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外泌体在肾脏疾病中的应用。

Exosomes applications in kidney diseases.

作者信息

Li Dan, Feng Pei, Wang Yaru, Yang Junzheng

机构信息

Nursing School, North Henan Medical University, Xinxiang, 453003, China.

Guangdong nephrotic drug Engineering Technology Research Center, Institute of Consun Co. for Chinese Medicine in Kidney Diseases, Guangzhou, 510530, China.

出版信息

Mol Biol Rep. 2025 Jun 21;52(1):622. doi: 10.1007/s11033-025-10727-5.

DOI:10.1007/s11033-025-10727-5
PMID:40544228
Abstract

Kidney diseases are prevalent worldwide and represent a significant cause of mortality, posing a substantial threat to public health. Exosomes are a type of nanoscale lipid-encapsulated structure with a diameter of 30-200 nm. They contain a variety of substances including proteins, mRNA, and microRNA. It has been demonstrated that they fulfill a significant function in the regulation of intercellular communication. The inherent characteristics of exosomes, including their ability to regulate complex intracellular pathways, suggest a significant therapeutic potential in the treatment of numerous diseases, including renal diseases. The present review aims to provide a comprehensive overview of the application of exosome in kidney diseases, exploring the underlying mechanisms that underpin their function. Furthermore, it examines the limitations of current applications and potential solutions to address these challenges. It is hoped that this review will contribute to the advancement of exosome research and application in the field of kidney diseases.

摘要

肾脏疾病在全球范围内普遍存在,是导致死亡的重要原因,对公众健康构成重大威胁。外泌体是一种直径为30 - 200纳米的纳米级脂质包裹结构。它们包含多种物质,包括蛋白质、信使核糖核酸(mRNA)和微小核糖核酸(microRNA)。已经证明它们在细胞间通讯的调节中发挥着重要作用。外泌体的固有特性,包括其调节复杂细胞内途径的能力,表明其在治疗包括肾脏疾病在内的多种疾病方面具有巨大的治疗潜力。本综述旨在全面概述外泌体在肾脏疾病中的应用,探讨其功能背后的潜在机制。此外,它还研究了当前应用的局限性以及应对这些挑战的潜在解决方案。希望本综述将有助于推动外泌体在肾脏疾病领域的研究和应用。

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本文引用的文献

1
Sanqi Qushi formula ameliorates renal injury in experimental membranous nephropathy rats by inhibiting the MEK/ERK signaling pathway.三七祛湿方通过抑制MEK/ERK信号通路改善实验性膜性肾病大鼠的肾损伤。
J Ethnopharmacol. 2025 May 28;348:119813. doi: 10.1016/j.jep.2025.119813. Epub 2025 Apr 14.
2
Exosome isolation and characterization for advanced diagnostic and therapeutic applications.用于先进诊断和治疗应用的外泌体分离与表征。
Mater Today Bio. 2025 Feb 25;31:101613. doi: 10.1016/j.mtbio.2025.101613. eCollection 2025 Apr.
3
The role of exosomes in the pathogenesis and management of diabetic kidney disease: a systematic review and meta-analysis.
外泌体在糖尿病肾病发病机制及治疗中的作用:一项系统综述和荟萃分析
Front Endocrinol (Lausanne). 2024 Dec 3;15:1398382. doi: 10.3389/fendo.2024.1398382. eCollection 2024.
4
LncRNA HOXB3OS improves high glucose-mediated podocyte damage and progression of diabetic kidney disease through enhancing SIRT1 mRNA stability.长链非编码RNA HOXB3OS通过增强SIRT1 mRNA稳定性改善高糖介导的足细胞损伤和糖尿病肾病进展。
Biomed Pharmacother. 2025 Jan;182:117770. doi: 10.1016/j.biopha.2024.117770. Epub 2024 Dec 17.
5
Dental pulp stem cells derived exosomes inhibit ferroptosis via regulating the Nrf2-keap1/GPX4 signaling pathway to ameliorate chronic kidney disease injury.牙髓干细胞衍生外泌体通过调节Nrf2-keap1/GPX4信号通路抑制铁死亡,以改善慢性肾脏病损伤。
Tissue Cell. 2025 Apr;93:102670. doi: 10.1016/j.tice.2024.102670. Epub 2024 Dec 6.
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Guidelines for the management of hypertension in CKD patients: where do we stand in 2024?慢性肾脏病患者高血压管理指南:2024年我们处于什么位置?
Clin Kidney J. 2024 Nov 22;17(Suppl 2):36-50. doi: 10.1093/ckj/sfae278. eCollection 2024 Dec.
7
Human umbilical cord mesenchymal stem cell-derived exosomes mitigate diabetic nephropathy via enhancing M2 macrophages polarization.人脐带间充质干细胞衍生的外泌体通过增强M2巨噬细胞极化减轻糖尿病肾病。
Heliyon. 2024 Aug 28;10(17):e37002. doi: 10.1016/j.heliyon.2024.e37002. eCollection 2024 Sep 15.
8
Exendin-4-enriched exosomes from hUCMSCs alleviate diabetic nephropathy via gut microbiota and immune modulation.来自人脐带间充质干细胞的富含艾塞那肽-4的外泌体通过肠道微生物群和免疫调节减轻糖尿病肾病。
Front Microbiol. 2024 Aug 30;15:1399632. doi: 10.3389/fmicb.2024.1399632. eCollection 2024.
9
Prevalence and Risk Factors of Chronic Kidney Disease in Patients With Type 2 Diabetes in China: Cross-Sectional Study.中国 2 型糖尿病患者慢性肾脏病的患病率及其危险因素:横断面研究。
JMIR Public Health Surveill. 2024 Aug 30;10:e54429. doi: 10.2196/54429.
10
Contemporary review of IgA nephropathy.IgA 肾病的当代综述。
Front Immunol. 2024 Aug 12;15:1436923. doi: 10.3389/fimmu.2024.1436923. eCollection 2024.