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Research progress of exosomes derived from different cells in degenerative diseases of orthopedics
Received:December 02, 2019  Revised:January 15, 2020  Click here to download the full text
Citation of this paper:ZHANG Qi-chen,JIANG Li-bo,LI Xi-lei.Research progress of exosomes derived from different cells in degenerative diseases of orthopedics[J].Chinese Journal of Clinical Medicine,2020,27(6):1046-1051
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Author NameAffiliationE-mail
ZHANG Qi-chen Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
JIANG Li-bo Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LI Xi-lei Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China li_xi_lei@126.com 
Abstract:Exosomes are membranous vesicle-like microbodies secreted from cells. Exosomes have application value in the diagnosis and treatment of orthopedic degenerative diseases, mainly osteoarthritis and intervertebral disc degeneration. Exosomes of various cell sources, including mesenchymal stem cell (MSC), can inhibit chondrocyte degeneration and promote regeneration. Among them, MSC derived-exosomes are the most widely studied, which have the advantages of abundant cell resources, high yield, and easy access. The expression profile of microRNAs (miRNA) in chondrocyte exosomes is significantly different from that of its parent cells, suggesting that exosomes secreted by chondrocytes play an important role in chondrogenic differentiation and maintenance of chondrocyte homeostasis. In addition, exosomes derived from normal nucleus pulposus cells can induce migration and differentiation into nucleus pulposus cells of MSC. In some cases, exosomes from synovial fibroblasts under inflammatory microenvironment may also be a contributing factor for the cartilage degeneration. This article reviews the studies on exosomes from different cell sources in orthopedic degenerative diseases, which might bring new ideas for the diagnosis and treatment of these diseases.
keywords:exosomes  cell origin  degenerative diseases of orthopedics  mechanism
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