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Role of Extracellular Vesicles in the Pathogenesis of Brain Metastasis 细胞外囊泡在脑转移发病机制中的作用
Pub Date : 2025-05-06 DOI: 10.1002/jex2.70051
Muhammad Izhar, Maciej S. Lesniak

Extracellular vesicles (EVs) are small particles released by various cells, including cancer cells. They play a significant role in the development of different cancers, including brain metastasis. These EVs transport biomolecular materials such as RNA, DNA, and proteins from tumour cells to other cells, facilitating the spread of primary tumours to the brain tissue. EVs interact with the endothelial cells of the blood–brain barrier (BBB), compromising its integrity and allowing metastatic cells to pass through easily. Additionally, EVs interact with various cells in the brain's microenvironment, creating a conducive environment for incoming metastatic cells. They also influence the immune system within this premetastatic environment, promoting the growth of metastatic cells. This review paper focuses on the research regarding the role of EVs in the development of brain metastasis, including their impact on disrupting the BBB, preparing the premetastatic environment, and modulating the immune system. Furthermore, the paper discusses the potential of EVs as diagnostic and prognostic biomarkers for brain metastasis.

细胞外囊泡(EVs)是由包括癌细胞在内的各种细胞释放的小颗粒。它们在不同癌症的发展中起着重要作用,包括脑转移。这些ev将生物分子物质(如RNA、DNA和蛋白质)从肿瘤细胞转运到其他细胞,促进原发性肿瘤向脑组织的扩散。电动汽车与血脑屏障(BBB)的内皮细胞相互作用,破坏其完整性,使转移细胞容易通过。此外,电动汽车与大脑微环境中的各种细胞相互作用,为进入的转移细胞创造有利的环境。它们还会影响转移前环境中的免疫系统,促进转移细胞的生长。本文就ev在脑转移发生中的作用进行综述,包括其在破坏血脑屏障、制备转移前环境和调节免疫系统等方面的作用。此外,本文还讨论了ev作为脑转移诊断和预后生物标志物的潜力。
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引用次数: 0
Industrial Scale Production and Characterization of a Whey Fraction Enriched in Extracellular Vesicle Material 富含细胞外囊泡物质的乳清馏分的工业规模生产和表征
Pub Date : 2025-05-02 DOI: 10.1002/jex2.70044
Søren Roi Midtgaard, Maria Stenum Hansen, Nikolaj Drachmann, Xiaolu Geng, Kristine Ingrid Marie Blans, Manja Mahmens Fabricius Møbjerg, Anny F. Frølund, Jan Trige Rasmussen, Marie Stampe Ostenfeld

Human milk serves the sole nutritional role for the developing infant. During lactation, nano-sized extracellular vesicles (EVs) in milk containing a multitude of biologically active components are transferred from mother to offspring. Infant formula (IF) based on cow milk-derived ingredients has been reported to contain reduced levels of EVs as compared to human milk. There is therefore an unmet need to produce large-scale volumes of milk EVs to improve IF composition.

Here, we report a scalable industrial production protocol for a bovine whey-derived ingredient that is highly enriched in EV material using a large-scale sequential ceramic membrane filtration setup. Furthermore, we demonstrate a robust and generally applicable analytical approach to determine the relative contributions of EVs and milk fat globule membrane (MFGM) using molar ratios of the membrane-bound proteins butyrophilin (BTN) and CD9 as surrogate markers for MFGM and EVs, respectively. Taken together, our findings provide a basis for comparing bovine milk-containing foods and aid in developing specialized ingredients that can minimize the compositional difference between infant formula and human milk.

