Bin Dayel Salman, Hussein Ramadan S
Department of Dermatology, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj 16273, Saudi Arabia.
Pharmaceutics. 2025 May 2;17(5):600. doi: 10.3390/pharmaceutics17050600.
Exosomes, nanosized vesicles secreted by diverse cell types, have emerged as critical mediators of intercellular communication, tissue repair, and disease pathogenesis. Their roles in dermatology are increasingly recognized, influencing skin health and the progression of various dermatological conditions. This review aims to explore the biogenesis, composition, and mechanisms of exosome uptake in skin cells and their implications in dermatological research and clinical practice. A comprehensive review of the existing literature was conducted to elucidate the biological composition of exosomes, their roles in skin homeostasis, and their involvement in processes, such as wound healing, tissue regeneration, and barrier function maintenance. This review also examined the diagnostic and therapeutic potential of exosomes in conditions such as psoriasis, eczema, acne, and skin cancer. Exosomes were found to contain intricate compositions, including proteins, lipids, nucleic acids, and bioactive molecules, crucial for maintaining skin homeostasis. They demonstrated significant roles in modulating wound healing and skin regeneration. Emerging evidence highlights their involvement in dermatological conditions and their potential as diagnostic biomarkers and therapeutic agents. Exosome-based approaches hold promise for advancing disease management, although challenges remain in translating these findings into clinical applications. Exosomes represent a promising frontier in dermatology, with the potential to revolutionize the understanding, diagnosis, and treatment of skin-related disorders. Despite the challenges, their complexity and versatility underscore their potential in developing personalized skin health strategies. Further research is warranted to address the existing gaps and harness the full therapeutic potential of exosomes in dermatological applications.
外泌体是由多种细胞类型分泌的纳米级囊泡,已成为细胞间通讯、组织修复和疾病发病机制的关键介质。它们在皮肤病学中的作用越来越受到认可,影响着皮肤健康和各种皮肤病的进展。本综述旨在探讨外泌体在皮肤细胞中的生物发生、组成和摄取机制,以及它们在皮肤病学研究和临床实践中的意义。我们对现有文献进行了全面综述,以阐明外泌体的生物学组成、它们在皮肤稳态中的作用,以及它们在伤口愈合、组织再生和屏障功能维持等过程中的参与情况。本综述还研究了外泌体在银屑病、湿疹、痤疮和皮肤癌等疾病中的诊断和治疗潜力。研究发现,外泌体含有复杂的成分,包括蛋白质、脂质、核酸和生物活性分子,这些对维持皮肤稳态至关重要。它们在调节伤口愈合和皮肤再生方面发挥了重要作用。新出现的证据突出了它们在皮肤病中的作用以及它们作为诊断生物标志物和治疗剂的潜力。基于外泌体的方法有望推进疾病管理,尽管将这些发现转化为临床应用仍面临挑战。外泌体代表了皮肤病学中一个有前景的前沿领域,有可能彻底改变对皮肤相关疾病的理解、诊断和治疗。尽管存在挑战,它们的复杂性和多功能性凸显了它们在制定个性化皮肤健康策略方面的潜力。有必要进一步研究以填补现有空白,并充分发挥外泌体在皮肤病学应用中的治疗潜力。