Effectiveness of Extracellular Vesicle Application in Skin Aging Treatment and Regeneration: Do We Have Enough Evidence from Clinical Trials? DOI Open Access
Anna Domaszewska-Szostek, Marta Krzyżanowska, Agnieszka Polak

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(5), P. 2354 - 2354

Published: March 6, 2025

In recent years, there has been a dynamic development in therapies utilizing extracellular vesicles (EVs) including exosomes. Therefore, we have conducted an analysis of the scientific literature to verify current state knowledge about these therapies. A total 12 clinical studies were analyzed, covering use EVs treating skin aging, acne scars, alopecia, and wound healing. The results indicate that exosomes hold potential regenerative therapies, offering innovative non-invasive therapeutic approaches. At same time, significant challenges related standardization their production lack large-scale randomized identified. Thus, also evaluated investigated trials regard MISEV (Minimal Information for Studies Extracellular Vesicles) criteria. This review provides comprehensive overview contemporary applications therapy medicine, highlighting directions further research.

Language: Английский

Extracellular vesicles as tools and targets in therapy for diseases DOI Creative Commons

Mudasir A. Kumar,

Sadaf Khursheed Baba,

Hana Q. Sadida

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2024, Volume and Issue: 9(1)

Published: Feb. 5, 2024

Abstract Extracellular vesicles (EVs) are nano-sized, membranous structures secreted into the extracellular space. They exhibit diverse sizes, contents, and surface markers ubiquitously released from cells under normal pathological conditions. Human serum is a rich source of these EVs, though their isolation proteins non-EV lipid particles poses challenges. These transport various cellular components such as proteins, mRNAs, miRNAs, DNA, lipids across distances, influencing numerous physiological events, including those within tumor microenvironment (TME). Their pivotal roles in communication make EVs promising candidates for therapeutic agents, drug delivery systems, disease biomarkers. Especially cancer diagnostics, EV detection can pave way early identification offers potential diagnostic Moreover, subtypes emerging targeted tools, highlighting clinical significance. The need non-invasive biomarkers to monitor biological processes purposes remains unfulfilled. Tapping unique composition could unlock advanced avenues future. In this review, we discuss detail conditions, cancers (encompassing head neck, lung, gastric, breast, hepatocellular carcinoma), neurodegenerative disorders, diabetes, viral infections, autoimmune renal diseases, emphasizing advancements molecular diagnostics delivery.

Language: Английский

Citations

326

Entry and exit of extracellular vesicles to and from the blood circulation DOI
Dalila Iannotta,

A Amruta,

Amanda W. Kijas

et al.

Nature Nanotechnology, Journal Year: 2023, Volume and Issue: 19(1), P. 13 - 20

Published: Dec. 18, 2023

Language: Английский

Citations

49

Extracellular Vesicle Preparation and Analysis: A State‐of‐the‐Art Review DOI Creative Commons
Zesheng Wang, Xiaoyu Zhou, Qinglong Kong

et al.

Advanced Science, Journal Year: 2024, Volume and Issue: 11(30)

Published: June 14, 2024

Abstract In recent decades, research on Extracellular Vesicles (EVs) has gained prominence in the life sciences due to their critical roles both health and disease states, offering promising applications diagnosis, drug delivery, therapy. However, inherent heterogeneity complex origins pose significant challenges preparation, analysis, subsequent clinical application. This review is structured provide an overview of biogenesis, composition, various sources EVs, thereby laying groundwork for a detailed discussion contemporary techniques preparation analysis. Particular focus given state‐of‐the‐art technologies that employ microfluidic non‐microfluidic platforms EV processing. Furthermore, this discourse extends into innovative approaches incorporate artificial intelligence cutting‐edge electrochemical sensors, with particular emphasis single proposes current outlines prospective avenues future research. The objective motivate researchers innovate expand methods analysis fully unlocking biomedical potential.

Language: Английский

Citations

41

A Journey of Challenges and Victories: A Bibliometric Worldview of Nanomedicine since the 21st Century DOI
Jingyu Wang, Wenling Zhao, Zhao Zhang

et al.

