外基因组有望改善骨再生.
Shuaiwen Hu1, Shaogeng Wang2,3, Xiaomao Yang1
1Orthopedic Surgery, Yaan People's Hospital, Yaan, 625000 China.
Regenerative therapy
|July 23, 2025
概括
细胞外囊泡 (EVs),特别是外体,通过促进骨质生成和血管生成,在增强骨折愈合方面表现有前途. 本综述探讨了它们的机制和潜力,作为复杂骨折的新型治疗策略.
科学领域:
- 生物医学工程 生物医学工程
- 再生医学是一种再生医学.
- 整形外科 整形外科 整形外科
背景情况:
- 高能创伤造成的骨折会带来诸如失联和感染等挑战.
- 细胞外囊泡 (EVs),特别是外体,是生物过程中的关键媒介.
- 目前的骨折修复疗法有其局限性.
研究的目的:
- 系统地审查外体在骨折愈合中的作用.
- 检查骨质生成,骨质细胞调节和血管生成中的外体介导机制.
- 讨论外体源和未来的治疗应用.
主要方法:
- 在骨修复中对外体功能进行系统性文献综述.
- 对外体载荷及其对细胞组件的影响的分析.
- 从各种细胞来源 (MSC,EPC,骨质母细胞) 检查外体.
主要成果:
- 外体增强骨质生成和血管生成,对于骨折愈合至关重要.
- 外体细胞调节骨质母细胞分化和骨质母细胞活性.
- 不同的细胞衍生外体在骨修复中表现出不同的作用.
结论:
- 外体是骨重塑微环境的强有力的调节者.
- 基于外体的疗法为改善骨折修复提供了一个有希望的途径.
- 需要进一步的研究来克服临床翻译的挑战.
相关概念视频
Overview of Exosomes
2.8K
Exosomes are stable, lipid bilayer-enclosed vesicles capable of crossing biological barriers. They can carry a wide range of molecules required for intercellular communication. Once exosomes are released from the cell where they originated, they enter a recipient cell through various pathways such as fusion, receptor-mediated endocytosis, macropinocytosis, and phagocytosis.
Stahl et al. discovered exosomes in 1983, but the exosomes were initially considered waste products released from the...
Stahl et al. discovered exosomes in 1983, but the exosomes were initially considered waste products released from the...
2.8K
Mesenchymal Stem Cells
5.0K
Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their...
5.0K
Osteoclasts in Bone Remodeling
3.2K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.2K
Clinical Applications of Epidermal Stem Cells
2.8K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.8K
Bone Remodeling
38.5K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.5K
The Extracellular Matrix
9.4K
Overview
In order to maintain tissue organization, many animal cells are surrounded by structural molecules that make up the extracellular matrix (ECM). Together, the molecules in the ECM maintain the structural integrity of tissue as well as the remarkable specific properties of certain tissues.
Composition of the Extracellular Matrix
The extracellular matrix (ECM) is commonly composed of ground substance, a gel-like fluid, fibrous components, and many structurally and functionally diverse...
In order to maintain tissue organization, many animal cells are surrounded by structural molecules that make up the extracellular matrix (ECM). Together, the molecules in the ECM maintain the structural integrity of tissue as well as the remarkable specific properties of certain tissues.
Composition of the Extracellular Matrix
The extracellular matrix (ECM) is commonly composed of ground substance, a gel-like fluid, fibrous components, and many structurally and functionally diverse...
9.4K


