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Table 3 MSC-EVs in the treatment of ALI/ARDS

From: Extracellular vesicles in the pathogenesis and treatment of acute lung injury

ALI

EVs source

Molecules

Target

Effect

References

LPS

Endothelial progenitor cells-exosomes

miR-126

Endothelial cells

Enhanced endothelial cell proliferation, migration, and tube formation; reduced permeability and inflammation

[6]

LPS

Human iPSC-exosomes

Unknown

HMVECs

Inhibited ICAM-1 expression, and attenuated neutrophil adhesion

[83]

Phosgene

MSC-EVs

Unknown

Lung tissues

Modulated inflammation, inhibited MMP-9 synthesis and elevated SP-C levels

[118]

Traumatic

MSC-exosomes

miR-124-3P

Lung tissues

Inhibited P2X7 expression, suppressed inflammatory response and improved oxidative stress injury

[119]

Burn

HUCMSC-exosomes

miR-451

Lung tissues

Inhibited TLR4/NF-κB pathway/attenuated pulmonary inflammation

[120]

Sulfur mustard

Bone marrow MSC-exosomes

Unknown

Epithelial cells

Inhibited epithelial cell apoptosis and restored epithelial barrier function

[122]

Hyperoxia

Bone marrow MSC-exosomes

miR-425

Lung tissues/RLE-6TN cells

Up-regulated PI3K/Akt signaling, increased cell viability, and reduced apoptosis

[123]

Sepsis

MSC-exosomes

lncRNA-p21

Lung tissues/ epithelial cells

Down-regulated miR-181 and up-regulated SIRT1 expression/suppressed epithelial cell apoptosis and prevented ALI

[124]

LPS

MSC-EVs

Modified to exhibit miR-30b-3p

MLE-12 cells (mouse lung epithelial cells)

Increased cell proliferation and reduced apoptosis

[126]

LPS

HUCMSC-EVs

miR-377-3p

Lung tissues

Suppressed the inflammatory factors and induced autophagy, ameliorated ALI

[127]

Paraquat poisoning

DPSC-EVs

HGF

BESA-ZB

Inhibited the expression of pro-inflammatory factors and up-regulated the expression of anti-inflammatory factors

[128]

Cigarette

MSC-EVs

Mitochondrial DNA

BEAS-2B cells

Regulated early mitochondrial genes involved in the fission/fusion process

[129]

LPS

MSC-MVs

Ang-1 mRNA/HGF

Macrophages and HLMVECs

Maintained the integrity of microvascular endothelial cells and immunomodulatory properties of macrophages

[130, 131]

Ventilator

ADSC-EVs

Unknown

Endothelial cells

Inhibited the TRPV4/Ca2+ pathway/suppressed pulmonary endothelial injury and inflammatory responses

[132]

Histone

MSC-exosomes

miR-126

HUVECs

Activated the PI3K/Akt pathway/attenuated endothelial cell apoptosis

[133]

Ischemia–reperfusion

MSC-EVs

Unknown

Endothelial cells

Attenuated the activation of immune cells and restored the integrity of the endothelial cell barrier

[134]

LPS

Endothelial progenitor cell-EVs

miR-126

Endothelial cells

Down-regulated SPRED1 expression to activate RAF/ERK signaling, enhanced proliferation, migration and capillary tube formation

[135]

LPS

MSC-exosomes

Unknown

Macrophages

Inhibited cellular glycolysis and M1 macrophage polarization

[136]

LPS

MSC-EVs

Unknown

Alveolar macrophages

Improved autophagy/attenuated viability loss and apoptosis

[139]

LPS

HUCMSC-exosomes

miRNA-22-3p

Alveolar macrophages

Inhibited inflammatory reaction and oxidative stress response, increased alveolar macrophage proliferation, and reduced macrophage apoptosis

[140]

Escherichia coli endotoxin

MSC-MVs

KGF mRNA

Neutrophils

Reduced the influx of neutrophils and MIP-2 levels in BALF

[141]

MDR-PA pneumonia

MSC-EVs

miR-466

Neutrophils

Decreased influx of BALF neutrophils, proinflammatory factor levels and proteins

[142]

  1. ADSC adipose-derived stem cell, ALI acute lung injury, ARDS acute respiratory distress syndrome, BEAS-2B human bronchial epithelial cells, BALF bronchoalveolar lavage fluid, DPSC dental pulp stem cell, HGF hepatocyte growth factor, HLMVECs human lung microvascular endothelial cells, HMVECs human primary pulmonary microvascular endothelial cells, HUCMSC human umbilical cord mesenchymal stem cells, iPSC induced pluripotent stem cell, ICAM-1 intercellular cell adhesion molecule-1, KGF keratinocyte growth factor, LPS lipopolysaccharide, MDR-PA multidrug-resistant Pseudomonas aeruginosa, MIP-2 macrophage inflammatory protein-2, MMP-9 matrix metallopeptidase-9, MSC-EVs mesenchymal stem cell-derived extracellular vesicles, P2X7 P2X ligand-gated ion channel 7, SP-C surfactant protein-C, SPRED1 sprouty-related EVH1 domain-containing proteins 1