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Table 2 Summary of researches on EVs involved in in vivo wound repair

From: Mesenchymal stem cell-derived extracellular vesicles in skin wound healing: roles, opportunities and challenges

Wound type

Animal model

EVs type

Cargo

Target

Function

References

Acute wound

Rat model of the skin-deep second-degree burn wound

HucMSC-derived EVs (30–100 nm)

Wnt/β-catenin

Proangiogenic effect↑

[94]

Rat skin burn model

HucMSC-derived EVs

Wnt4

Heat stress-induced apoptosis↓

[95]

Deep second-degree burn mice model

Blue light-treated MSC-derived EVs

miR-135b-5p

miR-499a-3p

MEF2C

Proangiogenic ability↑

[89]

Severe burn rat model

HucMSC-derived EVs

miR-181c

Toll-like receptor 4

Burn-induced inflammation↓

[96]

Rat full-thickness cutaneous wounds model

UCB-MSC-derived EVs

miR-21-5p

miR-125b-5p

TGF-β receptor type II and TGF-β receptor type I

Anti-myofibroblast differentiation↑

[91]

Mouse full-thickness cutaneous wounds model

UCMSC-derived EVs (75.66 nm)

Recruitment of fibroblasts↑

Cutaneous nerve regeneration↑

[97]

Mouse full-thickness skin defects model

HucMSC-derived EVs (85% range from 20 to 200 nm)

Inhibiting nuclear translocation of apoptosis-inducing factor

Upregulating poly ADP ribose polymerase 1 (PARP-1) and poly (ADP-ribose)

Epidermal re-epithelialization↑

Dermal angiogenesis↑

[98]

Mouse skin wound model

BMSCs overexpressed with miR-126 EVs (Exo-miR-126, 30–200 nm)

miR-126

Targeting phosphoinositol-3 kinase regulatory subunit 2 to activate the PI3K/Akt signalling pathway

Newly formed capillaries↑

[24]

Rat skin wound model

hiPSC-MSC-derived EVs

Collagen synthesis↑

Angiogenesis↑

[47]

Rat skin wound model

HucMSC-derived EVs

14-3-3ζ proteins

Wnt/β-catenin signaling

Cutaneous regeneration

[99]

Mouse retinal laser injury wound model

HucMSC-derived EVs (40–100 nm)

Downregulation of monocyte chemotactic protein-1

Apoptosis↓

Inflammatory responses↓

[100]

Mouse full-thickness dermal wound injury model

FDMSC-derived EVs

Notch signaling pathway by Jagged 1

Adult dermal fibroblast cell motility and secretion ability↑

[101]

Mouse full-thickness dorsal wound model

ADMSC-derived EVs

Regulating the ratios of collagen type III to type I, TGF-β3 to TGF-β1 and MMP-3 to TIMP-1

ECM reconstruction↑

[102]

Mouse full-thickness dorsal wound model

ADMSC-derived EVs

miR-125a-3p

PTEN

Angiogenesis↑

[103]

Corneal epithelial wound model

HucMSC-derived EVs

miR-21

PTEN

PI3K/Akt signaling pathway

Corneal wound repair↑

[104]

Mouse excisional full-thickness wound model

ADMSC-derived EVs (113.6 nm)

miR-192-5p

miR-192-5p/IL-17RA/Smad axis

Anti-fibrotic properties↑

[105]

Mouse full-thickness skin wound model

TSG-6 overexpressed MSC-derived EVs

Scar pathological injury↓

Collagen deposition↓

[106]

Mouse full-thickness wound model

ADMSC-derived EVs

Collagen expression↓

Scar formation↓

[107]

Mouse skin-defective wound model

BMSC-derived EVs (20–200 nm)

miR-223

PKNOX1

M2 polarization of macrophages

[108]

Mouse full-thickness skin defect model

HucMSC-derived EVs (30–150 nm)

miR-21

miR-23a

miR-125b

miR-145

Transforming growth factor-β/Smad2 signaling pathway

Myofibroblast formation↓

[109]