Advanced Materials, Journal Year: 2024, Volume and Issue: 36(15)

Published: Jan. 17, 2024

Abstract Nanotechnology profoundly affects the advancement of medicine. Limitations in diagnosing and treating cancer chronic diseases promote growth nanomedicine. However, there are very few analytical descriptive studies regarding trajectory nanomedicine, key research powers, present landscape, focal investigative points, future outlooks. Herein, articles reviews published Science Citation Index Expanded Web Core Collection from first January 2000 to 18th July 2023 analyzed. a bibliometric visualization publication trends, countries/regions, institutions, journals, categories, themes, references, keywords is produced elaborated. Nanomedicine‐related academic output increasing since COVID‐19 pandemic, solidifying uneven global distribution performance. While China leads terms quantity has numerous highly productive USA advantages impact, commercialization, industrial value. Nanomedicine integrates with other disciplines, establishing interdisciplinary platforms, which drug delivery nanoparticles remain points. Current focuses on integrating nanomedicine cell ferroptosis induction immunotherapy. The keyword “burst testing” identifies promising directions, including immunogenic death, chemodynamic therapy, tumor microenvironment, immunotherapy, extracellular vesicles. prospects, major challenges, barriers addressing these directions discussed.

Language: Английский

Citations

39

A systematic review and meta‐analysis of clinical trials assessing safety and efficacy of human extracellular vesicle‐based therapy DOI Creative Commons
Mats Van Delen, Judith Derdelinckx, Kristien Wouters

et al.

Journal of Extracellular Vesicles, Journal Year: 2024, Volume and Issue: 13(7)

Published: July 1, 2024

Abstract Nowadays, it has become clear that extracellular vesicles (EVs) are not a cellular waste disposal vesicle but an essential part of intercellular communication system. Besides the use EVs in biomarker studies and diagnostics, potential EV‐therapeutics been seen by many. They provide unique properties for disease therapy, including strong immune‐modulatory actions, possibility engineering, low immunogenicity, capability crossing biological barriers. Proof‐of‐concept various pathologies achieved preclinical studies. However, clinical trials with have only emerging slowly. Here, we aim to comprehensive overview current state‐of‐the‐art concerning using human therapy. By approaching knowledge systematic manner, were able include 21 reports meta‐analysis safety evaluation efficacy outcomes. Overall, shown EV‐based therapy is safe incidence serious adverse events (SAE; 0.7% (95%‐CI: 0.1–5.2%), (AE; 4.4% 0.7–22.2%). Subgroup analysis showed no significant difference SAE when comparing autologous versus allogeneic administration, as well engineered non‐engineered EV products. A significantly higher number AE was administration. relevance remains questionable. Evaluation outcomes immunostimulatory, immunosuppressive or regenerative EV‐therapies indicated improvement majority treated patients. Despite these promising results, data need be approached caution due high heterogeneity manufacturing methods, study design, reporting (S)AE. conclude presents opportunity More efforts needed standardization harmonization isolation characterization (S)AE allow inter‐study comparison.

Language: Английский

Citations

32

Fusion of Exosomes and Nanotechnology: Cutting-Edge Cancer Theranostics DOI

R. Agnihotram,

Rajib Dhar,

Debolina Dhar

et al.

ACS Applied Nano Materials, Journal Year: 2024, Volume and Issue: 7(8), P. 8489 - 8506

Published: April 15, 2024

Cancer is the most challenging health complication worldwide. Scientific society has tried to decode its complications and developing a smart solution for mankind. Extracellular vesicles (EVs) are an emerging frontier in cancer research. EVs provide fresh insight into understanding of released from all active cells. classified some major classes, such as apoptotic bodies, microvesicles, exosomes. Exosomes among exciting tools current research they work cellular messengers (which reflects cell's healthy or pathological conditional status). In tumor microenvironment, regulate several complicated events uncontrolled cell growth, immune suppression, angiogenesis, extracellular matrix remodeling, metastasis, organ-specific drug therapeutic resistance, stem development. also source promising biomarkers involved both diagnosis prognosis performs role. Exosomes-based nanomedicine which application nanosize theranostics sensor orientation, supports overcoming management limitations, early therapeutics specific, effective, affordable. this review, we have highlighted integration exosomes nanotechnology cutting-edge approach precision oncology.

Language: Английский

Citations

14

Optimizing mesenchymal stem cell extracellular vesicles for chronic wound healing: Bioengineering, standardization, and safety DOI Creative Commons
Yusuke Shimizu, Edward Hosea Ntege, Yoshikazu Inoue

et al.

