Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy

Abstract Spinal cord injury (SCI) is a catastrophic injury to the central nervous system (CNS) that can lead to sensory and motor dysfunction, which seriously affects patients' quality of life and imposes a major economic burden on society. The pathological process of SCI is divided into primar...

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Main Authors: Tong Yu, Li-Li Yang, Ying Zhou, Min-Fei Wu, Jian-Hang Jiao
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-023-03614-y
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author Tong Yu
Li-Li Yang
Ying Zhou
Min-Fei Wu
Jian-Hang Jiao
author_facet Tong Yu
Li-Li Yang
Ying Zhou
Min-Fei Wu
Jian-Hang Jiao
author_sort Tong Yu
collection DOAJ
description Abstract Spinal cord injury (SCI) is a catastrophic injury to the central nervous system (CNS) that can lead to sensory and motor dysfunction, which seriously affects patients' quality of life and imposes a major economic burden on society. The pathological process of SCI is divided into primary and secondary injury, and secondary injury is a cascade of amplified responses triggered by the primary injury. Due to the complexity of the pathological mechanisms of SCI, there is no clear and effective treatment strategy in clinical practice. Exosomes, which are extracellular vesicles of endoplasmic origin with a diameter of 30–150 nm, play a critical role in intercellular communication and have become an ideal vehicle for drug delivery. A growing body of evidence suggests that exosomes have great potential for repairing SCI. In this review, we introduce exosome preparation, functions, and administration routes. In addition, we summarize the effect and mechanism by which various exosomes repair SCI and review the efficacy of exosomes in combination with other strategies to repair SCI. Finally, the challenges and prospects of the use of exosomes to repair SCI are described.
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spelling doaj.art-0c576498c08445f5960b8f59c57aa4762024-01-07T12:14:16ZengBMCStem Cell Research & Therapy1757-65122024-01-0115111910.1186/s13287-023-03614-yExosome-mediated repair of spinal cord injury: a promising therapeutic strategyTong Yu0Li-Li Yang1Ying Zhou2Min-Fei Wu3Jian-Hang Jiao4Department of Orthopedic, The Second Norman Bethune Hospital of Jilin UniversityDepartment of Orthopedic, The Second Norman Bethune Hospital of Jilin UniversityDepartment of Operating Room, The Third Hospital of QinhuangdaoDepartment of Orthopedic, The Second Norman Bethune Hospital of Jilin UniversityDepartment of Orthopedic, The Second Norman Bethune Hospital of Jilin UniversityAbstract Spinal cord injury (SCI) is a catastrophic injury to the central nervous system (CNS) that can lead to sensory and motor dysfunction, which seriously affects patients' quality of life and imposes a major economic burden on society. The pathological process of SCI is divided into primary and secondary injury, and secondary injury is a cascade of amplified responses triggered by the primary injury. Due to the complexity of the pathological mechanisms of SCI, there is no clear and effective treatment strategy in clinical practice. Exosomes, which are extracellular vesicles of endoplasmic origin with a diameter of 30–150 nm, play a critical role in intercellular communication and have become an ideal vehicle for drug delivery. A growing body of evidence suggests that exosomes have great potential for repairing SCI. In this review, we introduce exosome preparation, functions, and administration routes. In addition, we summarize the effect and mechanism by which various exosomes repair SCI and review the efficacy of exosomes in combination with other strategies to repair SCI. Finally, the challenges and prospects of the use of exosomes to repair SCI are described.https://doi.org/10.1186/s13287-023-03614-ySpinal cord injuryExosomeRepairMechanism
spellingShingle Tong Yu
Li-Li Yang
Ying Zhou
Min-Fei Wu
Jian-Hang Jiao
Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
Stem Cell Research & Therapy
Spinal cord injury
Exosome
Repair
Mechanism
title Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
title_full Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
title_fullStr Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
title_full_unstemmed Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
title_short Exosome-mediated repair of spinal cord injury: a promising therapeutic strategy
title_sort exosome mediated repair of spinal cord injury a promising therapeutic strategy
topic Spinal cord injury
Exosome
Repair
Mechanism
url https://doi.org/10.1186/s13287-023-03614-y
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