母乳是发育中的婴儿唯一的营养来源。在哺乳期间,乳中含有多种生物活性成分的纳米级细胞外囊泡(ev)从母亲转移到后代。据报道,与母乳相比,基于牛奶衍生成分的婴儿配方奶粉(IF)含有的ev水平较低。因此,大规模生产牛奶电动汽车以改善IF组成的需求尚未得到满足。在这里,我们报告了一个可扩展的工业生产方案的牛乳清衍生成分,是高度丰富的EV材料使用大规模顺序陶瓷膜过滤装置。此外,我们展示了一种稳健且普遍适用的分析方法,以膜结合蛋白亲丁酸蛋白(BTN)和CD9的摩尔比分别作为MFGM和ev的替代标记物,来确定ev和乳脂球膜(MFGM)的相对贡献。综上所述,我们的研究结果为比较含牛奶的食品提供了基础,并有助于开发专门的成分,以尽量减少婴儿配方奶粉和母乳之间的成分差异。
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引用次数: 0
Characterization of Extracellular Vesicles Derived From Human Precision-Cut Liver Slices in Metabolic Dysfunction-Associated Steatotic Liver Disease 代谢功能障碍相关脂肪变性肝病中人类精确肝切片细胞外囊泡的表征
Pub Date : 2025-04-30 DOI: 10.1002/jex2.70043
Yana Geng, Ke Luo, Janine Stam, Dorenda Oosterhuis, Alan R. Gorter, Marius van den Heuvel, Rossella Crescitelli, Vincent E. de Meijer, Justina C. Wolters, Peter Olinga

Extracellular vesicles (EVs) are cell-produced, membrane-surrounded vesicles that harbour the biological features of donor cells. In the current study, we are the first to isolate and characterize EVs isolated from human precision-cut liver slices (PCLS), obtained from both healthy and metabolic dysfunction-associated steatohepatitis (MASH) cirrhotic livers. PCLS derived from patients can faithfully represent disease conditions in humans. EVs were isolated from human PCLS after incubating in normal medium or modified medium that mimics the pathophysiological environment of metabolic dysfunction associated liver disease (MASLD). MASH PCLS produced higher amounts of EVs compared to healthy PCLS (p < 0.001). Mass spectrometry revealed that around 300 proteins were significantly different in EVs derived from MASH PCLS versus healthy PCLS (FDR < 0.05), irrespective of the type of medium. Significantly changed EV proteins were largely involved in signalling receptor binding function and showed potential in promoting fibrosis. In the liver, these ligand-associated receptors are highly expressed in hepatic stellate cells, and the MASH EVs functionally promoted the activation of hepatic stellate cells. Furthermore, the amounts of EpCAM and ITGA3 in EVs were positively associated with the progression of MASLD, which suggests the use of liver-derived EVs as potential biomarkers for MASLD. Characterization of EVs derived from human PCLS may assist future studies in investigating the pathogenesis and identifying liver-specific EVs as biomarkers of MASLD.

细胞外囊泡(EVs)是细胞产生的,膜包围的囊泡,包含供体细胞的生物学特征。在目前的研究中,我们首次从健康和代谢功能障碍相关的脂肪性肝炎(MASH)肝硬化肝脏中分离并表征了从人类精确切割肝脏切片(PCLS)中分离的ev。来自患者的PCLS可以忠实地代表人类的疾病状况。在正常培养基或模拟代谢功能障碍相关肝病(MASLD)病理生理环境的改良培养基中培养后,从人PCLS中分离出ev。与健康PCLS相比,MASH PCLS产生了更高数量的ev (p <;0.001)。质谱分析显示,在MASH PCLS衍生的ev中,约有300种蛋白质与健康PCLS存在显著差异(FDR <;0.05),与培养基类型无关。显著改变的EV蛋白主要参与信号受体结合功能,显示出促进纤维化的潜力。在肝脏中,这些配体相关受体在肝星状细胞中高度表达,MASH ev在功能上促进了肝星状细胞的活化。此外,电动汽车中EpCAM和ITGA3的含量与MASLD的进展呈正相关,这表明肝源性电动汽车可以作为MASLD的潜在生物标志物。人类PCLS衍生的ev的特征可能有助于未来研究发病机制和确定肝脏特异性ev作为MASLD的生物标志物。
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引用次数: 0
Evaluating the Influence of Different Serum-Free Culture Conditions on the Production and Function of Natural Killer Cell-Derived Extracellular Vesicles 评估不同无血清培养条件对自然杀伤细胞衍生的细胞外囊泡产生和功能的影响
Pub Date : 2025-04-25 DOI: 10.1002/jex2.70049
Yunjie Wu, Héloïse Chollet, Amanda Sudworth, Marit Inngjerdingen

