老龄化影响下脐带间充质干细胞衍生的外泌体促进糖尿病伤口愈合研究进展
Research Progress on the Promotion of Diabetic Wound Healing by Exosomes Derived from Umbilical Cord Mesenchymal Stem Cells under the Influence of Aging
摘要: 随着全球人口老龄化的加剧,老年糖尿病的发病率明显升高,糖尿病患者的伤口愈合问题成为重要的医疗挑战。老年人体内的生理和代谢变化与糖尿病并发症相结合,导致伤口愈合过程延缓和复杂化。糖尿病患者的伤口愈合速度通常比非糖尿病患者慢,特别是在老年人中。脐带间充质干细胞(UCMSCs)衍生的外泌体(Exosomes)因其在细胞再生、免疫调节和血管新生中的潜在作用而被视为一种有前景的治疗策略。本文综述了UCMSCs-exo在糖尿病伤口愈合中的应用进展,探讨了老龄化如何影响这一过程,并展望了未来研究方向。
Abstract: As the global population ages, the incidence of diabetes among the elderly markedly increases, making wound healing in diabetic patients a significant medical challenge. The physiological and metabolic changes in the elderly, coupled with diabetic complications, result in delayed and complicated wound healing processes. Wound healing in diabetic patients is generally slower than in non-diabetic individuals, especially among the elderly. Exosomes derived from Umbilical Cord Mesenchymal Stem Cells (UCMSCs) are seen as a promising therapeutic strategy due to their potential roles in cell regeneration, immune modulation, and angiogenesis. This article reviews the progress of UCMSC-derived exosomes in diabetic wound healing, discusses how aging affects this process, and looks forward to future research directions.
文章引用:颜志勇. 老龄化影响下脐带间充质干细胞衍生的外泌体促进糖尿病伤口愈合研究进展[J]. 老龄化研究, 2024, 11(5): 1823-1830. https://doi.org/10.12677/ar.2024.115264

参考文献

[1] Patel, S., Srivastava, S., Singh, M.R. and Singh, D. (2019) Mechanistic Insight into Diabetic Wounds: Pathogenesis, Molecular Targets and Treatment Strategies to Pace Wound Healing. Biomedicine & Pharmacotherapy, 112, Article ID: 108615. [Google Scholar] [CrossRef] [PubMed]
[2] Chang, M. and Nguyen, T.T. (2021) Strategy for Treatment of Infected Diabetic Foot Ulcers. Accounts of Chemical Research, 54, 1080-1093. [Google Scholar] [CrossRef] [PubMed]
[3] Kranke, P., Bennett, M.H., Martyn-St James, M., Schnabel, A., Debus, S.E. and Weibel, S. (2015) Hyperbaric Oxygen Therapy for Chronic Wounds. Cochrane Database of Systematic Reviews, 2015, CD004123. [Google Scholar] [CrossRef] [PubMed]
[4] Boateng, J. and Catanzano, O. (2015) Advanced Therapeutic Dressings for Effective Wound Healing—A Review. Journal of Pharmaceutical Sciences, 104, 3653-3680. [Google Scholar] [CrossRef] [PubMed]
[5] Jiang, M., Jiang, X., Li, H., Zhang, C., Zhang, Z., Wu, C., et al. (2023) The Role of Mesenchymal Stem Cell-Derived Evs in Diabetic Wound Healing. Frontiers in Immunology, 14, Article ID: 1136098. [Google Scholar] [CrossRef] [PubMed]
[6] Chen, R., Hao, Z., Wang, Y., Zhu, H., Hu, Y., Chen, T., et al. (2022) Mesenchymal Stem Cell-Immune Cell Interaction and Related Modulations for Bone Tissue Engineering. Stem Cells International, 2022, Article ID: 7153584. [Google Scholar] [CrossRef] [PubMed]
[7] Li, T., Xia, M., Gao, Y., Chen, Y. and Xu, Y. (2015) Human Umbilical Cord Mesenchymal Stem Cells: An Overview of Their Potential in Cell-Based Therapy. Expert Opinion on Biological Therapy, 15, 1293-1306. [Google Scholar] [CrossRef] [PubMed]
[8] Zhang, B., Wu, X., Zhang, X., Sun, Y., Yan, Y., Shi, H., et al. (2015) Human Umbilical Cord Mesenchymal Stem Cell Exosomes Enhance Angiogenesis through the Wnt4/β-Catenin Pathway. Stem Cells Translational Medicine, 4, 513-522. [Google Scholar] [CrossRef] [PubMed]
[9] Zhuang, L., Xia, W., Chen, D., Ye, Y., Hu, T., Li, S., et al. (2020) Exosomal LncRNA-NEAT1 Derived from MIF-Treated Mesenchymal Stem Cells Protected against Doxorubicin-Induced Cardiac Senescence through Sponging miR-221-3p. Journal of Nanobiotechnology, 18, Article No. 157. [Google Scholar] [CrossRef] [PubMed]
