Mechanism and application of exosomes in the wound healing process in diabetes mellitus

•The process of wound healing and the factors affecting the delayed healing of diabetic wounds.•Exosomes promote the recovery of important cellular functions in the process of diabetic wound healing, such as endothelial cells, fibroblasts, macrophages, and keratinocytes.•Exosomes promote diabetic wo...

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Published inDiabetes research and clinical practice Vol. 187; p. 109882
Main Authors Li, Danyang, Wu, Na
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.05.2022
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Abstract •The process of wound healing and the factors affecting the delayed healing of diabetic wounds.•Exosomes promote the recovery of important cellular functions in the process of diabetic wound healing, such as endothelial cells, fibroblasts, macrophages, and keratinocytes.•Exosomes promote diabetic wound healing by inhibiting inflammation, promoting angiogenesis and collagen deposition.•The molecular mechanism of exosomal proteins, miRNAs, lncRNA and circRNA in diabetic wound healing.•The mechanism and application of exosomes combined with various hydrogels, dressings in diabetic wound healing. Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the key substances involved in the healing of diabetic wounds. The important cells related to the process of diabetic wound healing include endothelial cells (ECs), fibroblasts, macrophages, and keratinocytes. Accumulating evidence indicates that exosomes participate in intercellular communication by regulating the expression of biologically functional molecules and modulating the aforementioned cells through various pathways, thereby promoting angiogenesis, collagen synthesis as well as inhibiting inflammation. This article reviews the mechanism of exosomes in the aforementioned cells and their role in diabetic wound healing. This review further discusses the combined use of exosomes and hydrogels or dressings to prolong the residence time of exosomes in wounds. A better understanding of the mechanism through which exosomes participate in wound healing in diabetes and its impact on the wound healing process may provide insights into the future treatment of diabetic wounds.
AbstractList Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the key substances involved in the healing of diabetic wounds. The important cells related to the process of diabetic wound healing include endothelial cells (ECs), fibroblasts, macrophages, and keratinocytes. Accumulating evidence indicates that exosomes participate in intercellular communication by regulating the expression of biologically functional molecules and modulating the aforementioned cells through various pathways, thereby promoting angiogenesis, collagen synthesis as well as inhibiting inflammation. This article reviews the mechanism of exosomes in the aforementioned cells and their role in diabetic wound healing. This review further discusses the combined use of exosomes and hydrogels or dressings to prolong the residence time of exosomes in wounds. A better understanding of the mechanism through which exosomes participate in wound healing in diabetes and its impact on the wound healing process may provide insights into the future treatment of diabetic wounds.
•The process of wound healing and the factors affecting the delayed healing of diabetic wounds.•Exosomes promote the recovery of important cellular functions in the process of diabetic wound healing, such as endothelial cells, fibroblasts, macrophages, and keratinocytes.•Exosomes promote diabetic wound healing by inhibiting inflammation, promoting angiogenesis and collagen deposition.•The molecular mechanism of exosomal proteins, miRNAs, lncRNA and circRNA in diabetic wound healing.•The mechanism and application of exosomes combined with various hydrogels, dressings in diabetic wound healing. Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the key substances involved in the healing of diabetic wounds. The important cells related to the process of diabetic wound healing include endothelial cells (ECs), fibroblasts, macrophages, and keratinocytes. Accumulating evidence indicates that exosomes participate in intercellular communication by regulating the expression of biologically functional molecules and modulating the aforementioned cells through various pathways, thereby promoting angiogenesis, collagen synthesis as well as inhibiting inflammation. This article reviews the mechanism of exosomes in the aforementioned cells and their role in diabetic wound healing. This review further discusses the combined use of exosomes and hydrogels or dressings to prolong the residence time of exosomes in wounds. A better understanding of the mechanism through which exosomes participate in wound healing in diabetes and its impact on the wound healing process may provide insights into the future treatment of diabetic wounds.
Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the key substances involved in the healing of diabetic wounds. The important cells related to the process of diabetic wound healing include endothelial cells (ECs), fibroblasts, macrophages, and keratinocytes. Accumulating evidence indicates that exosomes participate in intercellular communication by regulating the expression of biologically functional molecules and modulating the aforementioned cells through various pathways, thereby promoting angiogenesis, collagen synthesis as well as inhibiting inflammation. This article reviews the mechanism of exosomes in the aforementioned cells and their role in diabetic wound healing. This review further discusses the combined use of exosomes and hydrogels or dressings to prolong the residence time of exosomes in wounds. A better understanding of the mechanism through which exosomes participate in wound healing in diabetes and its impact on the wound healing process may provide insights into the future treatment of diabetic wounds.Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the key substances involved in the healing of diabetic wounds. The important cells related to the process of diabetic wound healing include endothelial cells (ECs), fibroblasts, macrophages, and keratinocytes. Accumulating evidence indicates that exosomes participate in intercellular communication by regulating the expression of biologically functional molecules and modulating the aforementioned cells through various pathways, thereby promoting angiogenesis, collagen synthesis as well as inhibiting inflammation. This article reviews the mechanism of exosomes in the aforementioned cells and their role in diabetic wound healing. This review further discusses the combined use of exosomes and hydrogels or dressings to prolong the residence time of exosomes in wounds. A better understanding of the mechanism through which exosomes participate in wound healing in diabetes and its impact on the wound healing process may provide insights into the future treatment of diabetic wounds.
ArticleNumber 109882
Author Li, Danyang
Wu, Na
Author_xml – sequence: 1
  givenname: Danyang
  surname: Li
  fullname: Li, Danyang
  organization: Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of China
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  givenname: Na
  surname: Wu
  fullname: Wu, Na
  email: 3441535223@qq.com
  organization: Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of China
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Keywords Exosomes
Mechanism
Diabetic wound healing
Language English
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Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.
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Snippet •The process of wound healing and the factors affecting the delayed healing of diabetic wounds.•Exosomes promote the recovery of important cellular functions...
Poor wound healing can seriously affect the health of patients with diabetes and result in a heavy medical burden. Recently, exosomes have been considered the...
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SubjectTerms Diabetic wound healing
Exosomes
Mechanism
Title Mechanism and application of exosomes in the wound healing process in diabetes mellitus
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0168822722006957
https://dx.doi.org/10.1016/j.diabres.2022.109882
https://www.ncbi.nlm.nih.gov/pubmed/35487341
https://www.proquest.com/docview/2658232141
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