4.5 Review

Application of mesenchymal stem cell-derived exosomes in kidney diseases

Journal

CELLULAR IMMUNOLOGY
Volume 364, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.cellimm.2021.104358

Keywords

KI; Exosomes; Mesenchymal stem cells

Funding

  1. National Key Research and Development Program of China [2018YFA0108700, 2017YFA0105602]
  2. NSFC Projects of International Cooperation and Exchanges [81720108004]
  3. National Natural Science Foundation of China [81974019]
  4. Research Team Project of Natural Science Foundation of Guangdong Province of China [2017A030312007]
  5. key program of Guangzhou science research plan [201904020047]
  6. Special Projects of Dengfeng Program of Guangdong Provincial People's Hospital [DFJH201812, KJ012019119, KJ012019423]

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Exosomes have the potential to be a promising treatment for kidney injury by promoting tissue repair and immune regulation through the action of proteins and RNA on target cells. While there are still some key issues that remain unaddressed, exosomes show potential benefits in the treatment of kidney injury.
Kidney injury (KI) has high morbidity and mortality; there has been no ideal practical treatment available in clinical practice until now. Exosomes are formed from fusing multisubunit body membranes and are secreted into the extracellular matrix, intercellular communication membracusses. As a cell-free treatment, it offers a new approach to the treatment of KI. Exosomes are spherical vesicles with or no separator cup that shapes proteins, and RNA acts on the target cells through various means to promote tissue damage and mitigate apoptosis, both inflammation and oxidative stress. Exosomes derived from mesenchymal stem cells (MSC) have a paracrine function in promoting tissue repair and immune regulation. The MSC-Exos provide specific benefits over the MSCs. The urinary exosomes closely follow the functions and diseases of the kidneys. Though much of the research in this field is only at the preliminary stages, previous research has demonstrated that MSC-Exos damaged tissues to offer proteins, mRNAs, and microRNAs as remedies for kidney injury. Although exosomes? role in tissue repair is currently is greatly debated, several key issues remain unaddressed. This is a summarization of the work done concerning MSC in the treatment of KI.

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