Pathogenic or Therapeutic Extracellular Vesicles in Rheumatic Diseases: Role of Mesenchymal Stem Cell-Derived Vesicles
- PMID: 28441721
- PMCID: PMC5412468
- DOI: 10.3390/ijms18040889
Pathogenic or Therapeutic Extracellular Vesicles in Rheumatic Diseases: Role of Mesenchymal Stem Cell-Derived Vesicles
Abstract
Extracellular vesicles (EVs) are important mediators of cell-to-cell communication pathways via the transport of proteins, mRNA, miRNA and lipids. There are three main types of EVs, exosomes, microparticles and apoptotic bodies, which are classified according to their size and biogenesis. EVs are secreted by all cell types and their function reproduces that of the parental cell. They are involved in many biological processes that regulate tissue homeostasis and physiopathology of diseases. In rheumatic diseases, namely osteoarthritis (OA) and rheumatoid arthritis (RA), EVs have been isolated from synovial fluid and shown to play pathogenic roles contributing to progression of both diseases. By contrast, EVs may have therapeutic effect via the delivery of molecules that may stop disease evolution. In particular, EVs derived from mesenchymal stem cells (MSCs) reproduce the main functions of the parental cells and therefore represent the ideal type of EVs for modulating the course of either disease. The aim of this review is to discuss the role of EVs in OA and RA focusing on their potential pathogenic effect and possible therapeutic options. Special attention is given to MSCs and MSC-derived EVs for modulating OA and RA progression with the perspective of developing innovative therapeutic strategies.
Keywords: cell therapy; exosome; extracellular vesicle; mesenchymal stem cell; microparticle; osteoarthritis; rheumatoid arthritis.
Conflict of interest statement
The authors declare no conflict of interest.
Similar articles
-
Immunomodulatory Effects of Mesenchymal Stem Cells and Mesenchymal Stem Cell-Derived Extracellular Vesicles in Rheumatoid Arthritis.Front Immunol. 2020 Aug 20;11:1912. doi: 10.3389/fimmu.2020.01912. eCollection 2020. Front Immunol. 2020. PMID: 32973792 Free PMC article. Review.
-
The Role of Extracellular Vesicles in the Pathogenesis and Treatment of Rheumatoid Arthritis and Osteoarthritis.Cells. 2023 Nov 27;12(23):2716. doi: 10.3390/cells12232716. Cells. 2023. PMID: 38067147 Free PMC article. Review.
-
Advances in Regenerative Therapies for Inflammatory Arthritis: Exploring the Potential of Mesenchymal Stem Cells and Extracellular Vesicles.Int J Mol Sci. 2025 Jun 16;26(12):5766. doi: 10.3390/ijms26125766. Int J Mol Sci. 2025. PMID: 40565230 Free PMC article. Review.
-
Mesenchymal Stem Cell-Derived Extracellular Vesicles to the Rescue of Renal Injury.Int J Mol Sci. 2021 Jun 20;22(12):6596. doi: 10.3390/ijms22126596. Int J Mol Sci. 2021. PMID: 34202940 Free PMC article. Review.
-
Human umbilical cord mesenchymal stem cell-derived extracellular vesicles: A novel therapeutic paradigm.J Cell Physiol. 2020 Feb;235(2):706-717. doi: 10.1002/jcp.29004. Epub 2019 Jun 28. J Cell Physiol. 2020. PMID: 31254289 Review.
Cited by
-
Mesenchymal Stem Cell-Derived Exosomes: A Promising Therapeutic Ace Card to Address Autoimmune Diseases.Int J Stem Cells. 2020 Mar 30;13(1):13-23. doi: 10.15283/ijsc19108. Int J Stem Cells. 2020. PMID: 31887849 Free PMC article. Review.
-
Inhibitory Effects of iPSC-MSCs and Their Extracellular Vesicles on the Onset of Sialadenitis in a Mouse Model of Sjögren's Syndrome.Stem Cells Int. 2018 Mar 15;2018:2092315. doi: 10.1155/2018/2092315. eCollection 2018. Stem Cells Int. 2018. PMID: 29736173 Free PMC article.
-
Macrophages: The Good, the Bad, and the Gluttony.Front Immunol. 2021 Aug 12;12:708186. doi: 10.3389/fimmu.2021.708186. eCollection 2021. Front Immunol. 2021. PMID: 34456917 Free PMC article. Review.
-
Novel insights into MSC-EVs therapy for immune diseases.Biomark Res. 2019 Mar 18;7:6. doi: 10.1186/s40364-019-0156-0. eCollection 2019. Biomark Res. 2019. PMID: 30923617 Free PMC article. Review.
-
The status and hotspot analysis of research on extracellular vesicles and osteoarthritis: a bibliometric analysis.Front Pharmacol. 2025 Mar 31;16:1484437. doi: 10.3389/fphar.2025.1484437. eCollection 2025. Front Pharmacol. 2025. PMID: 40230694 Free PMC article. Review.
References
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical