Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review

Cluster of differentiation (CD) 24, a long-known protein with multifaceted functions, has gained attention as a possible treatment for Coronavirus Disease 19 (COVID-19) due to its known anti-inflammatory action. Extracellular vesicles (EVs), such as exosomes and microvesicles, may serve as candidate...

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Main Authors: Georgios Tsioulos, Ioannis Grigoropoulos, Charalampos D. Moschopoulos, Shiran Shapira, Garyfallia Poulakou, Anastasia Antoniadou, Dimitrios Boumpas, Nadir Arber, Sotirios Tsiodras
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/10/1472
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author Georgios Tsioulos
Ioannis Grigoropoulos
Charalampos D. Moschopoulos
Shiran Shapira
Garyfallia Poulakou
Anastasia Antoniadou
Dimitrios Boumpas
Nadir Arber
Sotirios Tsiodras
author_facet Georgios Tsioulos
Ioannis Grigoropoulos
Charalampos D. Moschopoulos
Shiran Shapira
Garyfallia Poulakou
Anastasia Antoniadou
Dimitrios Boumpas
Nadir Arber
Sotirios Tsiodras
author_sort Georgios Tsioulos
collection DOAJ
description Cluster of differentiation (CD) 24, a long-known protein with multifaceted functions, has gained attention as a possible treatment for Coronavirus Disease 19 (COVID-19) due to its known anti-inflammatory action. Extracellular vesicles (EVs), such as exosomes and microvesicles, may serve as candidate drug delivery platforms for novel therapeutic approaches in COVID-19 and various other diseases due to their unique characteristics. In the current review, we describe the physiology of CD24 and EVs and try to elucidate their role, both independently and as a combination, in COVID-19 therapeutics. CD24 may act as an important immune regulator in diseases with complex physiologies characterized by excessive inflammation. Very recent data outline a possible therapeutic role not only in COVID-19 but also in other similar disease states, e.g., acute respiratory distress syndrome (ARDS) and sepsis where immune dysregulation plays a key pathophysiologic role. On the other hand, CD24, as well as other therapeutic molecules, can be administered with the use of exosomes, exploiting their unique characteristics to create a novel drug delivery platform as outlined in recent clinical efforts. The implications for human therapeutics in general are huge with regard to pharmacodynamics, pharmacokinetics, safety, and efficacy that will be further elucidated in future randomized controlled trials (RCTs).
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spelling doaj.art-47155fe8369b4be4aae3279173ff72222023-11-24T00:55:28ZengMDPI AGLife2075-17292022-09-011210147210.3390/life12101472Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative ReviewGeorgios Tsioulos0Ioannis Grigoropoulos1Charalampos D. Moschopoulos2Shiran Shapira3Garyfallia Poulakou4Anastasia Antoniadou5Dimitrios Boumpas6Nadir Arber7Sotirios Tsiodras84th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, Greece4th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, Greece4th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, GreeceIntegrated Cancer Prevention Center, Tel Aviv Medical Center, Tel Aviv 6423906, Israel3rd Department of Internal Medicine, Medical School, Sotiria General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece4th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, Greece4th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, GreeceIntegrated Cancer Prevention Center, Tel Aviv Medical Center, Tel Aviv 6423906, Israel4th Department of Internal Medicine, Medical School, University General Hospital Attikon, National and Kapodistrian University of Athens, 12462 Athens, GreeceCluster of differentiation (CD) 24, a long-known protein with multifaceted functions, has gained attention as a possible treatment for Coronavirus Disease 19 (COVID-19) due to its known anti-inflammatory action. Extracellular vesicles (EVs), such as exosomes and microvesicles, may serve as candidate drug delivery platforms for novel therapeutic approaches in COVID-19 and various other diseases due to their unique characteristics. In the current review, we describe the physiology of CD24 and EVs and try to elucidate their role, both independently and as a combination, in COVID-19 therapeutics. CD24 may act as an important immune regulator in diseases with complex physiologies characterized by excessive inflammation. Very recent data outline a possible therapeutic role not only in COVID-19 but also in other similar disease states, e.g., acute respiratory distress syndrome (ARDS) and sepsis where immune dysregulation plays a key pathophysiologic role. On the other hand, CD24, as well as other therapeutic molecules, can be administered with the use of exosomes, exploiting their unique characteristics to create a novel drug delivery platform as outlined in recent clinical efforts. The implications for human therapeutics in general are huge with regard to pharmacodynamics, pharmacokinetics, safety, and efficacy that will be further elucidated in future randomized controlled trials (RCTs).https://www.mdpi.com/2075-1729/12/10/1472COVID-19exosomesCD24
spellingShingle Georgios Tsioulos
Ioannis Grigoropoulos
Charalampos D. Moschopoulos
Shiran Shapira
Garyfallia Poulakou
Anastasia Antoniadou
Dimitrios Boumpas
Nadir Arber
Sotirios Tsiodras
Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
Life
COVID-19
exosomes
CD24
title Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
title_full Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
title_fullStr Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
title_full_unstemmed Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
title_short Insights into CD24 and Exosome Physiology and Potential Role in View of Recent Advances in COVID-19 Therapeutics: A Narrative Review
title_sort insights into cd24 and exosome physiology and potential role in view of recent advances in covid 19 therapeutics a narrative review
topic COVID-19
exosomes
CD24
url https://www.mdpi.com/2075-1729/12/10/1472
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