2020
DOI: 10.4252/wjsc.v12.i8.814
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Mesenchymal stem cell-derived exosomes: Toward cell-free therapeutic strategies in regenerative medicine

Abstract: Mesenchymal stem cells (MSCs) are multipotent stem cells with marked potential for regenerative medicine because of their strong immunosuppressive and regenerative abilities. The therapeutic effects of MSCs are based in part on their secretion of biologically active factors in extracellular vesicles known as exosomes. Exosomes have a diameter of 30-100 nm and mediate intercellular communication and material exchange. MSC-derived exosomes (MSC-Exos) have potential for cell-free therapy for diseases of, for inst… Show more

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Cited by 66 publications
(69 citation statements)
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“…However, both proteins and non-coding RNA contained in EVs were found to participate in bone regeneration [ 19 ]. Both CM and EVs may be used for cell-free therapy, and their applications seem promising in clinical practice, not showing the ethical limits related to the use of stem cells [ 20 ].…”
Section: Mesenchymal Stem Cells and Regenerative Medicinementioning
confidence: 99%
“…However, both proteins and non-coding RNA contained in EVs were found to participate in bone regeneration [ 19 ]. Both CM and EVs may be used for cell-free therapy, and their applications seem promising in clinical practice, not showing the ethical limits related to the use of stem cells [ 20 ].…”
Section: Mesenchymal Stem Cells and Regenerative Medicinementioning
confidence: 99%
“…Being able to therapeutically regulate MSC differentiation pathways would be a significant advance in regenerative medicine 64 . The development of compounds that promote osteogenesis would be extremely beneficial in the treatment of osteoporosis 60 .…”
Section: Discussionmentioning
confidence: 99%
“…Through the direct fusion with the plasma membrane of target cells, MSC-Exos deliver their content directly to the cytosol of target cells, without affecting the function of neighboring cells [ 47 ]. MSC-Exos contain all of the same immunoregulatory and pro-angiogenic factors as their parental cells and immunomodulation mediated by MSC-Exos was either similar or even better than immunomodulation accomplished by MSCs [ 47 , 48 ]. Accordingly, MSC-Exos represent potentially new immunomodulatory cell-free therapeutic agents in regenerative medicine, the efficacy of which should be explored in up-coming clinical trials.…”
Section: Concluding Remarks and Future Perspectivesmentioning
confidence: 99%