Bone Research,
Journal Year:
2024,
Volume and Issue:
12(1)
Published: Jan. 23, 2024
Abstract
Osteoporosis
is
a
widely
observed
condition
characterized
by
the
systemic
deterioration
of
bone
mass
and
microarchitecture,
which
increases
patient
susceptibility
to
fragile
fractures.
The
intricate
mechanisms
governing
homeostasis
are
substantially
impacted
extracellular
vesicles
(EVs),
play
crucial
roles
in
both
pathological
physiological
contexts.
EVs
derived
from
various
sources
exert
distinct
effects
on
osteoporosis.
Specifically,
released
osteoblasts,
endothelial
cells,
myocytes,
mesenchymal
stem
cells
contribute
formation
due
their
unique
cargo
proteins,
miRNAs,
cytokines.
Conversely,
secreted
osteoclasts
immune
promote
resorption
inhibit
formation.
Furthermore,
use
as
therapeutic
modalities
or
biomaterials
for
diagnosing
managing
osteoporosis
promising.
Here,
we
review
current
understanding
impact
homeostasis,
including
classification
biogenesis
regulatory
present
an
overview
latest
research
progress
treating
using
EVs.
Finally,
discuss
challenges
prospects
translational
Frontiers in Bioengineering and Biotechnology,
Journal Year:
2024,
Volume and Issue:
12
Published: Jan. 29, 2024
The
term
“peri-implantitis”
(peri-implantitis)
refers
to
an
inflammatory
lesion
of
the
mucosa
surrounding
endosseous
implant
and
a
progressive
loss
peri-implant
bone
that
supports
implant.
Recently,
it
has
been
suggested
increased
sensitivity
implants
infection
quick
elimination
supporting
tissue
after
may
be
caused
by
dysregulated
mucosal
immune
response.
Macrophages
are
polarized
in
response
environmental
signals
play
multiple
roles
peri-implantitis.
In
peri-implantitis
samples,
recent
investigations
have
discovered
considerable
increase
M1
type
macrophages,
with
macrophages
contributing
pro-inflammatory
brought
on
bacteria,
whereas
M2
contribute
inflammation
remission
repair.
effort
better
understand
pathogenesis
suggest
potential
immunomodulatory
treatments
for
direction
macrophage
polarization
patterns,
this
review
summarizes
research
findings
related
compares
them
periodontitis.
International Journal of Oral Science,
Journal Year:
2025,
Volume and Issue:
17(1)
Published: Feb. 3, 2025
Abstract
The
oral
and
maxillofacial
region
is
a
highly
complex
area
composed
of
multiple
tissue
types
bears
various
critical
functions
the
human
body.
Diseases
in
this
pose
significant
diagnostic
management
challenges;
therefore,
exploring
new
strategies
for
early
diagnosis,
targeted
treatment,
reconstruction
key
to
improving
patient
prognosis
quality
life.
Extracellular
vesicles
are
group
heterogeneous
lipid-bilayer
membrane
structures
secreted
by
most
cell
types,
including
exosomes,
microvesicles,
apoptotic
bodies.
Present
body
fluids
tissues,
they
act
as
messengers
via
transfer
nucleic
acids,
proteins,
metabolites
recipient
cells.
To
date,
studies
have
revealed
different
roles
extracellular
physiological
or
pathological
processes,
well
applications
disease
prognosis,
treatment.
importance
specificity
dental
tissues
indicate
that
derived
from
promising
further
research.
This
paper
reviews
published
data
on
cells,
fluids,
regions,
summarizes
latest
advances
extensive
sources,
concludes
with
focus
current
research
progress
application
prospects
engineered
exosomes
science.
Periodontology 2000,
Journal Year:
2024,
Volume and Issue:
94(1), P. 415 - 482
Published: Feb. 1, 2024
Abstract
Exosomes
are
the
smallest
subset
of
extracellular
signaling
vesicles
secreted
by
most
cells
with
ability
to
communicate
other
tissues
and
cell
types
over
long
distances.
Their
use
in
regenerative
medicine
has
gained
tremendous
momentum
recently
due
their
be
utilized
as
therapeutic
options
for
a
wide
array
various
diseases.
Over
5000
publications
currently
being
published
on
this
topic
yearly,
many
which
dental
space.
This
extensive
review
article
is
first
scoping
aimed
at
summarizing
all
uses
exosomes
dentistry.
A
total
944
articles
were
identified
using
field
either
regenerative/therapeutic
potential
or
diagnostic
purposes
derived
from
oral
cavity.
In
total,
113
research
selected
(102
vitro,
60
vivo,
50
studies
included
both).
Therapeutic
commonly
pulps,
periodontal
ligament
cells,
gingival
fibroblasts,
stem
exfoliated
deciduous
teeth,
apical
papilla
have
been
shown
facilitate
number
including
bone,
cementum,
ligament,
nerves,
aid
orthodontic
tooth
movement,
relieve
temporomandibular
joint
disorders,
among
others.
Results
demonstrate
that
led
positive
outcomes
100%
studies.
bone
field,
found
perform
equally
well
better
than
rhBMP2
while
significantly
reducing
inflammation.
Periodontitis
animal
models
treated
simple
injections
benefits
even
observed
when
administered
intravenously.
much
more
stable
growth
factors
far
resistant
against
degradation
pathogens
routinely
periodontitis
environment.
Comparative
regeneration
compared
native
parent
cells.
