miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery.

IF 4.2 3区 医学 Q2 NEUROSCIENCES
Frontiers in Cellular Neuroscience Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI:10.3389/fncel.2025.1503193
Vojtech Sprincl, Nataliya Romanyuk
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引用次数: 0

Abstract

Ischemic stroke is a leading cause of mortality and long-term disability globally. One of its aspects is the breakdown of the blood-brain barrier (BBB). The disruption of BBB's integrity during stroke exacerbates neurological damage and hampers therapeutic intervention. Recent advances in regenerative medicine suggest that mesenchymal stem cells (MSCs) derived extracellular vesicles (EVs) show promise for restoring BBB integrity. This review explores the potential of MSC-derived EVs in mediating neuroprotective and reparative effects on the BBB after ischemic stroke. We highlight the molecular cargo of MSC-derived EVs, including miRNAs, and their role in enhancing angiogenesis, promoting the BBB and neural repair, and mitigating apoptosis. Furthermore, we discuss the challenges associated with the clinical translation of MSC-derived EV therapies and the possibilities of further enhancing EVs' innate protective qualities. Our findings underscore the need for further research to optimize the therapeutic potential of EVs and establish their efficacy and safety in clinical settings.

miRNA在血脑屏障修复中的作用:细胞外囊泡在脑卒中恢复中的作用。
缺血性中风是全球死亡和长期残疾的主要原因。其中一个方面是血脑屏障(BBB)的破坏。脑卒中时血脑屏障完整性的破坏加剧了神经损伤并阻碍了治疗干预。再生医学的最新进展表明,间充质干细胞(MSCs)衍生的细胞外囊泡(EVs)有望恢复血脑屏障的完整性。这篇综述探讨了骨髓间充质干细胞衍生的ev在缺血性脑卒中后对血脑屏障的神经保护和修复作用中的潜力。我们强调了msc衍生的ev的分子货物,包括mirna,以及它们在促进血管生成,促进血脑屏障和神经修复以及减轻细胞凋亡方面的作用。此外,我们讨论了与msc衍生的EV疗法的临床翻译相关的挑战,以及进一步增强EV先天保护特性的可能性。我们的研究结果强调了进一步研究的必要性,以优化电动汽车的治疗潜力,并确定其在临床环境中的有效性和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.90
自引率
3.80%
发文量
627
审稿时长
6-12 weeks
期刊介绍: Frontiers in Cellular Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the cellular mechanisms underlying cell function in the nervous system across all species. Specialty Chief Editors Egidio D‘Angelo at the University of Pavia and Christian Hansel at the University of Chicago are supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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