Role of exosomes in dental and craniofacial regeneration – A review

IF 2.5 4区 生物学 Q1 ANATOMY & MORPHOLOGY Tissue & cell Pub Date : 2025-04-01 Epub Date: 2024-12-22 DOI:10.1016/j.tice.2024.102684
Arwa Daghrery , Isaac Jordão de Souza Araújo , Joana Faria Marques , Mahdieh Alipour , Revan Birke Koca Ünsal , Bavya Mavila Chathoth , Gowri Sivaramakrishnan , Sara Delgadillo-Barrera , Akhilanand Chaurasia
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Abstract

Background

The treatment of congenital deformities, traumatic injuries, infectious diseases, and tumors in the craniomaxillofacial (CMF) region is complex due to the intricate nature of the tissues involved. Conventional treatments such as bone grafts and cell transplantation face limitations, including the need for multiple surgeries, complications, and safety concerns.

Objective

This paper aims to provide a comprehensive analysis of the role of exosomes (EXOs) in CMF and dental tissue regeneration and to explore their potential applications in regenerative dental medicine.

Methods

An extensive review of advancements in tissue engineering, materials sciences, and nanotechnology was conducted to evaluate the development of delivery systems for EXOs-based therapies. The analysis included how EXOs, as nanovesicles released by cells, can be modified to target specific cells or loaded with functional molecules for drug or gene delivery.

Results

EXOs have emerged as a promising alternative to cell transplant therapy, offering a safer method for cell communication and epigenetic control. EXOs transport important proteins and genetic materials, facilitating intercellular communication and delivering therapeutics effectively. The potential of EXOs in personalized medicine, particularly in diagnosing, customizing treatment, and predicting patient responses, is highlighted.

Conclusion

EXO-mediated therapy holds significant potential for advancing tissue regeneration, offering targeted, personalized treatment options with reduced side effects. However, challenges in purification, production, and standardized protocols need to be addressed before its clinical application can be fully realized.
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外泌体在牙齿和颅面再生中的作用综述。
背景:颅颌面(CMF)区域先天性畸形、外伤性损伤、感染性疾病和肿瘤的治疗是复杂的,因为所涉及的组织复杂。骨移植和细胞移植等传统治疗方法存在局限性,包括需要多次手术、并发症和安全问题。目的:全面分析外泌体(EXOs)在CMF和牙组织再生中的作用,并探讨其在再生口腔医学中的潜在应用。方法:对组织工程、材料科学和纳米技术的进展进行了广泛的回顾,以评估基于exos疗法的递送系统的发展。分析包括exo作为细胞释放的纳米囊泡如何被修饰以靶向特定细胞或装载用于药物或基因传递的功能分子。结果:exo已成为细胞移植治疗的一种有希望的替代方法,为细胞通信和表观遗传控制提供了一种更安全的方法。exo转运重要的蛋白质和遗传物质,促进细胞间通讯和有效地提供治疗。exo在个性化医疗方面的潜力,特别是在诊断、定制治疗和预测患者反应方面,得到了强调。结论:exo介导的治疗在促进组织再生方面具有重要的潜力,提供了有针对性的、个性化的治疗选择,同时减少了副作用。然而,在充分实现其临床应用之前,需要解决纯化、生产和标准化方案方面的挑战。
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来源期刊
Tissue & cell
Tissue & cell 医学-解剖学与形态学
CiteScore
3.90
自引率
0.00%
发文量
234
期刊介绍: Tissue and Cell is devoted to original research on the organization of cells, subcellular and extracellular components at all levels, including the grouping and interrelations of cells in tissues and organs. The journal encourages submission of ultrastructural studies that provide novel insights into structure, function and physiology of cells and tissues, in health and disease. Bioengineering and stem cells studies focused on the description of morphological and/or histological data are also welcomed. Studies investigating the effect of compounds and/or substances on structure of cells and tissues are generally outside the scope of this journal. For consideration, studies should contain a clear rationale on the use of (a) given substance(s), have a compelling morphological and structural focus and present novel incremental findings from previous literature.
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