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Unveiling Heterogeneity: Innovations and Challenges in Single-Vesicle Analysis for Clinical Translation 揭示异质性:临床翻译单囊泡分析的创新和挑战
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-29 DOI: 10.1002/jev2.70209
Ying Zhang, Xiaotong Meng, David W. Greening, Yiyao Huang, Bo Li, Zhigang Li, Gang Long, Jan Lötvall, Linli Lv, Ivan K. H. Poon, Tong Wang, Jia Xian Law, Tanxi Cai, Fuquan Yang, Lijuan Yu, Lei Zheng, Hang Yin

Extracellular vesicles (EVs) are key mediators of intercellular communication, carrying diverse molecular cargo that reflects the dynamic physiological and pathological state of their source cell. While analyses of the entire vesicular population (bulk EV) have advanced our understanding of their roles in health and disease, these approaches often obscure the heterogeneity inherent in EV populations. Emerging single-vesicle analysis technologies offer unprecedented resolution, enabling the identification of individual EV subpopulations and their distinct molecular signatures. Such approaches, combined with digital platforms, can now analyze individual molecules from single EVs, including single-molecule features such as protein, mRNA, double-stranded DNA and single-stranded DNA. This perspective explores the transformative potential of single EV technologies in clinical diagnostics and therapeutic applications. We highlight key advancements including microfluidic platforms, super-resolution microscopy and AI-driven data analyses, that are shaping and advancing the field and its applications. With the development and advancement of clinically viable single EV technologies, we are beginning to appreciate the complexity and abundance of cell type and specific EVs. We further discussed the challenges of sensitivity, specificity, standardization and scalability hindering these technologies' broad acceptance and feasibility in clinical translation. This perspective paper originates from discussions at the Chinese Society of Extracellular Vesicles (CSEV) annual meeting, held in Guangzhou, China, on 16 November 2024. At this meeting, researchers from various fields of EV research, with a particular emphasis on single EV digital, analytical and quantitative technological platforms, discussed the opportunities and challenges of this emerging single-EV-focused technology. The paper aims to provide a roadmap for integrating single EV technologies into routine EV-research and even clinical practice, paving the way for novel scientific and diagnostic tools, personalized therapies, and a deeper understanding of EV heterogeneity and EV biology.

细胞外囊泡(Extracellular vesic泡,ev)是细胞间通讯的重要媒介,其携带的多种分子货物反映了其来源细胞的动态生理和病理状态。虽然对整个囊泡群(散装囊泡)的分析提高了我们对它们在健康和疾病中的作用的理解,但这些方法往往掩盖了囊泡群固有的异质性。新兴的单囊泡分析技术提供了前所未有的分辨率,能够识别单个EV亚群及其独特的分子特征。这些方法与数字平台相结合,现在可以分析单个电动汽车的单个分子,包括单分子特征,如蛋白质、mRNA、双链DNA和单链DNA。这一观点探讨了单个EV技术在临床诊断和治疗应用中的变革潜力。我们重点介绍了包括微流体平台、超分辨率显微镜和人工智能驱动的数据分析在内的关键进展,这些进展正在塑造和推进该领域及其应用。随着临床可行的单一电动汽车技术的发展和进步,我们开始认识到细胞类型和特异性电动汽车的复杂性和丰富性。我们进一步讨论了在敏感性、特异性、标准化和可扩展性方面的挑战,这些挑战阻碍了这些技术在临床翻译中的广泛接受和可行性。这篇观点论文源于2024年11月16日在中国广州举行的中国细胞外囊泡学会(CSEV)年会上的讨论。在本次会议上,来自电动汽车研究各个领域的研究人员,特别强调了单电动汽车数字化,分析和定量技术平台,讨论了这一新兴的单电动汽车技术的机遇和挑战。本文旨在为将单个EV技术整合到常规EV研究甚至临床实践中提供路线图,为新的科学和诊断工具,个性化治疗以及更深入地了解EV异质性和EV生物学铺平道路。
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引用次数: 0
CKAP4 in Extracellular Vesicle-Derived From Podocyte Serves as a Non-Invasive Diagnostic Biomarker for Diabetic Nephropathy and Promotes Vascular Calcification 足细胞来源的细胞外囊泡中的CKAP4可作为糖尿病肾病的无创诊断生物标志物并促进血管钙化
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-29 DOI: 10.1002/jev2.70208
Heng Zhang, Kaibin Lou, Li Qian, Min Zhang, Jie Li, Lizhi Lv, Fang Lu, Guiyang He, Chong Wu, Junxiang Wu, Meng Jia, Yang Bai, Shuang Qu, Meng Liu, Laping Chu, Yangtian Wang, Dafa Ding, Ke Zen, Yanggang Yuan, Hongwei Liang

Reliable non-invasive biomarkers for early detection of diabetic nephropathy (DN), a leading cause of chronic kidney disease, remain limited. In this study, we isolate urinary extracellular vesicles (uEVs) using wheat germ agglutinin (WGA)-conjugated magnetic beads and identify cytoskeleton-associated protein 4 (CKAP4) as a potential diagnostic biomarker for DN. Proteomic profiling and flow cytometry show that CKAP4 levels are significantly higher in uEVs from DN patients than in those from diabetic, non-diabetic renal disease (NDRD) and healthy control groups. Receiver operating characteristic (ROC) analysis demonstrates excellent diagnostic performance, with area under the curve (AUC) values of 0.9998 (sensitivity = 98.77%, specificity = 100%) for DN versus controls, and 0.9859 (sensitivity = 95.72%, specificity = 99.24%) for DN versus diabetes mellitus. CKAP4 levels, elevated even at early-stage DN, positively correlate with glomerulosclerosis, increasing with the severity of interstitial fibrosis and tubular atrophy (IFTA). Mechanistically, CKAP4-containing EVs derived from high glucose-treated podocytes promote vascular calcification in vascular smooth muscle cells via YAP signalling. These findings identify CKAP4 in podocyte-derived uEVs as a robust non-invasive biomarker for early DN detection and provide new insights into the vascular pathology associated with the disease.

