Exosome-based cell therapy for diabetic foot ulcers: Present and prospect

Diabetic foot ulcers (DFUs) represent a serious complication of diabetes with high incidence, requiring intensive treatment, prolonged hospitalization, and high costs. It poses a severe threat to the patient's life, resulting in substantial burdens on patient and healthcare system. However, the...

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Main Authors: Zhou Yang, Mengling Yang, Shunli Rui, Wei Hao, Xiaohua Wu, Lian Guo, David G. Armstrong, Cheng Yang, Wuquan Deng
Format: Article
Language:English
Published: Elsevier 2024-10-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024152826
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author Zhou Yang
Mengling Yang
Shunli Rui
Wei Hao
Xiaohua Wu
Lian Guo
David G. Armstrong
Cheng Yang
Wuquan Deng
author_facet Zhou Yang
Mengling Yang
Shunli Rui
Wei Hao
Xiaohua Wu
Lian Guo
David G. Armstrong
Cheng Yang
Wuquan Deng
author_sort Zhou Yang
collection DOAJ
description Diabetic foot ulcers (DFUs) represent a serious complication of diabetes with high incidence, requiring intensive treatment, prolonged hospitalization, and high costs. It poses a severe threat to the patient's life, resulting in substantial burdens on patient and healthcare system. However, the therapy of DFUs remains challenging. Therefore, exploring cell-free therapies for DFUs is both critical and urgent. Exosomes, as crucial mediators of intercellular communication, have been demonstrated potentially effective in anti-inflammation, angiogenesis, cell proliferation and migration, and collagen deposition. These functions have been proven beneficial in all stages of diabetic wound healing. This review aims to summarize the role and mechanisms of exosomes from diverse cellular sources in diabetic wound healing research. In addition, we elaborate on the challenges for clinical application, discuss the advantages of membrane vesicles as exosome mimics in wound healing, and present the therapeutic potential of exosomes and their mimetic vesicles for future clinical applications.
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institution Kabale University
issn 2405-8440
language English
publishDate 2024-10-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj-art-9f6f28d7be1a4d27aedf60f00ed33c582024-11-12T05:20:11ZengElsevierHeliyon2405-84402024-10-011020e39251Exosome-based cell therapy for diabetic foot ulcers: Present and prospectZhou Yang0Mengling Yang1Shunli Rui2Wei Hao3Xiaohua Wu4Lian Guo5David G. Armstrong6Cheng Yang7Wuquan Deng8Department of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, ChinaDepartment of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, ChinaDepartment of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, ChinaDepartment of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, ChinaDepartment of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, ChinaDepartment of Endocrinology, School of Medicine, Chongqing University Three Gorges Central Hospital, Chongqing, 404000, ChinaDepartment of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, 90033, USADepartment of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, China; Corresponding author.Department of Endocrinology and Metabolism, School of Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, 400014, China; Corresponding author.Diabetic foot ulcers (DFUs) represent a serious complication of diabetes with high incidence, requiring intensive treatment, prolonged hospitalization, and high costs. It poses a severe threat to the patient's life, resulting in substantial burdens on patient and healthcare system. However, the therapy of DFUs remains challenging. Therefore, exploring cell-free therapies for DFUs is both critical and urgent. Exosomes, as crucial mediators of intercellular communication, have been demonstrated potentially effective in anti-inflammation, angiogenesis, cell proliferation and migration, and collagen deposition. These functions have been proven beneficial in all stages of diabetic wound healing. This review aims to summarize the role and mechanisms of exosomes from diverse cellular sources in diabetic wound healing research. In addition, we elaborate on the challenges for clinical application, discuss the advantages of membrane vesicles as exosome mimics in wound healing, and present the therapeutic potential of exosomes and their mimetic vesicles for future clinical applications.http://www.sciencedirect.com/science/article/pii/S2405844024152826Diabetic foot ulcersWound healingExosomesMembrane vesiclesRegenerative medicine
spellingShingle Zhou Yang
Mengling Yang
Shunli Rui
Wei Hao
Xiaohua Wu
Lian Guo
David G. Armstrong
Cheng Yang
Wuquan Deng
Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
Heliyon
Diabetic foot ulcers
Wound healing
Exosomes
Membrane vesicles
Regenerative medicine
title Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
title_full Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
title_fullStr Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
title_full_unstemmed Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
title_short Exosome-based cell therapy for diabetic foot ulcers: Present and prospect
title_sort exosome based cell therapy for diabetic foot ulcers present and prospect
topic Diabetic foot ulcers
Wound healing
Exosomes
Membrane vesicles
Regenerative medicine
url http://www.sciencedirect.com/science/article/pii/S2405844024152826
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