Recent Advances on Extracellular Vesicles in Central Nervous System Diseases
Open accessAbstract
Extracellular vesicles (EVs) are particles released by multiple cells, encapsulated by lipid bilayers and containing a variety of biological materials, including proteins, nucleic acids, lipids and metabolites. With the advancement of separation and characterization methods, EV subtypes and their complex and diverse functions have been recognized. In the central nervous system (CNS), EVs are involved in various physiological and pathological processes, such as regulation of neuronal firing, synaptic plasticity, formation and maintenance of myelin sheath, propagation of neuroinflammation, neuroprotection, and spread and removal of toxic protein aggregates. Activity-dependent alteration of constituents enables EVs to reflect the change of cell and tissue states, and the wide distribution of EVs in biological fluids endows them with potential as diagnostic and prognostic biomarkers for CNS diseases, including neurodegenerative disease, cerebrovascular disease, traumatic brain disease, and brain tumor. Favorable biocompatibility, ability of crossing the blood-brain barrier and protecting contents from degradation, give promising therapeutic effects of EVs, either collected from mesenchymal stem cells culture conditioned media, or designed as drug delivery vehicles loaded with specific agents. In this review, we summarized EVs' basic biological properties, and mainly focused on their applications in CNS diseases.
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Challenges in miRNA research in neurodegenerative diseases include identifying disease-specific miRNA signatures, understanding the mechanisms of miRNA loading into EVs, and elucidating the exact role of these miRNAs in disease progression.
“Challenges include identifying disease-specific miRNA signatures, understanding the mechanisms of miRNA loading into EVs, and elucidating the exact role of these miRNAs in disease progression [174].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [174]
The Neurodegenerative Diseases section (page unavailable) describes EV-miRNA signatures in Parkinson’s disease and ALS, supporting the claim’s focus on disease-associated signatures. It does not identify finding such signatures as an outstanding challenge, or state that miRNA loading mechanisms and the exact roles of miRNAs in disease progression remain to be elucidated. (LLM, conf=0.82)
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- Authors
- Jin, T., Gu, J., Li, Z., Xu, Z., & Gui, Y.
- Affiliations
- Sir Run Run Shaw Hospital (CN)
- Washington University in St. Louis (US)
- Corresponding author
- Gui, Yaxing
- Venue
- Clinical Interventions in Aging
- Publisher
- Informa UK Limited
- Published
- 2021-02
- Volume
- Volume 16
- Pages
- 257-274
- ISSN
- 1176-9092 (ISSN-L)
- 1178-1998
- PMC
- PMC7882422
- OpenAlex
- W3126653531
- Cited by
- 44
- References
- 172
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 11 · 2023: 11 · 2022: 14 · 2021: 1
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Clinical Interventions in Aging (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, other-oa)
- Funders
- National Natural Science Foundation of China (81401038)
- Natural Science Foundation of Zhejiang Province (LY19H090018)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Caveolin-1 and cellular processes
- Keywords
- extracellular vesicles, central nervous system disorders, neurodegenerative diseases, cerebrovascular disease, traumatic brain injury, brain tumors, neuroinflammation, neuroprotection, protein aggregate clearance, biomarkers, drug carriers, blood-brain barrier, synaptic plasticity, myelination
- MeSH terms
- Extracellular Vesicles, Blood-Brain Barrier, Brain, Central Nervous System Diseases, Humans, Biomarkers, Drug Delivery Systems, Neurodegenerative Diseases, Mesenchymal Stem Cells
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