糖尿病肾病(DN)是慢性肾脏疾病的主要原因,但用于早期检测的可靠的非侵入性生物标志物仍然有限。在这项研究中,我们使用小麦胚芽凝集素(WGA)偶联磁珠分离尿细胞外囊泡(uEVs),并鉴定细胞骨架相关蛋白4 (CKAP4)作为DN的潜在诊断生物标志物。蛋白质组学分析和流式细胞术显示,DN患者uEVs中CKAP4水平显著高于糖尿病、非糖尿病肾病(NDRD)和健康对照组。受试者工作特征(ROC)分析显示了良好的诊断效果,DN与对照组的曲线下面积(AUC)值为0.9998(灵敏度= 98.77%,特异性= 100%),DN与糖尿病的曲线下面积(AUC)值为0.9859(灵敏度= 95.72%,特异性= 99.24%)。CKAP4水平,即使在早期DN升高,与肾小球硬化呈正相关,随着间质纤维化和小管萎缩(IFTA)的严重程度而增加。机制上,高葡萄糖处理足细胞衍生的含有ckap4的EVs通过YAP信号传导促进血管平滑肌细胞的血管钙化。这些发现确定了CKAP4在足细胞衍生的uEVs中作为早期DN检测的强大的非侵入性生物标志物,并为与该疾病相关的血管病理学提供了新的见解。
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引用次数: 0
Engineered Low-Endotoxin Bacterial Biomimetic Vesicles for Enhanced Oral Dual-Antigen Subunit Vaccine Delivery 用于增强口服双抗原亚单位疫苗递送的工程低内毒素细菌仿生囊泡
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-29 DOI: 10.1002/jev2.70207
Xuegang Shen, Shujie Wang, Kunying Qiu, Zeqing Liu, Xiaoxiao Tian, Fandan Meng, Yan-Dong Tang, Haiwei Wang, Mingxia Sun, Xue-Hui Cai, Tong-Qing An, Yong-Bo Yang

Subunit vaccines are promising for disease prevention because of their safety and cost-effectiveness. However, their efficacy is limited by low immunogenicity and gastrointestinal degradation after oral administration. To address this issue, low-endotoxin Salmonella choleraesuis strain SC-L3 was engineered via lipid A modification to generate bacterial biomimetic vesicles (BBVs) with reduced endotoxin activity. BBVs were functionalized using ClyA-embedded SpyCatcher and Streptococcus protein G for dual antigen coupling, and further coated with chitosan oligosaccharides (COS) to enhance mucosal penetration and gastrointestinal stability. Using mCherry as a model antigen, we obtained optimized mCherry-CSS-BBV@COS that showed high antigen protection rates (83% and 63% in simulated gastric and intestinal fluids, respectively), capacity for lysosomal escape and effective stimulation of M1 macrophage polarization in vitro. Oral administration of mCherry-CSS-BBV@COS elicited robust systemic IgG and mucosal sIgA responses in mice. Furthermore, dual-antigen BBV conjugates (GDH-gD-Fc-CSS-BBV@COS) co-delivering Streptococcus suis glutamate dehydrogenase and pseudorabies virus gD-Fc induced antigen-specific humoral, mucosal and cellular immunity, conferring complete protection against lethal challenges with the respective pathogens. In summary, we generated a versatile, low-endotoxin BBV platform for oral combination subunit vaccines, offering a novel strategy for protection against viral and bacterial infections.

亚单位疫苗因其安全性和成本效益而有望用于疾病预防。然而,口服后免疫原性低和胃肠道降解限制了其疗效。为了解决这一问题,通过脂质A修饰低内毒素霍乱沙门氏菌SC-L3菌株,产生具有降低内毒素活性的细菌仿生囊泡(bbv)。利用clya包埋的SpyCatcher和链球菌蛋白G对bbv进行双抗原偶联,并进一步用壳聚糖(COS)包被bbv以增强粘膜穿透性和胃肠道稳定性。以mCherry作为模型抗原,我们获得了优化后的mCherry-CSS-BBV@COS,该抗原在体外具有较高的抗原保护率(在模拟胃液和肠液中分别为83%和63%)、溶酶体逃逸能力和对M1巨噬细胞极化的有效刺激。口服mCherry-CSS-BBV@COS可引起小鼠全身IgG和黏膜sIgA反应。此外,双抗原BBV缀合物(GDH-gD-Fc-CSS-BBV@COS)共同递送猪链球菌谷氨酸脱氢酶和假狂犬病毒gD-Fc诱导抗原特异性体液、粘膜和细胞免疫,赋予完全保护免受各自病原体的致命挑战。总之,我们为口服联合亚单位疫苗建立了一个通用的、低内毒素的BBV平台,为预防病毒和细菌感染提供了一种新的策略。
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引用次数: 0
Dual-Function Plant-Derived Nanovesicles From Regenerated Cannabis sativa Roots for Immunotherapy and Vaccine Delivery 从再生大麻根中提取双功能植物源纳米囊泡用于免疫治疗和疫苗递送
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-29 DOI: 10.1002/jev2.70206
Su Hyun Park, Han-Gyu Choi, Zhun Li, Yun Hye Kim, Hyeon Jin Lee, Ki-Won Shin, Hwa-Jung Kim, Hyung-Jun Kwon, Gimoon Seo, Jae Cheol Jeong, Young Bae Ryu, Woo Sik Kim

Cannabis sativa is a medicinal plant that produces a diverse array of pharmacologically active metabolites, making it a valuable resource for pharmaceutical applications. In this study, an adventitious root (AR) culture system was established from C. sativa using two representative plant growth regulators—naphthaleneacetic acid (NAA; hereafter referred to as N-ARs) and indole-3-butyric acid (IBA; hereafter referred to as I-ARs) —from which plant-derived nanovesicles (PDNVs) were subsequently isolated (hereafter N-PDNVs and I-PDNVs, respectively). The resulting N-PDNVs and I-PDNVs exhibited average diameters of 128 ± 2 and 124 ± 4 nm, respectively, with zeta potentials of −12.9 and −15.7 mV. Both PDNV types maintained structural integrity and colloidal stability under diverse external stress conditions, underscoring their physicochemical robustness. Metabolite profiling of PDNVs revealed 25 distinct metabolites. Functionally, I-PDNVs markedly enhanced dendritic cell maturation through Toll-like receptor 2 (TLR2)- and TLR4-dependent pathways, promoted T cell proliferation and activation (notably IFN-γ- and IL-17A-producing subsets), and increased natural killer (NK) cell activity compared with N-PDNVs. In immunosuppressed and tumour-bearing mouse models, I-PDNVs further augmented NK cell, Th1 and cytotoxic T lymphocyte (CTL) responses, thereby confirming their superior potential as immunotherapeutic agents. Moreover, in immunized mouse models, OVA257-264-encapsulated I-PDNVs demonstrated a clear advantage as a vaccine delivery platform by eliciting a potent OVA257-264-specific CTL response. When applied as a prophylactic cancer vaccine, they not only delayed tumour growth but also reshaped the antitumour immune landscape, characterized by enhanced CTL responses, reduced regulatory T cell frequencies and diminished exhausted CD8⁺ T cell populations. Collectively, these findings highlight the potential of I-PDNVs as dual-function PDNVs, serving both as immunotherapeutic agents and as vaccine delivery platforms for applications requiring reinforced Th1, CTL and NK cell responses.

大麻是一种药用植物,产生多种药理活性代谢物,使其成为药物应用的宝贵资源。本研究利用两种具有代表性的植物生长调节剂萘乙酸(NAA,以下简称N-ARs)和吲哚-3-丁酸(IBA,以下简称I-ARs)建立了苜蓿不定根(AR)培养体系,并从中分离出植物源性纳米囊泡(pdnv,以下分别为n - pdnv和i - pdnv)。得到的n - pdnv和i - pdnv的平均直径分别为128±2和124±4 nm, zeta电位分别为- 12.9和- 15.7 mV。两种PDNV类型在不同的外部应力条件下都保持了结构完整性和胶体稳定性,强调了它们的物理化学稳健性。PDNVs的代谢物分析显示了25种不同的代谢物。在功能上,与n - pdnv相比,i - pdnv通过toll样受体2 (TLR2)-和tlr4依赖性途径显著促进树突状细胞成熟,促进T细胞增殖和活化(特别是产生IFN-γ-和il - 17a的亚群),并增加自然杀伤细胞(NK)活性。在免疫抑制和荷瘤小鼠模型中,i - pdnv进一步增强NK细胞、Th1和细胞毒性T淋巴细胞(CTL)反应,从而证实了它们作为免疫治疗剂的优越潜力。此外,在免疫小鼠模型中,ova257 -264封装的i - pdnv通过引发有效的ova257 -264特异性CTL反应,显示出作为疫苗递送平台的明显优势。当作为预防性癌症疫苗使用时,它们不仅延迟了肿瘤生长,而且重塑了抗肿瘤免疫景观,其特征是CTL反应增强,调节性T细胞频率降低,耗尽的CD8 + T细胞群减少。总的来说,这些发现突出了i - pdnv作为双重功能pdnv的潜力,既可以作为免疫治疗剂,也可以作为需要增强Th1、CTL和NK细胞反应的应用的疫苗递送平台。
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引用次数: 0
Breast Cancer-Secreted DPP3 Promotes Lung Metastasis by Remodelling the Vascular Niche in Lung via the Rap1 Signalling Pathway 乳腺癌分泌的DPP3通过Rap1信号通路重塑肺血管生态位促进肺转移
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-28 DOI: 10.1002/jev2.70182
Xu Li, Sheng Hu, Ziqi Yuan, Xiaoyu Fu, Xiaohui Zhang, Liu Liu, Chaoqun Wang, Wei Yan, Juanjuan Li

Metastasis is the leading cause of death related to breast cancer. Premetastatic niches (PMNs), which are remodelled by the primary tumours in distant organs, are essential for the colonisation of disseminated cancer cells. The vascular niche is among the most pivotal PMNs in breast cancer lung metastasis, and the underlying mechanism remains unclear. Here, we report that breast cancer cells secrete dipeptidyl peptidase 3 (DPP3) via small extracellular vesicles (sEVs) to promote lung metastasis. Mechanistically, circulating DPP3 upregulates RAPGEF4 to activate the Rap1 signalling pathway in the lung endothelial cells through the DPP3–PFKP–YBX1 axis and promotes angiogenesis to remodel the vascular niche, thereby increasing lung metastasis. In addition, ARF4 recognises ISGylated DPP3, which facilitates its packaging into sEVs in breast cancer cells. Finally, treatment with losartan pharmacologically inhibits the ISGylation of DPP3, preventing its secretion via sEVs. In summary, our findings demonstrate that DPP3, which is encapsulated in sEVs and secreted by breast cancer cells, regulates angiogenesis in the lung and remodels vascular niches to promote breast cancer lung metastasis, making it a potential target for the diagnosis and treatment of breast cancer metastasis.

转移是乳腺癌死亡的主要原因。转移前壁龛(pmn)是由远处器官的原发肿瘤重塑的,对于播散性癌细胞的定植是必不可少的。血管生态位是乳腺癌肺转移中最关键的PMNs之一,其潜在机制尚不清楚。在这里,我们报道乳腺癌细胞通过小细胞外囊泡(sev)分泌二肽基肽酶3 (DPP3)促进肺转移。机制上,循环DPP3通过DPP3 - pfkp - ybx1轴上调RAPGEF4,激活肺内皮细胞Rap1信号通路,促进血管生成,重塑血管生态位,从而增加肺转移。此外,ARF4识别isgayated DPP3,这有助于其在乳腺癌细胞中包装成sev。最后,氯沙坦在药理学上抑制DPP3的isg酰化,阻止其通过sev分泌。综上所述,我们的研究结果表明,DPP3被包裹在sev中,由乳腺癌细胞分泌,调节肺部血管生成,重塑血管壁龛,促进乳腺癌肺转移,是乳腺癌转移诊断和治疗的潜在靶点。
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引用次数: 0
Cardiac Myofibroblast-Derived Small Extracellular Vesicles Moderate Fibrotic Responses via piRNA-62788/PIWIL2-Mediated SRF Silencing 通过piRNA-62788/ piwil2介导的SRF沉默,心肌成纤维细胞衍生的细胞外小泡中度纤维化反应
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-28 DOI: 10.1002/jev2.70204
Shichao Li, Shuwen Su, Gaopeng Xian, Shunyi Li, Guoheng Zhong, Liming Wen, Dingli Xu, Qingchun Zeng

During fibrogenesis, certain negative feedback loops are elicited to restrain persistent and hyperactive fibrotic responses. Activated fibroblasts have been found to acquire anti-fibrotic phenotypes. However, the specific inhibitory modulators remain largely enigmatic. Thus, the present study aimed to examine the intrinsic autoregulatory mechanisms of fibroblasts. Here, we demonstrated that angiotensin II (AngII)-primed cardiac myofibroblast moderated subsequent profibrotic activation. More importantly, this suppressive action was dependent on small extracellular vesicles (sEVs). Strikingly, small RNA sequencing identified an abundant presence of Piwi-interacting RNAs (piRNAs) in sEVs. In cultured primary cardiac fibroblasts, piRNA-62788 was induced by AngII receptor type 2 (AT2R) stimulation and encapsulated into sEVs. Furthermore, fibrogenic responses were attenuated by piRNA-62788 overexpression, whereas aggravated by piRNA-62788 knockdown. In a mouse model of transverse aortic constriction, either piRNA-62788 agomir or circulating sEVs of patients with heart failure (HF) mitigated adverse cardiac remodelling, while piRNA-62788 inhibitor-containing sEVs accentuated myocardial fibrosis. Mechanistically, piRNA-62788 formed a functional complex with PIWI-like protein 2 (PIWIL2) and bound to the 3’ untranslated region (UTR) region of serum response factor (Srf) mRNA transcripts, leading to inhibition of the SRF signalling. Additionally, plasma sEV-derived piRNA-62788 was significantly upregulated in HF patients and negatively correlated with left ventricular ejection fraction. Collectively, we uncovered a protective negative feedback circuit controlled by AngII/AT2R/sEVs axis. Understanding this endogenous anti-fibrotic pathway may hold therapeutic promise in HF.

在纤维形成过程中,某些负反馈回路被激发以抑制持续和过度活跃的纤维化反应。已发现活化的成纤维细胞获得抗纤维化表型。然而,具体的抑制调节剂在很大程度上仍然是谜。因此,本研究旨在探讨成纤维细胞的内在自我调节机制。在这里,我们证明了血管紧张素II (AngII)引发的心肌成纤维细胞调节了随后的纤维化激活。更重要的是,这种抑制作用依赖于小细胞外囊泡(sev)。引人注目的是,小RNA测序发现sev中大量存在piwi相互作用RNA (piRNAs)。在培养的原代心脏成纤维细胞中,piRNA-62788被AngII受体2型(AT2R)刺激诱导并包被到sev中。此外,piRNA-62788过表达可减弱纤维化反应,而piRNA-62788敲低可加重纤维化反应。在小鼠横断主动脉收缩模型中,心衰(HF)患者的piRNA-62788 agomir或循环sev减轻了不良的心脏重构,而含有piRNA-62788抑制剂的sev加重了心肌纤维化。从机制上讲,piRNA-62788与PIWI-like protein 2 (PIWIL2)形成功能复合物,并结合到血清反应因子(Srf) mRNA转录本的3 '非翻译区(UTR)区域,从而抑制Srf信号传导。此外,血浆sev源性piRNA-62788在HF患者中显著上调,并与左室射血分数呈负相关。我们发现了一个由AngII/AT2R/ sev轴控制的保护性负反馈电路。了解这一内源性抗纤维化途径可能有助于治疗心衰。
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引用次数: 0
Extracellular Vesicles Define Discrete Nano-Based Niches Within the Human Haematopoietic System 细胞外囊泡在人类造血系统中定义离散的纳米基壁龛
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-27 DOI: 10.1002/jev2.70181
Isabelle J. Grenier-Pleau, Christopher J. Wells, Samantha M. Holmes, Christine Hall, Michael Vermeulen, Camille A. de Villiers, Jelle Penders, Simon Vilms Pedersen, Sarah A. Dick, Eric Bonneil, Mykhaylo Slobodyanyuk, Murtaza S. Nagree, Jasleen Kaur, Amy J. M. McNaughton, Jamie Beaulieu, Molly M. Stevens, Stephanie Z. Xie, Michael J. Rauh, Lynne-Marie Postovit, David J. H. F. Knapp, Jüri Reimand, Kathrin Tyryshkin, Pierre Thibault, Andrew W. Craig, John F. Rudan, Steve Mann, Edmond Y. W. Chan, Sheela A. Abraham

Stem cell niches are complex multi-signalling networks comprised of molecular cues and physical interactions, orchestrated by niche-resident cells and the extracellular factors they produce. The bone niche specifically houses haematopoietic stem cells (HSCs), a critical cell type responsible for producing all blood and immune cells throughout life. Currently, how niches facilitate an ideal environment with simultaneously coordinating both intrinsic and extrinsic cellular signals is unknown. Studies presented here identify the existence of unique extracellular vesicle (EV)-defined niches within the haematopoietic system of human individuals. Bridging studies using proteomic signatures, nanoparticle characterization at single-vesicle resolution and machine learning-based techniques reveal that EVs can be grouped by blood, bone marrow and trabeculae within a human individual. Stem cell assays demonstrate that these niche-defined EVs impart functional effects on stem cells/progenitors based on location within the haematopoietic system. Finally, using single-cell transcriptomic analyses, results identify for the first time how niche-sourced EVs differentially affect the most primitive human HSCs and progenitors. This study highlights the significance of nanoparticles on human immunity and blood production and provides evidence for a new role for EVs, namely the demarcation of distinct nano-niches within biological systems.

干细胞壁龛是由分子信号和物理相互作用组成的复杂的多信号网络,由壁龛驻留细胞及其产生的细胞外因子精心策划。骨龛专门容纳造血干细胞(hsc),这是一种重要的细胞类型,负责一生中产生所有血液和免疫细胞。目前,生态位是如何通过同时协调细胞内源性和外源性信号来促进理想环境的尚不清楚。本文提出的研究确定了在人类个体的造血系统中存在独特的细胞外囊泡(EV)定义的生态位。利用蛋白质组学特征、单囊泡分辨率纳米颗粒表征和基于机器学习的技术进行桥接研究表明,EVs可以根据人类个体的血液、骨髓和小梁进行分组。干细胞分析表明,基于造血系统内的位置,这些小生境定义的ev对干细胞/祖细胞具有功能影响。最后,利用单细胞转录组学分析,研究结果首次确定了来自生态位的ev如何对最原始的人类造血干细胞和祖细胞产生不同的影响。这项研究强调了纳米颗粒对人体免疫和血液生成的重要性,并为电动汽车的新作用提供了证据,即在生物系统中划分不同的纳米生态位。
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引用次数: 0
The Role of Extracellular Vesicles in Musculoskeletal Diseases 细胞外囊泡在肌肉骨骼疾病中的作用。
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-23 DOI: 10.1002/jev2.70205
Peng-jie Fu, Yan Luo, Sheng-yuan Zheng, Zhe-ru Ma, Wen-feng Xiao, Hui Li, Yu-sheng Li

Extracellular Vesicles (EVs), nanoscale membrane-bound cell-released structures, are vital for intercellular communication and material transport. Their role in musculoskeletal health and diseases has recently drawn significant attention. This review focuses on the latest EV research in musculoskeletal diseases, including their roles in disease progression and potential as biomarkers and therapies. Musculoskeletal disorders are the third-leading cause of global disability-adjusted life-years among adolescents and young adults. Current treatments face issues like limited tissue regeneration and poor drug targeting. With their natural messenger function and low immunogenicity, EVs have become a research focus. However, their action mechanisms in the musculoskeletal system remain un-systematically understood. This paper reviews EVs’ role in musculoskeletal diseases. It covers classification, biogenesis, release, internalization, cargo and their involvement in muscle cell processes, joint diseases, bone metabolism and disc degeneration. It also explores EVs’ role in musculoskeletal crosstalk and their potential as therapeutic agents and drug carriers through engineering with biomaterials. Future research should delve deeper into EV action mechanisms for better treatments. Overall, while EVs offer new treatment strategies for musculoskeletal diseases, more research is needed to overcome technical and clinical barriers.

细胞外囊泡(EVs)是纳米级膜结合细胞释放结构,对细胞间通讯和物质运输至关重要。它们在肌肉骨骼健康和疾病中的作用最近引起了极大的关注。本文综述了EV在肌肉骨骼疾病中的最新研究进展,包括其在疾病进展中的作用以及作为生物标志物和治疗方法的潜力。肌肉骨骼疾病是全球青少年和年轻人残疾调整生命年的第三大原因。目前的治疗面临着组织再生有限和药物靶向性差等问题。由于其天然的信使功能和低免疫原性,电动汽车已成为研究的热点。然而,它们在肌肉骨骼系统中的作用机制仍未被系统地理解。本文综述了ev在肌肉骨骼疾病中的作用。它包括分类、生物发生、释放、内化、货物及其在肌肉细胞过程、关节疾病、骨代谢和椎间盘退变中的作用。它还探讨了电动汽车在肌肉骨骼串音中的作用,以及它们通过生物材料工程作为治疗剂和药物载体的潜力。未来的研究应深入研究EV的作用机制,以获得更好的治疗。总的来说,虽然电动汽车为肌肉骨骼疾病提供了新的治疗策略,但需要更多的研究来克服技术和临床障碍。
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引用次数: 0
The (in)Significance of Establishing Accurate Extracellular Vesicle Nomenclature 建立准确的细胞外囊泡命名法的意义。
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-20 DOI: 10.1002/jev2.70203
Sunyoung Ham, Luize G. Lima, Andreas Möller

For the past decade, the field of extracellular vesicle (EV) research has vastly expanded (Bazzan et al. 2021). Our knowledge of EV biogenesis, their various roles in intercellular communication, and significant contributions to disease initiation and regulation has quickly developed (Möller and Lobb 2020, Kalluri and LeBleu 2020). The burgeoning of EV research is notable in the rapid parallel advancement of appropriate, cutting-edge isolation and analysis techniques (Qiu et al. 2023, De Sousa et al. 2023). Whilst there is a consensus amongst the field on certain aspects of EV function and biology, one crucial, trending topic of controversy is the significance of EV nomenclature.

Accurate and appropriate naming is paramount within and outside the scientific community for several reasons. Firstly, researchers must be able to refer to the same entity properly to ensure that the same phenomenon is evaluated in their specific fields, as well as across fields, to allow legitimate comparisons and improvement. Iterative publications of MISEV guidelines and similar initiatives over the years have enabled significant progress (Welsh et al. 2024). Within the past decade, researchers used over 25 names for EVs, often describing the same entity across different diseases or source materials, with different labels (Choi et al. 2015). Precise designation of EVs is not only a matter of scientific uniformity, but also of scientific integrity. If research groups isolate the same EV but use different terms for it, determining whether the findings are providing deeper insights into a certain topic or contradicting each other can be difficult. In 2023, an average of ∼170 publications per week were deposited with PubMed in the EV field, increasing to about 195 in 2024, a trend that is likely to continue. Thus, it is possible that repeated work has been published without cross-referencing, and that this happens not by ignorance or deceit, but by a difficulty of finding related studies due to discrepancies in EV naming. The nomenclature of EVs was clearly and unambiguously defined in MISEV2018 (Théry et al. 2018) and more recently in MISEV2023 (Welsh et al. 2024). The MISEV guidelines, not only for researchers in the EV field but across disciplines, provide a unified and comparable platform.

