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Large-Scale Preparation of Synovial Fluid Mesenchymal Stem Cell-Derived Exosomes by 3D Bioreactor Culture
Published on: July 26, 2022
Exosomes in the Pathogenesis, Progression, and Treatment of Osteoarthritis
Yishu Fan1, Zhong Li2,3, Yuchen He4
1Department of Neurology, Xiangya Hospital, Central South University, Changsha 410008, China.
Abstract:
Osteoarthritis (OA) is a prevalent and debilitating age-related joint disease characterized by articular cartilage degeneration, synovial membrane inflammation, osteophyte formation, as well as subchondral bone sclerosis. OA drugs at present are mainly palliative and do not halt or reverse disease progression. Currently, no disease-modifying OA drugs (DMOADs) are available and total joint arthroplasty remains a last resort. Therefore, there is an urgent need for the development of efficacious treatments for OA management. Among all novel pharmaco-therapeutical options, exosome-based therapeutic strategies are highly promising. Exosome cargoes, which include proteins, lipids, cytokines, and various RNA subtypes, are potentially capable of regulating intercellular communications and gene expression in target cells and tissues involved in OA development. With extensive research in recent years, exosomes in OA studies are no longer limited to classic, mesenchymal stem cell (MSC)-derived vesicles. New origins, structures, and functions of exosomes are constantly being discovered and investigated. This review systematically summarizes the non-classic origins, biosynthesis, and extraction of exosomes, describes modification and delivery techniques, explores their role in OA pathogenesis and progression, and discusses their therapeutic potential and hurdles to overcome in OA treatment.
Insights
Exosomes offer a promising new avenue for treating osteoarthritis (OA), a common joint disease. This review explores novel exosome origins and their potential to modify OA progression, moving beyond current palliative care.
Area of Science:
- Biomedical Science
- Regenerative Medicine
- Pharmacology
Background:
- Osteoarthritis (OA) is a degenerative joint disease with limited treatment options, necessitating new therapeutic strategies.
- Current OA treatments are largely palliative and do not address disease modification or reversal.
- Exosome-based therapies represent a promising frontier for developing disease-modifying osteoarthritis drugs (DMOADs).
Purpose of the Study:
- To systematically review non-classic origins, biosynthesis, and extraction of exosomes for OA.
- To describe exosome modification and delivery techniques for therapeutic applications in OA.
- To explore the role of exosomes in OA pathogenesis and discuss their therapeutic potential and challenges.
Main Methods:
- Literature review of recent research on exosomes in osteoarthritis.
- Systematic summary of exosome origins, biogenesis, and isolation methods.
- Analysis of exosome cargo, modification, and delivery strategies for OA treatment.
Main Results:
- Exosomes, including those from non-classic sources beyond mesenchymal stem cells (MSCs), play a role in OA.
- Exosome cargoes can regulate intercellular communication and gene expression relevant to OA.
- Emerging evidence highlights the therapeutic potential of exosomes in modifying OA progression.
Conclusions:
- Exosome-based therapies hold significant promise for developing effective OA treatments.
- Further research into exosome origins, modification, and delivery is crucial for clinical translation.
- Overcoming current hurdles is essential for realizing the full therapeutic potential of exosomes in OA management.
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