Aryal Susmita
Department of Biomedical Engineering, Yonsei University, Wonju, Gangwon-do, 26493, South Korea.
R&D Department, Hyundae Meditech, Wonju-si, Gangwon-do, South Korea.
Aesthetic Plast Surg. 2025 Aug 8. doi: 10.1007/s00266-025-05073-7.
Exosome-based therapies are becoming one of the most innovative and potentially effective solutions in the dermatology field for skin health, rejuvenation, and aesthetics. Exosomes are described as small membranous structure like vesicles, which are involved in cell-to-cell communication during normal physiological and pathological conditions. These vesicles are surrounded by a lipid bilayer membrane and are released by nearly all kinds of eukaryotic cells. They are usually sized between 30 and 150 nanometers and are loaded with cell-specific cargoes. Earlier considered to be cellular waste resulting from cell damage, exosomes are now being studied due to their unique characteristics such as small size, stability, biocompatibility, high loading capacity of proteins and nucleic acids, low antigenicity, and ability to penetrate cell membranes. These properties of exosomes have made them ideal for use in a broad range of cellular environment and garner tremendous momentum in therapeutic applications, particularly in regenerative medicine. In dermatology, exosomes hold significant potential as they can transfer biologically active molecules and modulate cellular responses offering therapeutic options for chronic wounds, inflammatory disorders, skin cancers, and cosmetic applications. In this regard, this review will briefly review the biogenesis of exosomes and the utilization of exosomes in aesthetic regenerative medicine.
基于外泌体的疗法正成为皮肤病学领域中用于皮肤健康、抗衰和美容的最具创新性且可能有效的解决方案之一。外泌体被描述为类似囊泡的小膜结构,在正常生理和病理条件下参与细胞间通讯。这些囊泡被脂质双分子层膜包围,几乎由所有类型的真核细胞释放。它们通常大小在30到150纳米之间,并装载有细胞特异性货物。外泌体早期被认为是细胞损伤产生的细胞废物,现在由于其诸如体积小、稳定性、生物相容性、蛋白质和核酸高负载能力、低抗原性以及穿透细胞膜的能力等独特特性而受到研究。外泌体的这些特性使其非常适合在广泛的细胞环境中使用,并在治疗应用中,特别是在再生医学中获得了巨大的发展势头。在皮肤病学中,外泌体具有巨大潜力,因为它们可以传递生物活性分子并调节细胞反应,为慢性伤口、炎症性疾病、皮肤癌和美容应用提供治疗选择。在这方面,本综述将简要回顾外泌体的生物发生以及外泌体在美容再生医学中的应用。