Natural killer (NK) cells are exploited in cellular therapies for cancer. While NK cell therapies are efficient against haematological cancers, it has been difficult to target solid tumours due to low tumour infiltration and a hostile tumour microenvironment. NK-cell derived extracellular vesicles (NK-EVs) target and kill cancer cells in vitro and represent an alternative treatment strategy for solid tumours. To exploit their potential, it is necessary to standardize NK-EV production protocols. Here, we have performed a comparative analysis of EVs from the human NK-92 cell line cultured in five serum-free commercial media optimized for growth of human NK cells and one serum-free medium for growth of lymphocytes. The effect of growing the NK-92 cells in static cell cultures versus shaking flasks was compared. EVs were purified via ultracentrifugation followed by size-exclusion chromatography. We found that there were no significant differences in EV yield from NK-92 cells grown under static or dynamic conditions. However, we found clear differences between the different culture media in terms of EV purity as assessed by the enrichment of the CD63 and CD81 markers in the isolates that translated into their capacity to induce apoptosis of the colon cancer cell line HCT 116. These findings will be instructive for the design of future production protocols for therapeutic NK-cell derived EVs.

自然杀伤(NK)细胞是利用细胞治疗癌症。虽然NK细胞疗法对血液学癌症有效,但由于肿瘤浸润率低和肿瘤微环境恶劣,很难靶向实体肿瘤。nk细胞衍生的细胞外囊泡(nk - ev)在体外靶向并杀死癌细胞,代表了实体肿瘤的另一种治疗策略。为了挖掘其潜力,有必要对NK-EV生产协议进行标准化。在这里,我们对人NK-92细胞系的ev进行了比较分析,这些ev分别培养在五种适合人NK细胞生长的无血清商业培养基和一种适合淋巴细胞生长的无血清培养基中。比较了NK-92细胞在静态和摇瓶中培养的效果。通过超离心和排色层析纯化ev。我们发现NK-92细胞在静态和动态条件下的EV产量没有显著差异。然而,我们发现不同培养基在EV纯度方面存在明显差异,这是通过分离物中CD63和CD81标记的富集来评估的,这转化为它们诱导结肠癌细胞系HCT 116凋亡的能力。这些发现将对未来治疗性nk细胞衍生ev生产方案的设计具有指导意义。
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引用次数: 0
Unravelling Plasma Extracellular Vesicle Diversity With Optimised Spectral Flow Cytometry 利用优化的光谱流式细胞术揭示血浆细胞外囊泡多样性
Pub Date : 2025-04-25 DOI: 10.1002/jex2.70045
Daniela Boselli, Francesca Clemente, Simona Di Terlizzi, Christina Pagiatakis, Laura Papa, Genny Del Zotto, Chiara Villa, Giuseppe Alvise Ramirez, Norma Maugeri, Angelo A. Manfredi, Achille Anselmo

Extracellular vesicles (EVs) are crucial for intercellular communication and are found in various biological fluids. The identification and immunophenotyping of such small particles continue to pose significant challenges. Here, we have developed a workflow for the optimisation of a next-generation panel for in-depth immunophenotyping of circulating plasma EVs using spectral flow cytometry. Our data collection followed a multistep optimisation phase for both instrument setup and 21-colour panel design, thus maximising fluorescent signal recovery. This spectral approach enabled the identification of novel EV subpopulations. Indeed, besides common EVs released by erythrocytes, platelets, leukocytes and endothelial cells, we observed rare and poorly known EV subsets carrying antigens related to cell activation or exhaustion. Notably, the unsupervised data analysis of major EV subsets revealed subpopulations expressing up to five surface antigens simultaneously. However, the majority of EVs expressed only a single surface antigen, suggesting they may not fully represent the phenotype of their parent cells. This is likely due to the small surface area or the biogenesis of EVs rather than antibody steric hindrance. Finally, we tested our workflow by analysing the plasma EV landscape in a cohort of systemic lupus erythematosus (SLE) patients. Interestingly, we observed a significant increase in CD54+ EVs, supporting the notion of elevated circulating ICAM under SLE conditions. To our knowledge, these are the first data highlighting the importance of a spectral flow cytometry approach in deciphering the heterogeneity of plasma EVs paving the way for the routine use of a high-dimensional immunophenotyping in EV research.

