产物,常用的检测样本包括血浆、血清、尿液、唾液、脑脊液等体液。将外泌体作为肿瘤标志物的研究主要集中在八种高发性癌症,包括肺癌、乳腺癌和前列腺癌。本文聚焦于外泌体作为疾病生物标志物,运用文献计量工具系统分析2010年至2024年间外泌体及其内容物在疾病诊断领域作为生物标志物的应用情况,分析发展前景,并探讨未来外泌体介导的疾病诊断和治疗研究方向,以期为外泌体作为疾病标志物的研究和应用提供参考。