Using accurate and specific EV terms is also important for early-career researchers and those new to the field. As numerous publications show, EVs obtained by current experimental methods are not EVs generated by a single mechanism, but rather a mixture of EVs secreted by multiple mechanisms (Di Bella 2022). Hence, a precise understanding of the EV source material used helps to design appropriate experiments and conduct accurate research. MISEV2023 provides an appropriate framework by defining the terms for EV subpopulations and the require

在过去的十年中,细胞外囊泡(EV)的研究领域得到了极大的扩展(Bazzan et al. 2021)。我们对EV生物发生、它们在细胞间通讯中的各种作用以及对疾病发生和调节的重大贡献的了解已经迅速发展(Möller and Lobb 2020; Kalluri and LeBleu 2020)。适当的、尖端的分离和分析技术的快速并行发展是值得注意的EV研究的蓬勃发展(Qiu et al. 2023, De Sousa et al. 2023)。虽然在EV功能和生物学的某些方面在该领域有共识,但一个关键的,有争议的趋势话题是EV命名的重要性。准确和适当的命名在科学界内外都是至关重要的,原因如下。首先,研究人员必须能够恰当地引用同一实体,以确保同一现象在其特定领域以及跨领域得到评估,从而允许合理的比较和改进。多年来,MISEV指南的迭代出版和类似的倡议已经取得了重大进展(Welsh et al. 2024)。在过去十年中,研究人员为电动汽车使用了超过25个名称,通常用不同的标签描述不同疾病或来源材料的同一实体(Choi et al. 2015)。电动汽车的精确命名不仅是科学一致性的问题,也是科学完整性的问题。如果研究小组分离出相同的EV,但使用不同的术语,那么确定这些发现是对某个主题提供了更深入的见解,还是相互矛盾,可能会很困难。2023年,EV领域每周平均有170篇论文存入PubMed,到2024年将增加到195篇左右,这一趋势可能会持续下去。因此,重复的工作可能在没有交叉引用的情况下发表,这种情况的发生不是由于无知或欺骗,而是由于EV命名的差异而难以找到相关研究。在MISEV2018 (thsamry等人,2018)和最近的MISEV2023 (Welsh等人,2024)中,对电动汽车的命名法进行了明确而明确的定义。MISEV指南不仅为EV领域的研究人员,而且为跨学科的研究人员提供了一个统一的、可比较的平台。使用准确和具体的EV术语对于早期职业研究人员和新进入该领域的研究人员也很重要。大量出版物表明,目前实验方法获得的电动汽车不是由单一机制产生的电动汽车,而是由多种机制分泌的电动汽车的混合物(Di Bella 2022)。因此,准确了解所使用的EV源材料有助于设计适当的实验和进行准确的研究。MISEV2023提供了一个适当的框架,定义了电动汽车亚群的术语,并要求提供所有方面的基本但充分的信息,包括来源材料、电动汽车的富集和所进行的表征(Welsh等,2024)。尽管提出了指导方针,但“外泌体”一词经常被学术科学家、工业界和公众使用。截至2025年9月,有493项临床试验在在线数据库ClinicalTrials.gov上注册使用术语“外泌体”,309项试验使用术语“细胞外囊泡”(ClinicalTrials.gov 2024)。同样,有70多家公司正在开发电动汽车领域的产品,他们的营销策略和促销活动经常强调他们的产品含有“外泌体”。此外,该术语通常用于他们的管道和投资者信息中。因此,问题是为什么“外泌体”一词在MISEV2018年之后的5年多里仍然如此流行(图1)。早在20世纪40年代,EVs存在的第一个证据就出现了,当时Chargaff和West观察到人类血浆的亚细胞部分含有促进凝血酶生成的可沉淀因子(West et al. 1946)。1967年,随着更强大的电子显微镜技术的出现,Wolf能够证明这种因子是由来自活化血小板细胞膜的小泡组成的,他将其描述为“血小板尘埃”(Wolf 1967)。然而,直到20世纪80年代,才开始对电动汽车的研究有了更具体的认识。这种对体外泌体生物学兴趣的最初上升恰逢开创性论文的发表,这些论文开始使用术语“外泌体”来命名它们所描述的囊泡身份。tram及其同事在1981年首次提到了这一点,并指出“脱落的膜泡可能具有生理功能;有人建议将它们称为外泌体(Trams et al. 1981)。 几年后,“外泌体”一词被用于识别通过多泡体(MVB)与质膜融合而释放到细胞外环境的腔内囊泡(West et al. 1946),这一机制此前已被两篇EV领域的开创性论文描述(Trams et al. 1981, Johnstone et al. 1987)。从那时起,“外泌体”一词开始流行起来,这些最初的研究之后,大量关于“外泌体”的工作试图让科学家们相信这些纳米大小的囊泡的存在和相关性。不幸的是,Eberhard Trams博士,这个最初创造了“外泌体”这个名字来识别细胞衍生的脱落囊泡的人,可以与现在所谓的“质膜衍生的ev”相媲美(Trams et al. 1981),在他发表论文仅仅一年后就在一次飞机失事中丧生,缩短了他在ev方面的开创性工作(Macdonald and Salem Jr. 2023)。另一方面,罗斯·约翰斯通(Rose Johnstone)博士用这个词专门指mvb衍生的囊泡,她发表了另外十几篇论文,巩固了自己作为外泌体发现者的地位。因此,我们有理由推测,这些情况在很大程度上促成了“外泌体”这个名字与内吞囊泡的广泛联系。然而,从语义上讲,前缀“exo-”是一个源于希腊语的词根,意思是“外部”或“外部”,而名词后缀“-some”可以被描述为“表示身体的一部分,尤其是细胞的一个粒子”(牛津英语词典2025)。在细胞衍生颗粒的背景下,“外泌体”这个名字因此可以被解释为细胞外的颗粒,因此被用作术语“细胞外囊泡”(ev)的同义词,MISEV2023将其定义为“从细胞中释放出来的颗粒,由脂质双分子层分隔,不能自行复制(即不包含功能核)”(th<s:1> ry et al. 2018)。虽然我们现在已经将外泌体定义为ev的一个亚型,更具体地说,是源自内体系统的小ev (sev),但事实上,大多数出版物和使用“外泌体”术语的商业实体并没有证明它们确实来自MVBs。此外,给定颗粒的测量直径与所应用的特定表征方法有关,不同的技术,如TRPS、NTA和DLS,通常为同一样品提供不同的测量结果(Varenne et al. 2016)。此外,对于区分小型和大型电动汽车的尺寸截止值没有明确的共识,常用的富集方法,包括超离心和尺寸排除色谱,无法分离受限制的粒径范围(Visan et al. 2022)。因此,使用诸如“小”和“大”这样的操作性术语来不一致地定义EV种群是有限的,更重要的是,使用术语“外泌体”的出版物应该被视为一般EV论文。最后,很大一部分学术界、工业界和感兴趣的公众都使用“外显体”一词来笼统地称呼电动汽车,无论是出于知名度、传统还是简单的原因。有趣的是,人工智能(AI)回答了“EV是什么意思?”,尽管“EV”根据上下文可以指几种不同的东西,但最常见的意思总是被确定为“电动汽车”,当人们使用谷歌(gpt - 40 mini 2025)等流行搜索引擎在互联网上搜索同样的问题时,也会发现这一点。如果AI反映了大众的结果,那么对于细胞外囊泡行业来说,EV的缩写形式可能不是一个有吸引力的营销术语。即使是像“电动汽车在科学背景下意味着什么?”给出了答案“EV通常代表电子伏特”(gpt - 40 mini 2025),这表明EV这个术语虽然被我们的选择性社区所接受,但对于