[10] Xue, C., Shen, Y., Li, X., Li, B., Zhao, S., Gu, J., et al. (2018) Exosomes Derived from Hypoxia-Treated Human Adipose Mesenchymal Stem Cells Enhance Angiogenesis through the PKA Signaling Pathway. Stem Cells and Development, 27, 456-465. [Google Scholar] [CrossRef] [PubMed]
[11] Fisher, G.J., Wang, Z., Datta, S.C., Varani, J., Kang, S. and Voorhees, J.J. (1997) Pathophysiology of Premature Skin Aging Induced by Ultraviolet Light. New England Journal of Medicine, 337, 1419-1429. [Google Scholar] [CrossRef] [PubMed]
[12] Waller, J.M. and Maibach, H.I. (2005) Age and Skin Structure and Function, a Quantitative Approach (I): Blood Flow, Ph, Thickness, and Ultrasound Echogenicity. Skin Research and Technology, 11, 221-235. [Google Scholar] [CrossRef] [PubMed]
[13] Proksch, E., Brandner, J.M. and Jensen, J. (2008) The Skin: An Indispensable Barrier. Experimental Dermatology, 17, 1063-1072. [Google Scholar] [CrossRef] [PubMed]
[14] Kremer, M. and Burkemper, N. (2024) Aging Skin and Wound Healing. Clinics in Geriatric Medicine, 40, 1-10. [Google Scholar] [CrossRef] [PubMed]
[15] Ashcroft, G.S., Mills, S.J. and Ashworth, J.J. (2002) Ageing and Wound Healing. Biogerontology, 3, 337-345. [Google Scholar] [CrossRef] [PubMed]
[16] Senzel, L., Gnatenko, D.V. and Bahou, W.F. (2009) The Platelet Proteome. Current Opinion in Hematology, 16, 329-333. [Google Scholar] [CrossRef] [PubMed]
[17] Wilgus, T.A., Roy, S. and McDaniel, J.C. (2013) Neutrophils and Wound Repair: Positive Actions and Negative Reactions. Advances in Wound Care, 2, 379-388. [Google Scholar] [CrossRef] [PubMed]
[18] Shams, F., Moravvej, H., Hosseinzadeh, S., Mostafavi, E., Bayat, H., Kazemi, B., et al. (2022) Overexpression of VEGF in Dermal Fibroblast Cells Accelerates the Angiogenesis and Wound Healing Function: In Vitro and in Vivo Studies. Scientific Reports, 12, Article No. 18529. [Google Scholar] [CrossRef] [PubMed]
[19] Gerhardt, H., Golding, M., Fruttiger, M., Ruhrberg, C., Lundkvist, A., Abramsson, A., et al. (2003) VEGF Guides Angiogenic Sprouting Utilizing Endothelial Tip Cell Filopodia. The Journal of Cell Biology, 161, 1163-1177. [Google Scholar] [CrossRef] [PubMed]
[20] Yates, C.C., Krishna, P., Whaley, D., Bodnar, R., Turner, T. and Wells, A. (2010) Lack of CXC Chemokine Receptor 3 Signaling Leads to Hypertrophic and Hypercellular Scarring. The American Journal of Pathology, 176, 1743-1755. [Google Scholar] [CrossRef] [PubMed]
[21] Rittié, L., Farr, E.A., Orringer, J.S., Voorhees, J.J. and Fisher, G.J. (2016) Reduced Cell Cohesiveness of Outgrowths from Eccrine Sweat Glands Delays Wound Closure in Elderly Skin. Aging Cell, 15, 842-852. [Google Scholar] [CrossRef] [PubMed]
[22] Gosain, A. and DiPietro, L.A. (2004) Aging and Wound Healing. World Journal of Surgery, 28, 321-326. [Google Scholar] [CrossRef] [PubMed]
[23] Thomas, D.R. (2001) Age-Related Changes in Wound Healing. Drugs & Aging, 18, 607-620. [Google Scholar] [CrossRef] [PubMed]
[24] Wu, J., Chen, L., Sun, S., Li, Y. and Ran, X. (2022) Mesenchymal Stem Cell-Derived Exosomes: The Dawn of Diabetic Wound Healing. World Journal of Diabetes, 13, 1066-1095. [Google Scholar] [CrossRef] [PubMed]
[25] Lin, C.M., Gu, J., Zhang, Y., et al. (2012) Effect of UC-MSCs on Inflammation and Thrombosis of the Rats with Collagen Type II Induced Arthritis. Chinese Journal of Hematology, 33, 215-219.
