Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence

Abstract Non-alcoholic fatty liver disease (NAFLD) as a chronic disease especially in Western countries, is still a tough question in the clinical therapy. With the rising prevalence of various chronic diseases, liver transplantation is expected to be the most common therapy after the next 10 years....

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Main Authors: Jiali Zhang, Baochen Ma, Zixu Wang, Yaoxing Chen, Chengzhong Li, Yulan Dong
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Cell Communication and Signaling
Subjects:
Online Access:https://doi.org/10.1186/s12964-023-01292-0
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author Jiali Zhang
Baochen Ma
Zixu Wang
Yaoxing Chen
Chengzhong Li
Yulan Dong
author_facet Jiali Zhang
Baochen Ma
Zixu Wang
Yaoxing Chen
Chengzhong Li
Yulan Dong
author_sort Jiali Zhang
collection DOAJ
description Abstract Non-alcoholic fatty liver disease (NAFLD) as a chronic disease especially in Western countries, is still a tough question in the clinical therapy. With the rising prevalence of various chronic diseases, liver transplantation is expected to be the most common therapy after the next 10 years. However, there is still no approved drug for NAFLD, and targeted therapy for NAFLD is urgent. Exosomes as a kind of extracellular vesicle are cell-derived nanovesicles, which play an essential role in intercellular communication. Due to complex cell–cell interactions in the liver, exosomes as therapeutic drugs or drug delivery vesicles may be involved in physiological or pathological processes in NAFLD. Compared with other nanomaterials, exosomes as a cell-free therapy, are not dependent on cell number limitation, which means can be administered safely in high doses. Apart from this, exosomes with the advantages of being low-toxic, high stability, and low-immunological are chosen for targeted therapy for many diseases. In this review, firstly we introduced the extracellular vesicles, including the biogenesis, composition, isolation and characterization, and fundamental function of extracellular vesicles. And then we discussed the modification of extracellular vesicles, cargo packing, and artificial exosomes. Finally, the extracellular vesicles for the therapies of NAFLD are summarized. Moreover, we highlight therapeutic approaches using exosomes in the clinical treatment of NAFLD, which provide valuable insights into targeting NAFLD in the clinical setting. Graphical Abstract Video Abstract
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spelling doaj.art-8d749975ba544a81976e6537258e031b2024-01-14T12:30:28ZengBMCCell Communication and Signaling1478-811X2024-01-0122111510.1186/s12964-023-01292-0Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidenceJiali Zhang0Baochen Ma1Zixu Wang2Yaoxing Chen3Chengzhong Li4Yulan Dong5National Key Laboratory of Veterinary Public Health and Safety, College of Veterinary Medicine, China Agricultural UniversityChina Animal Husbandry GroupNational Key Laboratory of Veterinary Public Health and Safety, College of Veterinary Medicine, China Agricultural UniversityNational Key Laboratory of Veterinary Public Health and Safety, College of Veterinary Medicine, China Agricultural UniversityDepartment of Horticulture and Landscape Architecture, Jiangsu Agri-Animal Husbandry Vocational CollegeNational Key Laboratory of Veterinary Public Health and Safety, College of Veterinary Medicine, China Agricultural UniversityAbstract Non-alcoholic fatty liver disease (NAFLD) as a chronic disease especially in Western countries, is still a tough question in the clinical therapy. With the rising prevalence of various chronic diseases, liver transplantation is expected to be the most common therapy after the next 10 years. However, there is still no approved drug for NAFLD, and targeted therapy for NAFLD is urgent. Exosomes as a kind of extracellular vesicle are cell-derived nanovesicles, which play an essential role in intercellular communication. Due to complex cell–cell interactions in the liver, exosomes as therapeutic drugs or drug delivery vesicles may be involved in physiological or pathological processes in NAFLD. Compared with other nanomaterials, exosomes as a cell-free therapy, are not dependent on cell number limitation, which means can be administered safely in high doses. Apart from this, exosomes with the advantages of being low-toxic, high stability, and low-immunological are chosen for targeted therapy for many diseases. In this review, firstly we introduced the extracellular vesicles, including the biogenesis, composition, isolation and characterization, and fundamental function of extracellular vesicles. And then we discussed the modification of extracellular vesicles, cargo packing, and artificial exosomes. Finally, the extracellular vesicles for the therapies of NAFLD are summarized. Moreover, we highlight therapeutic approaches using exosomes in the clinical treatment of NAFLD, which provide valuable insights into targeting NAFLD in the clinical setting. Graphical Abstract Video Abstracthttps://doi.org/10.1186/s12964-023-01292-0NAFLDExosomesExtracellular vesiclesNanomaterialsTherapy
spellingShingle Jiali Zhang
Baochen Ma
Zixu Wang
Yaoxing Chen
Chengzhong Li
Yulan Dong
Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
Cell Communication and Signaling
NAFLD
Exosomes
Extracellular vesicles
Nanomaterials
Therapy
title Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
title_full Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
title_fullStr Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
title_full_unstemmed Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
title_short Extracellular vesicle therapy for obesity-induced NAFLD: a comprehensive review of current evidence
title_sort extracellular vesicle therapy for obesity induced nafld a comprehensive review of current evidence
topic NAFLD
Exosomes
Extracellular vesicles
Nanomaterials
Therapy
url https://doi.org/10.1186/s12964-023-01292-0
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AT zixuwang extracellularvesicletherapyforobesityinducednafldacomprehensivereviewofcurrentevidence
AT yaoxingchen extracellularvesicletherapyforobesityinducednafldacomprehensivereviewofcurrentevidence
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