细胞外囊泡(EVs)是细胞间通讯的关键,存在于各种生物液体中。这些小颗粒的鉴定和免疫分型继续构成重大挑战。在这里,我们开发了一个工作流程,用于优化使用光谱流式细胞术对循环血浆EVs进行深度免疫表型分析的下一代面板。我们的数据收集遵循仪器设置和21色面板设计的多步骤优化阶段,从而最大化荧光信号恢复。这种光谱方法使鉴定新的EV亚群成为可能。事实上,除了红细胞、血小板、白细胞和内皮细胞释放的常见EV外,我们还观察到罕见且鲜为人知的EV亚群,它们携带与细胞活化或衰竭相关的抗原。值得注意的是,主要EV亚群的无监督数据分析显示亚群同时表达多达五种表面抗原。然而,大多数ev仅表达一种表面抗原,这表明它们可能不能完全代表其亲本细胞的表型。这可能是由于ev的表面积小或生物发生,而不是由于抗体的位阻。最后,我们通过分析系统性红斑狼疮(SLE)患者的血浆EV景观来测试我们的工作流程。有趣的是,我们观察到CD54+ ev显著增加,支持SLE条件下循环ICAM升高的概念。据我们所知,这些数据首次强调了光谱流式细胞术在解读血浆EVs异质性方面的重要性,为在EVs研究中常规使用高维免疫分型铺平了道路。
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引用次数: 0
Exploring the Adhesion Properties of Extracellular Vesicles for Functional Assays 探索细胞外囊泡的粘附特性用于功能分析
Pub Date : 2025-04-25 DOI: 10.1002/jex2.70042
Bianca C. Pachane, Bess Carlson, Suzanne E. Queen, Heloisa S. Selistre-de-Araujo, Kenneth W. Witwer

The ‛stickiness’ of extracellular vesicles (EVs) can pose challenges for EV processing and storage, but adhesive properties may also be exploited to immobilise EVs directly on surfaces for various measurement techniques, including super-resolution microscopy (SRM). Direct adhesion to surfaces may allow the examination of broader populations of EVs than molecular affinity approaches, which can also involve specialised, expensive affinity reagents. Here, we report on the interaction of EVs with borosilicate glass and quartz coverslips and on the effects of pre-coating coverslips with poly-L-lysine (PLL), a reagent commonly used to facilitate interactions between negatively charged surfaces of cells and amorphous surfaces. Additionally, we compared two mounting media conditions for SRM imaging and used immobilised EVs for a B-cell interaction test. Our findings suggest that borosilicate glass coverslips immobilise EVs better than quartz glass coverslips. We also found that PLL is not strictly required for EV retention but contributes to the uniform distribution of EVs on borosilicate glass coverslips. Overall, these findings suggest that standard lab materials like borosilicate glass coverslips, with or without PLL, can be effectively used for the immobilisation of EVs in specific imaging techniques.

细胞外囊泡(EV)的“粘性”可能对EV的加工和储存构成挑战,但也可以利用粘性特性将EV直接固定在各种测量技术的表面上,包括超分辨率显微镜(SRM)。与分子亲和方法相比,直接粘附到表面可能允许检查更广泛的电动汽车种群,这也可能涉及专门的、昂贵的亲和试剂。在这里,我们报道了电动汽车与硼硅酸盐玻璃和石英盖层的相互作用,以及聚l -赖氨酸(PLL)预涂盖层的效果,PLL是一种通常用于促进电池负电荷表面和非晶态表面之间相互作用的试剂。此外,我们比较了SRM成像的两种安装介质条件,并使用固定化电动汽车进行b细胞相互作用测试。我们的研究结果表明,硼硅酸盐玻璃盖比石英玻璃盖更能固定电动汽车。我们还发现锁相环对EV的保留并不是严格要求的,但它有助于EV在硼硅玻璃盖上的均匀分布。总的来说,这些发现表明,标准的实验室材料,如硼硅酸盐玻璃盖,无论是否有锁相环,都可以在特定的成像技术中有效地用于固定电动汽车。
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引用次数: 0
Development of an Effective Isolation Method for Plasma Extracellular Vesicles Excluding Lipoproteins by Precipitation With Polyethylene Glycol 聚乙二醇沉淀法分离除脂蛋白外的血浆细胞外囊泡的研究
Pub Date : 2025-04-25 DOI: 10.1002/jex2.70047
Kosuke Otani, Yusei Fujioka, Muneyoshi Okada, Hideyuki Yamawaki

