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.

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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