Exploring the Role of Mesenchymal Stem Cell-Derived Exosomes in Diabetic and Chemotherapy-Induced Peripheral Neuropathy

Mol Neurobiol. 2024 Aug;61(8):5916-5927. doi: 10.1007/s12035-024-03916-z. Epub 2024 Jan 22.

Abstract

Diabetic and chemotherapy-induced peripheral neuropathies are known for long-term complications that are associated with uncontrolled hyperglycemia and cancer treatment, respectively. Peripheral neuropathy often requires long-term therapy and could persist after treatment provoking detrimental effects on the patient's quality of life. Despite continuous drug discoveries, development of efficient therapies is still needed for the significant management of diabetic and chemotherapy-induced peripheral neuropathy. Exosomes are nanosized extracellular vesicles that show great promise recently in tissue regeneration and injury repair compared to their parent stem cells. Herein, we provided a summary for the use of mesenchymal stem cell-derived exosomes in diabetic and chemotherapy-induced peripheral neuropathy in addition to recent advancements and ways proposed for the enhancement of their efficacy in these diseases.

Keywords: Chemotherapy; Diabetes; Exosomes; Mesenchymal stem cells; Peripheral neuropathy.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects
  • Diabetic Neuropathies* / therapy
  • Exosomes* / metabolism
  • Humans
  • Mesenchymal Stem Cells* / metabolism
  • Peripheral Nervous System Diseases* / chemically induced
  • Peripheral Nervous System Diseases* / pathology
  • Peripheral Nervous System Diseases* / therapy

Substances

  • Antineoplastic Agents