Various molecules in plasma extracellular vesicles (EVs) are expected to be applied to minimally invasive diagnosis; however, the high concentration of lipoproteins in plasma, which are similar in size, density and content to EVs, hampers analysis on plasma EVs. To overcome this, we explored an effective isolation method for plasma EVs that excludes lipoproteins by applying precipitation methods that are conventionally used to separate lipoproteins. Human plasma was mixed with heparin and MnCl2, phosphotungstic acid and MgCl2, or polyethylene glycol (PEG), and the expression level of CD9, Apo B and Apo A-I in both the supernatant and pellet was measured by enzyme-linked immunosorbent assay. Morphology was observed by transmission electron microscopy to assess EV yield and lipoprotein contamination. The combination of heparin and MnCl2, or phosphotungstic acid and MgCl2, could not separate plasma EVs and lipoproteins. PEG precipitated EVs and lipoproteins differently, and EVs were specifically precipitated by PEG (3%) to some extent. In comparison with differential ultracentrifugation (UC), size-exclusion chromatography, density gradient centrifugation and precipitation with PEG (8%) followed by UC, PEG (3%) was not inferior in efficiency but was superior in terms of time and cost. The precipitation method using PEG (3%) may contribute to the application of plasma EVs in disease diagnosis.

血浆细胞外囊泡(EVs)中的各种分子有望应用于微创诊断;然而,血浆中与EVs大小、密度和含量相似的高浓度脂蛋白阻碍了对EVs的分析。为了克服这一问题,我们探索了一种有效的血浆EVs分离方法,该方法通过采用沉淀法(通常用于分离脂蛋白)来排除脂蛋白。将人血浆与肝素和MnCl2、磷钨酸和MgCl2或聚乙二醇(PEG)混合,采用酶联免疫吸附法测定上清和微球中CD9、载脂蛋白B和载脂蛋白A-I的表达水平。通过透射电镜观察形态学以评估EV产率和脂蛋白污染。肝素与MnCl2或磷钨酸与MgCl2联用均不能分离血浆EVs和脂蛋白。PEG对EVs和脂蛋白的沉淀作用不同,且对EVs有一定的特异性沉淀作用(3%)。与差示超离心(UC)、排粒径层析、密度梯度离心和沉淀法(8%)相比,PEG(3%)在效率上不差,但在时间和成本上优于PEG(3%)。聚乙二醇(3%)沉淀法可能有助于血浆EVs在疾病诊断中的应用。
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引用次数: 0
Anti-ageing activities of nanovesicles derived from Artemisia princeps in human dermal cells and human skin model 青蒿纳米囊泡在人真皮细胞和人体皮肤模型中的抗衰老活性
Pub Date : 2025-04-24 DOI: 10.1002/jex2.70033
Kimin Kim, Yehjoo Sohn, Ju Hun Yeon

