Looking Beyond PRP, Exosomes, and Stem Cells

Faraz Yousefian, Marianne Cortes, Sujitha Yadlapati, Michael Gold
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Abstract

Background

The history of stem cells in dermatology is marked by significant discoveries and advancements. Stem cells, which possess the ability to differentiate into various cell types and self-renew, have played crucial roles in maintaining tissue integrity and facilitating wound healing. PRP has additionally emerged as a potent therapeutic agent with widespread applications due to its regenerative properties driven by platelets, and various growth factors. The newest addition to the regenerative medicine toolbox has been exosomes and extracellular vesicles containing biomolecules, offering a minimally invasive approach through non-cell therapy. These vesicles impact crucial cellular functions such as proliferation, migration, and apoptosis.

Aim

We aim to provide a comprehensive review on the history and future implications of stem cells, PRP, and exosomes in the fields of regenerative medicine and dermatology. This paper highlights the importance of ongoing research and development in optimizing these therapies for clinical applications, ultimately aiming to improve patient outcomes and quality of life.

Methods

A literature search was conducted on PubMed reviewing stem cells, PRP, MeSH, and exosomes and their application in the field of dermatology.

Results

The use of stem cells, PRP, and exosomes suggests the great advancements that we have made in regenerative medicine. The tight regulation of stem cells and their byproducts has halted further application of these novel modalities and suggested a need for further research and studies. Although this has slowed down the process of using these powerful tools, we are still continuing to understand the functions and implications of stem cells and their byproducts. With a new emphasis on non-cell therapy through exosomes and PRP, we are still able to apply these methods to ameliorate chronic dermatological diseases such as chronic wounds, scarring, androgenetic alopecia (ANA), and aesthetics.

Conclusions

Although the field of regenerative medicine is looking promising with its various novel additions, there is still work that needs to be done such as regulatory hurdles, safety concerns, and the need for standardization of isolation, storage, dosage, and application.

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超越 PRP、外泌体和干细胞的视野
背景干细胞在皮肤病学中的历史以重大发现和进步为标志。干细胞具有分化成各种细胞类型和自我更新的能力,在保持组织完整性和促进伤口愈合方面发挥着至关重要的作用。此外,血小板和各种生长因子的再生特性使 PRP 成为一种有效的治疗剂,并得到广泛应用。再生医学工具箱中最新增加了外泌体和含有生物分子的细胞外囊泡,通过非细胞疗法提供了一种微创方法。这些囊泡对增殖、迁移和凋亡等关键细胞功能产生影响。 目的 我们旨在全面回顾干细胞、PRP 和外泌体在再生医学和皮肤病学领域的历史和未来影响。本文强调了在临床应用中不断研究和开发优化这些疗法的重要性,最终目的是改善患者的治疗效果和生活质量。 方法 在PubMed上对干细胞、PRP、MeSH和外泌体及其在皮肤科领域的应用进行了文献检索。 结果 干细胞、PRP 和外泌体的使用表明我们在再生医学方面取得了巨大进步。对干细胞及其副产品的严格监管阻止了这些新模式的进一步应用,并表明需要进一步的研究和调查。虽然这延缓了使用这些强大工具的进程,但我们仍在继续了解干细胞及其副产品的功能和意义。随着外泌体和PRP成为非细胞疗法的新重点,我们仍然能够应用这些方法来改善慢性皮肤病,如慢性伤口、疤痕、雄激素性脱发(ANA)和美学。 结论 尽管再生医学领域前景广阔,有各种新颖的添加物,但仍有许多工作要做,如监管障碍、安全问题以及分离、储存、剂量和应用标准化的需要。
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