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Diabetic Nephropathy: Perspective on Extracellular Vesicles.

Yanfang Lu1,2,3,4, Dongwei Liu1,2,3,4, Qi Feng1,2,3,4

  • 1Department of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Frontiers in Immunology
|June 26, 2020
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Summary

Extracellular vesicles (EVs) play a role in diabetic nephropathy (DN) development and progression. Urinary EV contents show promise as potential biomarkers for early DN diagnosis and therapeutic targets.

Keywords:
cell–cell cross-talkdiabetic nephropathydiagnosis biomarkerexosomesextracellular vesiclesmicrovesicles

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Area of Science:

  • Nephrology
  • Cell Biology
  • Biochemistry

Background:

  • Diabetic nephropathy (DN) is a leading cause of end-stage renal disease with limited therapeutic options.
  • Extracellular vesicles (EVs) are cell-secreted nanoparticles involved in intercellular communication.
  • EVs, including exosomes and microvesicles, are implicated in the pathophysiology of DN.

Purpose of the Study:

  • To review the generation, isolation, and biological functions of EVs.
  • To summarize the current understanding of EV mechanisms in DN development.
  • To discuss the diagnostic potential of urinary EVs for DN.

Main Methods:

  • Literature review of studies on EVs and DN.
  • Analysis of EV biogenesis and cargo.
  • Evaluation of diagnostic markers in urinary EVs.

Main Results:

  • EVs participate in the complex pathophysiological processes of DN.
  • Urinary EV contents (miRNAs, mRNAs, proteins) are potential biomarkers for DN.
  • EVs offer insights into DN mechanisms and therapeutic strategies.

Conclusions:

  • EVs are crucial in DN pathogenesis and progression.
  • Urinary EVs hold significant diagnostic value for DN.
  • Further research into EVs could lead to novel DN therapies.