[26] Alexander, M., Hu, R., Runtsch, M.C., Kagele, D.A., Mosbruger, T.L., Tolmachova, T., et al. (2015) Exosome-Delivered MicroRNAs Modulate the Inflammatory Response to Endotoxin. Nature Communications, 6, Article No. 7321. [Google Scholar] [CrossRef] [PubMed]
[27] Li, X., Liu, L., Yang, J., Yu, Y., Chai, J., Wang, L., et al. (2016) Exosome Derived from Human Umbilical Cord Mesenchymal Stem Cell Mediates miR-181c Attenuating Burn-Induced Excessive Inflammation. EBioMedicine, 8, 72-82. [Google Scholar] [CrossRef] [PubMed]
[28] Ti, D., Hao, H., Fu, X. and Han, W. (2016) Mesenchymal Stem Cells-Derived Exosomal MicroRNAs Contribute to Wound Inflammation. Science China Life Sciences, 59, 1305-1312. [Google Scholar] [CrossRef] [PubMed]
[29] Wang, X., Abraham, S., McKenzie, J.A.G., Jeffs, N., Swire, M., Tripathi, V.B., et al. (2013) LRG1 Promotes Angiogenesis by Modulating Endothelial TGF-β Signalling. Nature, 499, 306-311. [Google Scholar] [CrossRef] [PubMed]
[30] Zhang, Y., Zhang, P., Gao, X., Chang, L., Chen, Z. and Mei, X. (2021) Preparation of Exosomes Encapsulated Nanohydrogel for Accelerating Wound Healing of Diabetic Rats by Promoting Angiogenesis. Materials Science and Engineering: C, 120, Article ID: 111671. [Google Scholar] [CrossRef] [PubMed]
[31] Liu, J., Yan, Z., Yang, F., Huang, Y., Yu, Y., Zhou, L., et al. (2020) Exosomes Derived from Human Umbilical Cord Mesenchymal Stem Cells Accelerate Cutaneous Wound Healing by Enhancing Angiogenesis through Delivering Angiopoietin-2. Stem Cell Reviews and Reports, 17, 305-317. [Google Scholar] [CrossRef] [PubMed]
[32] Shi, H., Xu, X., Zhang, B., Xu, J., Pan, Z., Gong, A., et al. (2017) 3,3’-Diindolylmethane Stimulates Exosomal Wnt11 Autocrine Signaling in Human Umbilical Cord Mesenchymal Stem Cells to Enhance Wound Healing. Theranostics, 7, 1674-1688. [Google Scholar] [CrossRef] [PubMed]
[33] Zhang, S., Chen, L., Zhang, G. and Zhang, B. (2020) Umbilical Cord-Matrix Stem Cells Induce the Functional Restoration of Vascular Endothelial Cells and Enhance Skin Wound Healing in Diabetic Mice via the Polarized Macrophages. Stem Cell Research & Therapy, 11, Article No. 39. [Google Scholar] [CrossRef] [PubMed]
[34] Song, Y., Dou, H., Li, X., Zhao, X., Li, Y., Liu, D., et al. (2017) Exosomal miR-146a Contributes to the Enhanced Therapeutic Efficacy of Interleukin-1β-Primed Mesenchymal Stem Cells against Sepsis. Stem Cells, 35, 1208-1221. [Google Scholar] [CrossRef] [PubMed]
[35] Nie, W., Huang, X., Zhao, L., Wang, T., Zhang, D., Xu, T., et al. (2023) Exosomal miR-17-92 Derived from Human Mesenchymal Stem Cells Promotes Wound Healing by Enhancing Angiogenesis and Inhibiting Endothelial Cell Ferroptosis. Tissue and Cell, 83, Article ID: 102124. [Google Scholar] [CrossRef] [PubMed]
[36] Miranda, J.P., Filipe, E., Fernandes, A.S., Almeida, J.M., Martins, J.P., De La Fuente, A., et al. (2015) The Human Umbilical Cord Tissue-Derived MSC Population Ucx®promotes Early Motogenic Effects on Keratinocytes and Fibroblasts and G-Csf-Mediated Mobilization of BM-MSCS When Transplanted in Vivo. Cell Transplantation, 24, 865-877. [Google Scholar] [CrossRef] [PubMed]
[37] Lai, Y., Liu, X.H., Zeng, Y., et al. (2012) Interleukin-8 Induces the Endothelial Cell Migration through the Rac1/RhoA-p38MAPK Pathway. European Review for Medical and Pharmacological Sciences, 16, 630-638.
