VIỆN NGHIÊN CỨU ỨNG DỤNG CÔNG NGHỆ TẾ BÀO 幹細胞応用研究所
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Exosomes có nguồn gốc từ Tế bào gốc trung mô có thể là chiến lược điều trị mới cho bệnh gan

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Experimental & Molecular Medicine (2017) 49, e346; doi:10.1038/emm.2017.63
© 2017 KSBMB. All rights reserved 2092-6413/17
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www.nature.com/emm

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Mesenchymal stem cell-derived exosomes as a new therapeutic strategy for liver diseases

Guohua Lou1,2, Zhi Chen1,2, Min Zheng1,2 and Yanning Liu1,2

The administration of mesenchymal stem cells (MSCs) as a therapy for liver disease holds great promise. MSCs can differentiate into hepatocytes, reduce liver inflammation, promote hepatic regeneration and secrete protective cytokines. However, the risks of iatrogenic tumor formation, cellular rejection and infusional toxicity in MSC transplantation remain unresolved. Accumulating evidence now suggests that a novel cell-free therapy, MSC-secreted exosomes, might constitute a compelling alternative because of their advantages over the corresponding MSCs. They are smaller and less complex than their parent cells and, thus, easier to produce and store, they are devoid of viable cells, and they present no risk of tumor formation. Moreover, they are less immunogenic than their parent cells because of their lower content in membrane-bound proteins. This paper reviews the biogenesis of MSC exosomes and their physiological functions, and highlights the specific biochemical potential of MSC-derived exosomes in restoring tissue homeostasis. In addition, we summarize the recent advances in the role of exosomes in MSC therapy for various liver diseases, including liver fibrosis, acute liver injury and hepatocellular carcinoma. This paper also discusses the potential challenges and strategies in the use of exosome-based therapies for liver disease in the future.

Experimental & Molecular Medicine (2017) 49, e346; doi:10.1038/emm.2017.63; published online 16 June 2017
 
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