47
revealed
role
salivary/crevicular
fluid
diagnosis
birth
defects,
cardiovascular
disease,
diabetes,
recession
detection,
gingivitis,
irritable
bowel
syndrome,
neurodegenerative
lichen
planus,
squamous
carcinoma,
oropharyngeal
cancer
root
resorption,
pancreatic
cancer,
periodontitis,
peri‐implantitis,
Sjögren
systemic
Hence,
we
characterize
possessing
“remarkable”
potential,
serving
valuable
tool
clinicians
significant
advantages.
Journal of Periodontal Research,
Journal Year:
2024,
Volume and Issue:
59(4), P. 771 - 782
Published: April 14, 2024
Periodontitis
is
a
chronic
inflammatory
disease
mediated
by
dysbiosis
of
the
oral
microflora,
resulting
in
destruction
periodontal
tissue.
Increasing
evidence
suggested
that
mesenchymal
stem
cell
(MSCs)
and
exosomes
derived
from
MSCs
play
critical
role
tissue
regeneration.
However,
whether
cells
exfoliated
deciduous
teeth
(SHED)-secreted
can
improve
therapeutic
potential
periodontitis
largely
unknown.
Molecular Biomedicine,
Journal Year:
2024,
Volume and Issue:
5(1)
Published: Nov. 21, 2024
Abstract
Extracellular
vesicles
(EVs)
are
cell-derived
with
a
phospholipid
bilayer
measuring
50–150
nm
in
diameter
demonstrated
therapeutic
potentials.
Limitations
such
as
the
natural
biodistribution
(mainly
concentrated
liver
and
spleen)
short
plasma
half-life
of
EVs
present
significant
challenges
to
their
clinical
translation.
In
recent
years,
growing
research
indicated
that
engineered
enhanced
targeting
lesion
sites
have
markedly
promoted
efficacy.
However,
there
is
dearth
systematic
knowledge
on
advances
engineering
for
targeted
delivery.
Herein,
we
provide
an
overview
mechanisms,
techniques,
translations
applications.
Enrichment
at
may
be
achieved
through
recognition
tissue
markers,
pathological
changes,
circumvention
mononuclear
phagocyte
system
(MPS).
Alternatively,
external
stimuli,
including
magnetic
fields
ultrasound,
also
employed.
EV
techniques
fulfill
functions
includes
genetic
engineering,
membrane
fusion,
chemical
modification
physical
modification.
A
comparative
statistical
analysis
was
conducted
elucidate
discrepancies
between
diverse
size,
morphology,
stability,
efficacy
vitro
vivo.
Additionally,
summary
registered
trials
utilizing
from
2010
2023
has
been
provided,
full
discussion
perspectives.
This
review
provides
comprehensive
mechanisms
associated
delivery
applications
advocate
further
explorations
accelerate
Frontiers in Cell and Developmental Biology,
Journal Year:
2023,
Volume and Issue:
11
Published: July 5, 2023
At
present,
extracellular
vesicles
(EVs)
are
considered
key
candidates
for
cell-free
therapies,
including
treatment
of
allergic
and
autoimmune
diseases.
However,
their
therapeutic
effectiveness,
dependent
on
proper
targeting
to
the
desired
cells,
is
significantly
limited
due
reduced
bioavailability
resulting
from
rapid
clearance
by
cells
mononuclear
phagocyte
system
(MPS).
Thus,
developing
strategies
avoid
EV
elimination
essential
when
applying
them
in
clinical
practice.
On
other
hand,
malfunctioning
MPS
contributes
various
immune-related
pathologies.
Therapeutic
reversal
these
effects
with
EVs
would
be
beneficial
could
achieved,
example,
modulating
macrophage
phenotype
or
regulating
antigen
presentation
dendritic
cells.
Additionally,
intended
macrophages
replication
repackaging
molecules
into
new
vesicle
subtype
can
allow
specific
appropriate
populations
acceptor
Herein,
we
briefly
discuss
under-explored
aspects
MPS-EV
interactions
that
undoubtedly
require
further
research
order
accelerate
use
EVs.
Journal of Orthopaedic Surgery and Research,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Jan. 9, 2025
To
assess
the
therapeutic
effects
of
mesenchymal
stem
cell
(MSC)-derived
exosome
therapy
on
periodontal
regeneration
and
identify
treatment
factors
associated
with
enhanced
in
recent
preclinical
studies.
Searches
were
conducted
PubMed,
Cochrane
Library,
EMBASE,
Web
Science
databases
until
October
10,
2024.
A
risk
bias
(ROB)
assessment
was
performed
using
SYRCLE
tool.
Osteogenic-related
parameters
used
as
primary
outcome
measures.
In
total,
1360
articles
identified,
which
17
studies
based
MSC-derived
therapy,
they
demonstrated
a
beneficial
effect
BV/TV
(SMD
=
13.99;
95%
Cl
10.50,
17.48;
p
<
0.00001),
CEJ-ABC
-0.22;
-0.31,
-0.13;
BMD
0.29;
0.14,
0.45;
0.0002),
Tp.Sp
-0.08;
Cl=
-0.15,
-0.02;
0.02)
compared
control
group.
However,
no
significant
differences
observed
Tp.Th
0.03;
CI
0.00,
0.07;
0.09)
between
exosome-treated
group
Additionally,
subgroup
analysis
indicated
that
preconditioned
exosomes
(p
0.03)
significantly
improved
BV/TV.
contrast,
there
enhancement
respect
to
application
method
0.29),
frequency
0.10),
duration
0.15),
or
source
MSCs
0.31).
show
great
promise
for
enhancing
quality
regeneration.
more
standardized
robust
trials
are
needed
reduce
heterogeneity
across
confirm
by
exosomes.
CRD42024546236.