Adipose-Derived Stem Cell Exosomes Facilitate Diabetic Wound Healing: Mechanisms and Potential Applications

Int J Nanomedicine. 2024 Jun 17:19:6015-6033. doi: 10.2147/IJN.S466034. eCollection 2024.

Abstract

Wound healing in diabetic patients is frequently hampered. Adipose-derived stem cell exosomes (ADSC-eoxs), serving as a crucial mode of intercellular communication, exhibit promising therapeutic roles in facilitating wound healing. This review aims to comprehensively outline the molecular mechanisms through which ADSC-eoxs enhance diabetic wound healing. We emphasize the biologically active molecules released by these exosomes and their involvement in signaling pathways associated with inflammation modulation, cellular proliferation, vascular neogenesis, and other pertinent processes. Additionally, the clinical application prospects of the reported ADSC-eoxs are also deliberated. A thorough understanding of these molecular mechanisms and potential applications is anticipated to furnish a theoretical groundwork for combating diabetic wound healing.

Keywords: ADSC-exos; diabetes; inflammation; skin cells; tissue regeneration; wound healing.

Publication types

  • Review

MeSH terms

  • Adipose Tissue* / cytology
  • Animals
  • Cell Proliferation / drug effects
  • Diabetes Mellitus / therapy
  • Exosomes*
  • Humans
  • Signal Transduction
  • Stem Cells*
  • Wound Healing* / physiology

Grants and funding

This study was supported by financial support from Hubei Provincial Natural Science Foundation of China (2023BCB088).