4.4 Review

Current developments and therapeutic potentials of exosomes from induced pluripotent stem cells-derived mesenchymal stem cells

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JOURNAL OF THE CHINESE MEDICAL ASSOCIATION
卷 86, 期 4, 页码 356-365

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JCMA.0000000000000899

关键词

Exosomes; Extracellular vesicles; Induced mesenchymal stem cells; Mesenchymal stem cells

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Mesenchymal stem cells (MSCs) derived from adult human tissues have limited proliferative capacity and inconsistent therapeutic outcomes due to their heterogeneous nature. Induced pluripotent stem cells (iPSCs) have emerged as an alternative source, with their ability to differentiate into various specialized cell types. Induced mesenchymal stem cells (iMSCs) derived from iPSCs show superior therapeutic qualities compared to adult MSCs and have potential applications in regenerative medicine. This review focuses on the recent findings of exosomes secreted from iMSCs as a potential noncell-based therapy.
Mesenchymal stem cells (MSCs) are multipotent cells derived from adult human tissues that have the ability to proliferate in vitro and maintain their multipotency, making them attractive cell sources for regenerative medicine. However, MSCs reportedly show limited proliferative capacity with inconsistent therapeutic outcomes due to their heterogeneous nature. On the other hand, induced pluripotent stem cells (iPSC) have emerged as an alternative source for the production of various specialized cell types via their ability to differentiate from all three primary germ layers, leading to applications in regenerative medicine, disease modeling, and drug therapy. Notably, iPSCs can differentiate into MSCs in monolayer, commonly referred to as induced mesenchymal stem cells (iMSCs). These cells show superior therapeutic qualities compared with adult MSCs as the applications of the latter are restricted by passage number and autoimmune rejection when applied in tissue regeneration trials. Furthermore, increasing evidence shows that the therapeutic properties of stem cells are a consequence of the paracrine effects mediated by their secretome such as from exosomes, a type of extracellular vesicle secreted by most cell types. Several studies that investigated the potential of exosomes in regenerative medicine and therapy have revealed promising results. Therefore, this review focuses on the recent findings of exosomes secreted from iMSCs as a potential noncell-based therapy.

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