Murine hind limb ischemia model

EVs released from hP-MSCs by NO stimulation

VEGF

miR-126

Angiogenic processes↑

[110]

Diabetic rat wound model

ATV pretreated BMSC (ATV-derived EVs, 80–120 nm)

miR-221-3p

Akt/eNOS signaling pathway

Angiogenesis effect↑

[111]

Chronic wound

Diabetic rat wound model

HucMSC-derived EVs (30–150 nm)

VEGF and TGF-β1↑

[112]

Diabetic mouse cutaneous wound model

HucMSC-derived EVs (30–150 nm)

Oxidative stress↓

Angiogenesis↑

[113]

Eczema mouse wound model

MSC-derived EVs

Inflammatory cell infiltration↓

Vascular formation↑

[114]

Diabetic mouse wound model

Hypoxic ADMSC-derived EVs

Upregulated miR-21-3p, miR-126-5p, miR-31-5p

Downregulated miR-99b and miR-146-a

PI3K/Akt signaling pathway

Diabetic wounds healing↑

Inflammation↓

[115]

Diabetic rat cutaneous wound model

LPS‐preconditioning of HucMSC-derived EVs (40–90 nm)

let-7b

let-7b/TLR4 pathway[116]

Regulatory abilities for macrophage polarization

[116]

AD-like chronic allergic dermatitis mouse model

ADMSC-derived EVs

Facilitating the de novo synthesis of ceramides

Epidermal barrier functions↑

[117]

Rat diabetic foot ulcers model

Linc00511-overexpressing ADMSC-derived EVs

Suppressing PAQR3-induced Twist1 ubiquitin degradation

Angiogenesis↑

[118]

Diabetic rat wound model

hBMSC-derived EVs

hBMSC-MT-derived EVs (30–150 nm)

PTEN/Akt pathway

Regulating macrophage M1 and M2 polarization

[26]

SD rat skin photoaging model

ADMSC-derived EVs (30–150 nm)

Type I collagen↑

Type III collagen, MMP-1, and MMP-3↓

[119]

Wound model

ADMSCs overexpressing Nrf2-EVs

Granulation tissue formation↑

Angiogenesis↑

Growth factor expression↑

Oxidative stress-related proteins↓

[120]

Diabetic mouse cutaneous wound model

BMSC-derived EVs (50–150 nm)

lncRNA KLF3-AS1

miR-383, VEGFA

Angiogenesis↑

[121]

Diabetic rat wound model

BMSCs preconditioned by deferoxamine-derived EVs (50–150 nm)

miR-126

PTEN

PI3K/Akt signaling pathway

Wound healing↑

Angiogenesis↑

[122]

 

HucMSC-derived EVs (40–100 nm)

Downregulation of monocyte chemotactic protein-1

Apoptosis↓

Inflammatory responses↓

[100]

  1. EVs extracellular vesicles, HucMSC human umbilical cord mesenchymal stem cell, MSC mesenchymal stem cell, UCB-MSC umbilical cord blood mesenchymal stem cell, UCMSC umbilical cord mesenchymal stem cell, ADP adenosine diphosphate, BMSC bone marrow mesenchymal stem cell, Exo exosome, hiPSC human-induced pluripotent stem cells, FDMSC fetal dermal mesenchymal stem cell, ADMSC adipose-derived mesenchymal stem cell, MMP matrix metalloproteinases, PTEN phosphatase and tensin homolog deleted on chromosome 10, TSG-6 tumor necrosis factor alpha-stimulated gene 6, PKNOX1 homo sapiens PBX/knotted 1 homeobox 1, Smad Drosophila mothers against decapentaplegic proteins, hP-MSC human placenta-derived mesenchymal stem cell, ATV atorvastatin, LPS lipopolysaccharide, PAQR3 progestin and adipoQ receptor 3, hBMSC human bone marrow mesenchymal stem cell, IL interleukin, VEGFA vascular endothelial growth factor A, eNOS endothelial nitric oxide synthase, TLR toll-like receptor, AD atopic dermatitis