[38] Fong, C., Tam, K., Cheyyatraivendran, S., Gan, S., Gauthaman, K., Armugam, A., et al. (2013) Human Wharton’s Jelly Stem Cells and Its Conditioned Medium Enhance Healing of Excisional and Diabetic Wounds. Journal of Cellular Biochemistry, 115, 290-302. [Google Scholar] [CrossRef] [PubMed]
[39] Nissen, N.N., Polverini, P.J., Koch, A.E., et al. (1998) Vascular Endothelial Growth Factor Mediates Angiogenic Activity during the Proliferative Phase of Wound Healing. The American Journal of Pathology, 152, 1445-1452.
[40] Zhang, B., Wang, M., Gong, A., Zhang, X., Wu, X., Zhu, Y., et al. (2015) HucMSC-Exosome Mediated-Wnt4 Signaling Is Required for Cutaneous Wound Healing. Stem Cells, 33, 2158-2168. [Google Scholar] [CrossRef] [PubMed]
[41] Wilkinson, H.N. and Hardman, M.J. (2020) Wound Healing: Cellular Mechanisms and Pathological Outcomes. Open Biology, 10, Article ID: 200223. [Google Scholar] [CrossRef] [PubMed]
[42] Hu, J., Chen, Y., Huang, Y. and Su, Y. (2020) Human Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes Suppress Dermal Fibroblasts-Myofibroblats Transition via Inhibiting the TGF-β1/Smad2/3 Signaling Pathway. Experimental and Molecular Pathology, 115, Article ID: 104468. [Google Scholar] [CrossRef] [PubMed]
[43] Li, M., Zhang, H., Wang, X., Chen, Z., Lin, X. and Zhu, W. (2021) Mesenchymal Stem Cell-Derived Exosomes Ameliorate Dermal Fibrosis in a Murine Model of Bleomycin-Induced Scleroderma. Stem Cells and Development, 30, 981-990. [Google Scholar] [CrossRef] [PubMed]
[44] Zhang, B., Shi, Y., Gong, A., Pan, Z., Shi, H., Yang, H., et al. (2016) HucMSC Exosome-Delivered 14-3-3ζ Orchestrates Self-Control of the Wnt Response via Modulation of YAP during Cutaneous Regeneration. Stem Cells, 34, 2485-2500. [Google Scholar] [CrossRef] [PubMed]
[45] Ding, D., Chang, Y., Shyu, W. and Lin, S. (2015) Human Umbilical Cord Mesenchymal Stem Cells: A New Era for Stem Cell Therapy. Cell Transplantation, 24, 339-347. [Google Scholar] [CrossRef] [PubMed]
[46] Hoang, D.H., Nguyen, T.D., Nguyen, H., Nguyen, X., Do, P.T.X., Dang, V.D., et al. (2020) Differential Wound Healing Capacity of Mesenchymal Stem Cell-Derived Exosomes Originated from Bone Marrow, Adipose Tissue and Umbilical Cord under Serum-and Xeno-Free Condition. Frontiers in Molecular Biosciences, 7, Article No. 119. [Google Scholar] [CrossRef] [PubMed]
[47] Abbaszadeh, H., Ghorbani, F., Derakhshani, M., Movassaghpour, A. and Yousefi, M. (2019) Human Umbilical Cord Mesenchymal Stem Cell‐Derived Extracellular Vesicles: A Novel Therapeutic Paradigm. Journal of Cellular Physiology, 235, 706-717. [Google Scholar] [CrossRef] [PubMed]
[48] Yan, C., Xv, Y., Lin, Z., Endo, Y., Xue, H., Hu, Y., et al. (2022) Human Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes Accelerate Diabetic Wound Healing via Ameliorating Oxidative Stress and Promoting Angiogenesis. Frontiers in Bioengineering and Biotechnology, 10, Article ID: 829868. [Google Scholar] [CrossRef] [PubMed]