2021
DOI: 10.2144/fsoa-2021-0096
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Extracellular Vesicles: a Promising cell-free Therapy for Cartilage Repair

Abstract: Few effective therapies for cartilage repair have been found as cartilage has a low regenerative capacity. Extracellular vesicles (EVs), including exosomes, are produced by cells and contain bioactive components such as nucleic acids, proteins, lipids and other metabolites that have potential for treating cartilage injuries. Challenges like the difficulty in standardizing targeted therapy have prevented EVs from being used frequently as a treatment option. In this review we present current studies, mechanisms … Show more

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Cited by 13 publications
(13 citation statements)
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“…MSC-derived exosomes are suitable candidates for repairing degenerated discs by maintaining homeostasis. To obtain the desired therapeutic effects, they can also be engineered and loaded with biomaterials to control the release in the targeted tissue [167]. Even though many previous results have demonstrated the promising therapeutic potential of MSC-derived exosomes, special attention should be given before using them in clinical trials [168].…”
Section: Conclusion and Future Perspectivesmentioning
confidence: 99%
“…MSC-derived exosomes are suitable candidates for repairing degenerated discs by maintaining homeostasis. To obtain the desired therapeutic effects, they can also be engineered and loaded with biomaterials to control the release in the targeted tissue [167]. Even though many previous results have demonstrated the promising therapeutic potential of MSC-derived exosomes, special attention should be given before using them in clinical trials [168].…”
Section: Conclusion and Future Perspectivesmentioning
confidence: 99%
“…Although embryonic and fetal stem cells have the greatest potential to differentiate into different cell types, their application is limited due to ethical and safety issues [ 5 , 6 , 7 , 8 , 9 , 10 ], as well as the danger of unlimited and uncontrolled cells division [ 7 , 8 , 10 , 11 , 12 , 13 , 14 , 15 ]. Furthermore, the inherent heterogenicity and variation associated with cell expansion has become a major MSC limit for its clinical applications [ 16 , 17 , 18 , 19 , 20 ]. In addition, during in vitro cell processing and expansion, changes may occur to MSCs, thereby increasing the risk of MSC therapeutic application.…”
Section: Introductionmentioning
confidence: 99%
“…At this point, exosomes are nano-sized vesicular particles commonly secreted from eukaryotic cells into the extracellular space, and are intensively investigated as candidate therapeutic agents. These exosomes have known functions in cellular communication [ 19 , 20 , 21 , 22 ], nutrients [ 21 , 22 ], bioactive compounds delivery [ 19 , 20 , 22 ], and cellular immunity [ 19 , 20 , 22 ]. However, currently, there is no standardized procedure for the isolation, storage, and manufacturing of technology using a quality system for the safety of both donors and recipients in large-scale valorization of MSC-derived exosomes [ 19 ].…”
Section: Introductionmentioning
confidence: 99%
“…In fact, the most pursued objective in EVs biomarker discovery is the diagnosis of early-stage diseases by circulating vesicles from blood, urine or plasma, referred to as “liquid-biopsy”, as easily accessible biological fluids [ 40 ]. Furthermore, EVs also possess a powerful therapeutic potential as they could be used as direct therapeutics or loaded with active pharmaceutical molecules [ 41 , 42 , 43 , 44 , 45 ]. These potentialities culminate in the development of promising novel technologies such as outer membrane vesicles (OMVs)-based vaccines, consisting of naturally released vesicles from Gram-negative bacteria containing key antigenic components required to elicit a protective immune response [ 46 ].…”
Section: Introductionmentioning
confidence: 99%