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引用次数: 0
Is Secondary Vesicle Release an Underappreciated Component of Extracellular Vesicle Signalling? 次生囊泡释放是细胞外囊泡信号传导的一个未被充分认识的组成部分吗?
IF 14.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2025-11-20 DOI: 10.1002/jev2.70202
Gary Sweeney, Cydney Pitre, Dylan Burger
<p>Amplification is essential to biological signalling, ensuring an efficient and sensitive response to ligands. It is a well-established principle of pharmacology that a minimal amount of ligand binding can be augmented to achieve a large-scale cellular response (Esam El-Fakahany and Becky Merkey <span>2025</span>). Seminal work by Rodwell and Gilman outlined the role of G-proteins in activating “signal amplifiers” that generate large quantities of second messengers (Birnbaumer <span>2007</span>). Since these foundational studies, recognized with the 1994 Nobel Prize in Physiology and Medicine (The Nobel Prize in Physiology or Medicine <span>1994</span>), it has become increasingly clear that a single binding event can activate multiple G-proteins or phosphorylation-triggered signalling cascades, which can amplify at each stage (Nahorski <span>2006</span>). Signal amplification thus allows the body to minimize the energy spent on signal detection itself and dedicate more resources to the response (see Figure 1A).</p><p>It has long been recognized that signal amplification is necessary for extracellular vesicles (EVs) to achieve their biological effects. While numerous groups, including our own, have suggested that miRNA transfer by EVs plays a role in their biological effects (Viñas et al. <span>2016</span>; Gong et al. <span>2017</span>; Su et al. <span>2020</span>; Nail et al. <span>2023</span>), a seminal study by Chevillet et al. called this mechanism of action into question, suggesting that most EVs lack sufficient copies of miRNA to achieve translational repression through direct action (Chevillet et al. <span>2014</span>). One could similarly question whether EVs possess sufficient material to trigger signalling through other common mechanisms such as surface receptor activation, membrane fusion, and EV uptake (Jahnke and Staufer <span>2024</span>; Mulcahy et al. <span>2014</span>; Liu and Wang <span>2023</span>; Hirose et al. <span>2022</span>). Further complexity is the fact that much of what we know about EV signalling is from cell culture studies, where EV levels achieved at targeted cells may far exceed those seen in vivo (Hagey et al. <span>2023</span>). Downstream amplification is therefore a logical explanation for how EVs may attain many of their biological effects. Consistent with this, EVs have been shown to activate many common second messenger systems, including cyclic nucleotides (i.e., cAMP, cGMP [Bhadra et al. <span>2022</span>, Sayner et al. <span>2019</span>]), lipid-derived second messengers (i.e., IP3, DAG [Tu et al. <span>2023</span>, Xia et al. <span>2022</span>]), and arachidonic acid (Barry et al. <span>1999</span>, Boilard <span>2018</span>).</p><p>In a recent perspective in the <i>Journal of Extracellular Vesicles</i>, Philip Askenase, of Yale University School of Medicine, lays out a hypothesis for how EVs achieve their diverse in vivo effects (Askenase <span>2025</span>). This provocative viewpoint suggests tha