Plant-derived substances are widely used as cosmeceutical and food materials owing to their beneficial properties that promote human health, such as antioxidant, nutritional supply and regenerative potential. In particular, nanovesicles (NVs) from plants contain various biomolecules, including signal proteins, nucleic acids, and metabolites, that participate in cross-kingdom communication. In this study, we isolated NVs from Artemisia princeps (APNVs) based on differential centrifugation and further purification via tangential flow filtration (TFF). Evaluation of the effects of these NVs on the cellular proliferation of fibroblasts clearly indicated their anti-ageing potential for the skin. Specifically, exposure of human dermal fibroblast cells to low concentrations of APNVs (100–200 ng/mL) accelerated cell proliferation over a 7-day period. Treatment with APNVs decreased the senescence level of dermal fibroblast cells, as evidenced by senescence-associated β-galactosidase activity connected with cellular ageing. In the anti-ageing efficacy assessment, inhibition of MMP-1 activity in nanovesicle-treated cells was higher than that induced by the positive control epigallocatechin-3-gallate (EGCG). To validate the inhibitory effect of APNVs on anti-ageing in human skin, three-dimensional, reconstituted human keratinocytes and dermal fibroblasts were cultured with 1000 ng/mL APNVs. Notably, procollagen type I expression was increased in the culture medium following APNVs treatment. Our collective results suggest that APNVs accelerate type I procollagen production through inhibition of MMP-1. In view of the significant anti-ageing potential of APNVs, we recommend their implementation as an active substance in pharmaceutical and functional cosmeceutical products.

植物源性物质因其具有抗氧化、营养供应和再生潜力等促进人体健康的有益特性而被广泛用作药妆和食品原料。特别是,来自植物的纳米囊泡(NVs)含有各种生物分子,包括信号蛋白、核酸和代谢物,参与跨界通讯。本研究通过差速离心和切向流过滤(TFF)纯化,从青蒿中分离出NVs。对这些NVs对成纤维细胞增殖的影响的评估清楚地表明它们对皮肤的抗衰老潜力。具体而言,将人真皮成纤维细胞暴露于低浓度的APNVs (100-200 ng/mL)中,可在7天内加速细胞增殖。用APNVs治疗可降低真皮成纤维细胞的衰老水平,衰老相关的β-半乳糖苷酶活性与细胞衰老有关。在抗衰老效果评估中,纳米囊泡处理的细胞对MMP-1活性的抑制高于阳性对照表没食子儿茶素-3-没食子酸酯(EGCG)。为了验证APNVs对人皮肤抗衰老的抑制作用,我们用1000 ng/mL的APNVs培养三维重建的人角质形成细胞和真皮成纤维细胞。值得注意的是,APNVs处理后,培养液中I型前胶原的表达增加。我们的集体结果表明,apnv通过抑制MMP-1来加速I型前胶原的产生。鉴于apnv具有显著的抗衰老潜力,我们建议将其作为药物和功能性药妆产品的活性物质。
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引用次数: 0
Enhanced Small Extracellular Vesicle Uptake by Activated Interneurons Improves Stroke Recovery in Mice 激活的中间神经元增强细胞外小泡摄取可促进小鼠中风恢复
Pub Date : 2025-03-25 DOI: 10.1002/jex2.70036
Mingjin Wang, Zhongwu Liu, Weida Wang, Michael Chopp, Michael Millman, Yanfeng Li, Pasquale Cepparulo, Amy Kemper, Chao Li, Li Zhang, Yi Zhang, Zheng Gang Zhang

Neuronal circuitry remodelling, which comprises excitatory and inhibitory neurons, is critical for improving neurological outcomes after a stroke. Preclinical studies have shown that small extracellular vesicles (sEVs) have a therapeutic effect on stroke recovery. However, it is highly challenging to use sEVs to specifically target individual neuronal populations to enhance neuronal circuitry remodelling after stroke. In the present study, using a chemogenetic approach to specifically activate peri-infarct cortical interneurons in combination with the administration of sEVs derived from cerebral endothelial cells (CEC-sEVs), we showed that the CEC-sEVs were preferentially taken up by the activated neurons, leading to significant improvement of functional outcome after stroke, which was associated with augmentation of peri-infarct cortical axonal/dendritic outgrowth and of axonal remodelling of the corticospinal tract. The ultrastructural and Western blot analyses revealed that neurons with internalization of CEC-sEVs exhibited significantly reduced numbers of damaged mitochondria and proteins that mediate dysfunctional mitochondria, respectively. Together, these data indicate that the augmented uptake of CEC-sEVs by activated peri-infarct cortical interneurons facilitates neuronal circuitry remodelling and functional recovery after stroke, which has the potential to be a novel therapy for improving stroke recovery.

