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Review
. 2023 Apr 11;14(1):71.
doi: 10.1186/s13287-023-03295-7.

Research progress of engineered mesenchymal stem cells and their derived exosomes and their application in autoimmune/inflammatory diseases

Affiliations
Review

Research progress of engineered mesenchymal stem cells and their derived exosomes and their application in autoimmune/inflammatory diseases

Xueqing Zhu et al. Stem Cell Res Ther. .

Abstract

Autoimmune/inflammatory diseases affect many people and are an important cause of global incidence and mortality. Mesenchymal stem cells (MSCs) have low immunogenicity, immune regulation, multidifferentiation and other biological characteristics, play an important role in tissue repair and immune regulation and are widely used in the research and treatment of autoimmune/inflammatory diseases. In addition, MSCs can secrete extracellular vesicles with lipid bilayer structures under resting or activated conditions, including exosomes, microparticles and apoptotic bodies. Among them, exosomes, as the most important component of extracellular vesicles, can function as parent MSCs. Although MSCs and their exosomes have the characteristics of immune regulation and homing, engineering these cells or vesicles through various technical means, such as genetic engineering, surface modification and tissue engineering, can further improve their homing and other congenital characteristics, make them specifically target specific tissues or organs, and improve their therapeutic effect. This article reviews the advanced technology of engineering MSCs or MSC-derived exosomes and its application in some autoimmune/inflammatory diseases by searching the literature published in recent years at home and abroad.

Keywords: Autoimmune diseases; Exosomes; Genetic engineering; Mesenchymal stem cells; Surface modification; Tissue engineering.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Technologies for engineering MSCs or MSC-exos. MSCs or MSC-exos can be modified by genetic engineering, surface modification and tissue engineering. Genetic engineering includes viral and nonviral methods. In addition, gene editing technology can also be used to achieve accurate editing of target genes. Surface modification includes covalent and noncovalent modifications. In addition, MSCs and MSC-exos can be modified with tissue engineering technology in combination with biological scaffold materials. In the treatment of autoimmune diseases, engineered MSCs or MSC-exos can further improve their targeted homing in patients to better play the role of tissue repair and immunomodulation. Created by myself

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