扩增是必不可少的生物信号,确保有效和敏感的反应配体。这是一个公认的药理学原理,少量的配体结合可以增强,以实现大规模的细胞反应(Esam El-Fakahany和Becky Merkey 2025)。Rodwell和Gilman的开创性工作概述了g蛋白在激活产生大量第二信使的“信号放大器”中的作用(Birnbaumer 2007)。这些基础研究获得了1994年诺贝尔生理学和医学奖(1994年诺贝尔生理学或医学奖),自那以后,人们越来越清楚地认识到,一个单一的结合事件可以激活多个g蛋白或磷酸化触发的信号级联反应,这些信号级联反应可以在每个阶段放大(Nahorski 2006)。因此,信号放大允许机体将用于信号检测本身的能量降至最低,并将更多的资源用于响应(见图1A)。细胞外囊泡(extracellular vesic泡,EVs)的生物学效应是通过信号放大来实现的。虽然包括我们自己在内的许多研究小组都认为,ev的miRNA转移在其生物效应中发挥作用(Viñas等人2016;Gong等人2017;Su等人2020;Nail等人2023),但Chevillet等人的一项开创性研究对这种作用机制提出了质疑,表明大多数ev缺乏足够的miRNA拷贝,无法通过直接作用实现翻译抑制(Chevillet等人2014)。人们同样可以质疑电动汽车是否拥有足够的材料来通过其他常见机制触发信号,如表面受体激活、膜融合和电动汽车摄取(Jahnke和Staufer 2024; Mulcahy等人2014;Liu和Wang 2023; Hirose等人2022)。更复杂的是,我们对EV信号传导的了解大部分来自细胞培养研究,在靶细胞中获得的EV水平可能远远超过体内观察到的水平(Hagey et al. 2023)。因此,下游扩增是电动汽车如何获得许多生物效应的合理解释。与此一致的是,电动汽车已被证明可以激活许多常见的第二信使系统,包括环核苷酸(即cAMP、cGMP [Bhadra等人,2022,Sayner等人,2019])、脂质衍生的第二信使(即IP3、DAG [Tu等人,2023,Xia等人,2022])和花生四烯酸(Barry等人,1999,Boilard 2018)。最近,耶鲁大学医学院的Philip Askenase在《细胞外囊泡杂志》上发表了一篇文章,提出了一个关于电动汽车如何实现其多种体内效应的假设(Askenase 2025)。这一具有挑衅性的观点表明,电动汽车至少在一定程度上是通过触发靶细胞释放次生“效应电动汽车”来发出信号的。Askenase博士通过一系列例子阐述了EV诱导EV释放的机制。首先引用的是CD8+抑制性T细胞的ev刺激免疫耐受的研究(Nazimek et al. 2021)。这些原发ev携带miRNA-150, miRNA-150被转移到巨噬细胞,对巨噬细胞进行重新编程以释放继发ev。在这种情况下,这些巨噬细胞衍生的继发性ev抑制CD4+ Th1效应T细胞,从而调节免疫反应。在这里,对效应t细胞的下游作用不是直接实现的,而是通过释放次级巨噬细胞衍生的ev来实现的(Nazimek et al. 2021)。第二个例子是在脊髓损伤大鼠模型中施用间充质基质细胞(MSC) EVs (Nakazaki et al. 2021)。Askenase博士引用了他自己小组的工作,指出受损脊髓中M2巨噬细胞对MSC ev的摄取,并建议释放靶向巨噬细胞衍生的继发性ev作为给药的原代MSC ev的最终下游介质(Nakazaki et al. 2021);部分原因是通过诱导脊髓病变中内皮紧密连接蛋白改变血管通透性(Nakazaki et al. 2021)。这个提出的EV信号框架为EV信号相关的多个未解问题提供了一个合理的解释。首先,这将是一种新的EV信号放大机制,因为受体细胞可以释放大量的次级EV来响应相对较少的初级EV。事实上,在前面提到的抑制性T细胞EV作用的例子中,似乎存在EV相关的miRNA信号的扩增(Nazimek et al. 2021)。原代t细胞ev富含miRNA-150,但巨噬细胞释放的次级ev也以miRNA-150依赖的方式发挥作用。如果这个模型在其他系统中也成立,那么它将解释少量ev相关的miRNA如何在体内实现有意义的翻译抑制。第二,作为博士。 Askenase在他的观点中指出,这一框架也可以解释EV信号的相对免疫特权,因为内源性产生的继发性EV将被免疫系统识别为“自我”。最后,电动汽车在如此广泛的疾病中一直表现出显著的再生/有益作用(Toh等人,2018;Terriaca等人,2021;Tieu等人,2020)。从靶向巨噬细胞中释放继发性ev(与类似的一系列疾病有关[Yousaf et al. 2023])可以促进这种有利效应的多样性。在考虑这一假设时,脑海中立即出现了许多问题。首先,人们想知道这种作用机制在多大程度上导致了电动汽车的影响?其次,初级电动汽车诱导次级电动汽车释放的机制是什么?它是否涉及外泌体或外泌体途径?(见图1B)。第三,二次电动汽车是电动汽车效应的主要决定因素,还是仅仅是在特定情况下看到的一个贡献者?这还有待观察,但人们希望这一观点能激发人们对澄清二次EV释放在电动汽车行为中的作用的更多关注。如果二次EV释放机制是EV信号的主要贡献者,那么人们想知道EV是否对二次EV释放特别有效。有可能存在内源性EV释放的其他潜在信号,可以用于治疗。在这些情况下,初级电动汽车也有助于最终的生物行为,这仍然是合理的。然而,在目标地点区分初级和次级电动汽车的方法对于解决这些问题至关重要。一种可能的方法是对原发ev中的蛋白质或rna进行唯一标记,以区分它们与诱导的继发ev。最后,目前尚不清楚是否有特定的细胞群通过释放继发性ev来最有效地放大对ev的反应。Askenase博士专注于巨噬细胞,特别是所谓的愈合M2巨噬细胞,这是一个有吸引力的选择,因为它们分布广泛,参与许多致病过程。然而,我们也可以设想内皮是另一个潜在的中枢,因为它与循环的ev直接接触,并且在器官系统中广泛整合。总之,Askenase博士提出的二次ev释放是ev如何实现其多种生物效应的合理解释。这一机制可以解释广泛的信号放大、免疫特权和影响多种疾病过程的能力。我们期待进一步的证据来阐明次生EV释放在体内EV信号传导中的作用。Gary Sweeney:概念化,写作-审查和编辑,写作-原稿,形式分析。西德尼·皮特:概念化,写作-审查和编辑,写作-原稿,形式分析。迪伦·伯格:概念化,调查,写作-原稿,写作-审查和编辑,资金获取,监督,资源,形式分析。作者声明无利益冲突。数据共享不适用于本文,因为在当前研究期间没有生成或分析数据集。
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Journal of Extracellular Vesicles
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