Therapeutics of the future: Navigating the pitfalls of extracellular vesicles research from an osteoarthritis perspective

IF 15.5 1区 医学 Q1 CELL BIOLOGY Journal of Extracellular Vesicles Pub Date : 2024-06-28 DOI:10.1002/jev2.12435
Antoine Karoichan, Sarah Boucenna, Maryam Tabrizian
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Abstract

Extracellular vesicles have gained wide momentum as potential therapeutics for osteoarthritis, a highly prevalent chronic disease that still lacks an approved treatment. The membrane-bound vesicles are secreted by all cells carrying different cargos that can serve as both disease biomarkers and disease modifiers. Nonetheless, despite a significant peak in research regarding EVs as OA therapeutics, clinical implementation seems distant. In addition to scalability and standardization challenges, researchers often omit to focus on and consider the proper tropism of the vesicles, the practicality and relevance of their source, their low native therapeutic efficacy, and whether they address the disease as a whole. These considerations are necessary to better understand EVs in a clinical light and have been comprehensively discussed and ultimately summarized in this review into a conceptualized framework termed the nanodiamond concept. Future perspectives are also discussed, and alternatives are presented to address some of the challenges and concerns.

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未来的疗法:从骨关节炎的角度看细胞外囊泡研究的陷阱。
细胞外囊泡作为治疗骨关节炎的潜在疗法已获得广泛关注。膜结合囊泡由所有细胞分泌,携带不同的载体,可作为疾病生物标志物和疾病调节剂。然而,尽管有关将 EVs 作为 OA 治疗药物的研究达到了一个显著的高峰,但临床应用似乎还很遥远。除了可扩展性和标准化方面的挑战外,研究人员往往忽略了对囊泡的适当滋养性、囊泡来源的实用性和相关性、囊泡的低原生疗效以及囊泡是否能从整体上治疗疾病等问题的关注和考虑。要从临床角度更好地理解 EVs,就必须考虑这些因素,本综述对这些因素进行了全面讨论,并最终将其总结为一个概念化框架,称为纳米钻石概念。本综述还讨论了未来的前景,并提出了解决某些挑战和问题的替代方案。
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来源期刊
Journal of Extracellular Vesicles
Journal of Extracellular Vesicles Biochemistry, Genetics and Molecular Biology-Cell Biology
CiteScore
27.30
自引率
4.40%
发文量
115
审稿时长
12 weeks
期刊介绍: The Journal of Extracellular Vesicles is an open access research publication that focuses on extracellular vesicles, including microvesicles, exosomes, ectosomes, and apoptotic bodies. It serves as the official journal of the International Society for Extracellular Vesicles and aims to facilitate the exchange of data, ideas, and information pertaining to the chemistry, biology, and applications of extracellular vesicles. The journal covers various aspects such as the cellular and molecular mechanisms of extracellular vesicles biogenesis, technological advancements in their isolation, quantification, and characterization, the role and function of extracellular vesicles in biology, stem cell-derived extracellular vesicles and their biology, as well as the application of extracellular vesicles for pharmacological, immunological, or genetic therapies. The Journal of Extracellular Vesicles is widely recognized and indexed by numerous services, including Biological Abstracts, BIOSIS Previews, Chemical Abstracts Service (CAS), Current Contents/Life Sciences, Directory of Open Access Journals (DOAJ), Journal Citation Reports/Science Edition, Google Scholar, ProQuest Natural Science Collection, ProQuest SciTech Collection, SciTech Premium Collection, PubMed Central/PubMed, Science Citation Index Expanded, ScienceOpen, and Scopus.
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