Regenerative Therapy, Journal Year: 2024, Volume and Issue: 26, P. 260 - 274

Published: June 1, 2024

Chronic wounds represent a significant global burden, afflicting millions with debilitating complications. Despite standard care, impaired healing persists due to factors like persistent inflammation and tissue regeneration. Mesenchymal stem cell (MSC)-derived extracellular vesicles (EVs) offer an innovative regenerative medicine approach, delivering cell-derived therapeutic cargo in engineered nanoscale delivery systems. This review examines pioneering bioengineering strategies engineer MSC-EVs into precision nanotherapeutics for chronic wounds. Emerging technologies CRISPR gene editing, microfluidic manufacturing, biomimetic systems are highlighted their potential enhance MSC-EV targeting, optimize enrichment, ensure consistent clinical-grade production. However, key hurdles remain, including batch variability, rigorous safety assessment tumorigenicity, immunogenicity, biodistribution profiling. Crucially, collaborative frameworks harmonizing regulatory science patient advocacy hold the expediting clinical translation. By overcoming these challenges, could catalyze new era of off-the-shelf therapies, restoring hope afflicted by non-healing

Language: Английский

Citations

11

CAR-T cell-derived exosomes: a new perspective for cancer therapy DOI Creative Commons
Farnaz Sani,

Shabnam Shojaei,

Seyed Amirhossein Tabatabaei

et al.

Stem Cell Research & Therapy, Journal Year: 2024, Volume and Issue: 15(1)

Published: June 18, 2024

Abstract Chimeric antigen receptor (CAR)-T cell adoptive immunotherapy is a promising cancer treatment that uses genetically engineered T cells to attack tumors. However, this therapy can have some adverse effects. CAR-T cell-derived exosomes are potential alternative may overcome limitations. Exosomes small vesicles released by and carry variety of molecules, including proteins, RNA, DNA. They play an important role in intercellular communication be used deliver therapeutic agents cells. The application could make more clinically controllable effective. cell-free, which means they less likely cause reactions than combination effective way treat either alone. where cannot reach. appropriate both cellular exosomal platforms practicable for cancer. This offer safe cancers.

Language: Английский

Citations

10

Metal-organic frameworks in oral drug delivery DOI Creative Commons
Aun Raza, Wei Wu

Asian Journal of Pharmaceutical Sciences, Journal Year: 2024, Volume and Issue: 19(5), P. 100951 - 100951

Published: Aug. 23, 2024

Metal-organic frameworks (MOFs) offer innovative solutions to the limitations of traditional oral drug delivery systems through their unique combination metal ions and organic ligands. This review systematically examines structural properties principles MOFs, setting stage for application in delivery. It discusses various classes including those based on zirconium, iron, zinc, copper, titanium, aluminum, potassium, magnesium, assessing drug-loading capacities, biocompatibility, controlled release mechanisms. The effectiveness MOFs is illustrated case studies that highlight capabilities enhancing solubility, providing protection against harsh gastrointestinal environment, enabling precise release. addresses potential challenges, particularly toxicity concerns associated with calls further research into biocompatibility interactions biological systems. concludes by emphasizing revolutionizing delivery, highlighting critical need comprehensive harness full clinical applications.

Language: Английский

Citations

10

Utilizing Magnetic Levitation to Detect Lung Cancer-Associated Exosomes DOI Creative Commons
Alper Baran Sözmen, Ahu Arslan Yıldız

ACS Sensors, Journal Year: 2024, Volume and Issue: 9(4), P. 2043 - 2049

Published: March 23, 2024

Extracellular vesicles, especially exosomes, have attracted attention in the last few decades as novel cancer biomarkers. Exosomal membrane proteins provide easy-to-reach targets and can be utilized information sources of their parent cells. In this study, a MagLev-based, highly sensitive, versatile biosensor platform for detecting minor differences density suspended objects is proposed exosome detection. The developed utilizes antibody-functionalized microspheres to capture exosomal (ExoMPs) EpCAM, CD81, CD151 markers cancerous non-small cell lung (NSCLC)-derived respectively. Initially, was protein detection quantification by targeting solubilized ExoMPs, dynamic range 1–100 nM, with LoD values 1.324, 0.638, 0.722 nM CD151, were observed, Then, sensor tested using isolates derived from NSCLC line A549 MRC5 healthy fibroblast line. It shown that able detect differentiate biomarkers non-cancerous lines. Overall, innovative, simple, rapid method shows great potential early diagnosis through biomarker

Language: Английский

Citations

9