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首页> 外文期刊>Pharmaceutics >Extracellular Vesicles as a Potential Therapy for Neonatal Conditions: State of the Art and Challenges in Clinical Translation
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Extracellular Vesicles as a Potential Therapy for Neonatal Conditions: State of the Art and Challenges in Clinical Translation

机译:细胞外囊泡作为新生儿疾病的潜在疗法:技术现状和临床翻译中的挑战

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Despite advances in intensive care, several neonatal conditions typically due to prematurity affect vital organs and are associated with high mortality and long-term morbidities. Current treatment strategies for these babies are only partially successful or are effective only in selected patients. Regenerative medicine has been shown to be a promising option for these conditions at an experimental level, but still warrants further exploration for the development of optimal treatment. Although stem cell-based therapy has emerged as a treatment option, studies have shown that it is associated with potential risks and hazards, especially in the fragile population of babies. Recently, extracellular vesicles (EVs) have emerged as an attractive therapeutic alternative that holds great regenerative potential and is cell-free. EVs are nanosized particles endogenously produced by cells that mediate intercellular communication through the transfer of their cargo. Currently, EVs are garnering considerable attention as they are the key effectors of stem cell paracrine signaling and can epigenetically regulate target cell genes through the release of RNA species, such as microRNA. Herein, we review the emerging literature on the therapeutic potential of EVs derived from different sources for the treatment of neonatal conditions that affect the brain, retinas, spine, lungs, and intestines and discuss the challenges for the translation of EVs into clinical practice.
机译:尽管重症监护取得了进展,但通常由于早产导致的几种新生儿疾病会影响重要器官,并伴有高死亡率和长期发病率。这些婴儿的当前治疗策略仅部分成功或仅对部分患者有效。在实验水平上,再生医学已被证明是治疗这些疾病的一种有前途的选择,但仍值得进一步探索以开发最佳治疗方法。尽管基于干细胞的治疗已成为一种治疗选择,但研究表明,这种治疗与潜在的风险和危害相关,尤其是在脆弱的婴儿人群中。最近,细胞外囊泡(EVs)已成为具有巨大再生潜力且无细胞的有吸引力的治疗选择。电动汽车是细胞内源产生的纳米级颗粒,通过其货物的运输来介导细胞间的通讯。当前,电动汽车受到了广泛的关注,因为它们是干细胞旁分泌信号传导的关键效应器,并且可以通过释放诸如microRNA的RNA来表观遗传地调控靶细胞基因。在本文中,我们回顾了有关新兴能源的治疗潜力的新兴文献,这些新兴能源可用于治疗影响脑,视网膜,脊柱,肺和肠道的新生儿疾病,并讨论了将其转化为临床实践所面临的挑战。

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