Exosomes from adipose-derived stem cells and application to skin wound healing

被引:350
作者
An, Yang [1 ]
Lin, Shuyan [2 ]
Tan, Xiaojie [1 ]
Zhu, Shiou [3 ,4 ]
Nie, Fangfei [1 ]
Zhen, Yonghuan [1 ]
Gu, Luosha [1 ]
Zhang, Chunlei [5 ]
Wang, Baicheng [1 ]
Wei, Wei [6 ]
Li, Dong [1 ]
Wu, Junhao [2 ]
机构
[1] Peking Univ Third Hosp, Dept Plast Surg, 49 North Garden Rd, Beijing 100191, Peoples R China
[2] Sichuan Univ, West China Hosp, Hearing Ctr, Dept Otolaryngol Head & Neck Surg, Chengdu 610041, Sichuan, Peoples R China
[3] Sichuan Univ, West China Hosp, State Key Lab Biotherapy, Chengdu, Peoples R China
[4] Sichuan Univ, West China Hosp, Canc Ctr, Chengdu, Peoples R China
[5] Peking Univ, Inst Syst Biomed, Beijing, Peoples R China
[6] Peking Univ Third Hosp, Clin Stem Cell Res Ctr, Beijing, Peoples R China
关键词
adipose-derived stem cells; angiogenesis; exosomes; inflammation; skin wound healing;
D O I
10.1111/cpr.12993
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Skin wound healing is an intractable problem that represents an urgent clinical need. To solve this problem, a large number of studies have focused on the use of exosomes (EXOs) derived from adipose-derived stem cells (ADSCs). This review describes the mechanisms whereby ADSCs-EXOs regulate wound healing and their clinical application. In the wound, ADSCs-EXOs modulate immune responses and inflammation. They also promote angiogenesis, accelerate proliferation and re-epithelization of skin cells, and regulate collagen remodelling which inhibits scar hyperplasia. Compared with ADSCs therapeutics, ADSCs-EXOs have highly stability and are easily stored. Additionally, they are not rejected by the immune system and have a homing effect and their dosage can be easily controlled. ADSCs-EXOs can improve fat grafting and promote wound healing in patients with diabetes mellitus. They can also act as a carrier and combined scaffold for treatment, leading to scarless cutaneous repair. Overall, ADSCs-EXOs have the potential to be used in the clinic to promote wound healing.
引用
收藏
页数:12
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