神经回路重构包括兴奋性和抑制性神经元,对于改善中风后的神经预后至关重要。临床前研究表明,小细胞外囊泡(sev)对中风恢复有治疗作用。然而,利用sev特异性靶向单个神经元群体来增强脑卒中后的神经回路重塑是极具挑战性的。在本研究中,我们使用化学遗传学方法特异性激活梗死周围皮层中间神经元,并结合脑内皮细胞(cec - sev)衍生的sev,我们发现cec - sev被激活的神经元优先吸收,导致卒中后功能结果的显着改善。这与梗死周围皮层轴突/树突生长和皮质脊髓束轴突重塑的增强有关。超微结构和Western blot分析显示,内化cec - sev的神经元损伤线粒体和介导线粒体功能障碍的蛋白质数量分别显著减少。综上所述,这些数据表明激活的梗死周围皮层中间神经元增加cec - sev的摄取有助于脑卒中后神经元回路重塑和功能恢复,这有可能成为一种改善脑卒中恢复的新疗法。
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引用次数: 0
Enabling Mesenchymal Stromal Cells and Their Extracellular Vesicles Clinical Availability—A Technological and Economical Evaluation 间充质基质细胞及其细胞外囊泡的临床应用--技术和经济评估
Pub Date : 2025-03-17 DOI: 10.1002/jex2.70037
Ricardo M. Silva, Sara Sousa Rosa, José A. L. Santos, Ana M. Azevedo, Ana Fernandes-Platzgummer

Mesenchymal stromal cell-derived extracellular vesicles (MSC-EVs) have shown significant therapeutic potential across a wide range of clinical conditions, complementing the progress of MSC-based therapies, some of which have already received regulatory approval. However, the high cost of these therapies has limited their accessibility, creating an urgent need to explore manufacturing strategies that reduce the cost of goods and selling prices. This study presents the design and simulation of a scalable manufacturing platform for the co-production of clinical-grade MSC and MSC-EVs using SuperPro Designer. Various production scenarios were evaluated to maximise manufacturing capacity while analysing their impact on economic performance. Our findings demonstrate that for MSC-EVs doses containing 1010 and 1011 particles, selling prices range from 166 to 309€ and from 1659 to 3082€, respectively. For clinical doses of MSC, selling prices vary between 965 and 42,673€ depending on dose size and production scale. Importantly, the co-production approach enables cost-sharing between products, contributing to significantly lower prices compared to individual production. Overall, the proposed platform achieved an attractive payback time of 3 years and a return on investment of 36%. By increasing the number of staggered production units, further price reductions and improved economic metrics could be attained. In conclusion, this study highlights the potential of the proposed manufacturing platform to deliver cost-effective, clinical-grade MSC and MSC-EVs products, advancing the field of regenerative medicine and enhancing the accessibility of these innovative treatments.

间充质基质细胞衍生的细胞外囊泡(msc - ev)在广泛的临床条件下显示出显着的治疗潜力,补充了基于msc的治疗进展,其中一些已经获得监管部门的批准。然而,这些疗法的高成本限制了它们的可及性,因此迫切需要探索降低商品成本和销售价格的制造策略。本研究展示了一个可扩展的制造平台的设计和模拟,用于使用SuperPro Designer共同生产临床级MSC和MSC- ev。评估了各种生产方案,以最大限度地提高制造能力,同时分析了它们对经济绩效的影响。我们的研究结果表明,对于含有1010和1011颗粒的msc - ev剂量,销售价格分别为166 - 309欧元和1659 - 3082欧元。对于临床剂量的MSC,根据剂量大小和生产规模,售价在965至42,673欧元之间。重要的是,联合生产方法可以实现产品之间的成本分摊,与单独生产相比,有助于显著降低价格。总体而言,该平台的投资回收期为3年,投资回报率为36%。通过增加交错生产单元的数量,可以进一步降低价格并改善经济指标。总之,这项研究强调了拟议的制造平台在提供具有成本效益的临床级MSC和MSC- ev产品方面的潜力,推动了再生医学领域的发展,并增强了这些创新疗法的可及性。
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引用次数: 0
期刊
Journal of extracellular biology
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