Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears

Abstrct Rotator cuff injury (RCI), characterized by shoulder pain and restricted mobility, represents a subset of tendon-bone insertion injuries (TBI). In the majority of cases, surgical reconstruction of the affected tendons or ligaments is required to address the damage. However, numerous clinical...

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Main Authors: Junjie Chen, Zihe Wang, Ming Yi, Yi Yang, Mengzhao Tian, Yinqi Liu, Guoyou Wang, Huarui Shen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Translational Medicine
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Online Access:https://doi.org/10.1186/s12967-024-06029-2
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author Junjie Chen
Zihe Wang
Ming Yi
Yi Yang
Mengzhao Tian
Yinqi Liu
Guoyou Wang
Huarui Shen
author_facet Junjie Chen
Zihe Wang
Ming Yi
Yi Yang
Mengzhao Tian
Yinqi Liu
Guoyou Wang
Huarui Shen
author_sort Junjie Chen
collection DOAJ
description Abstrct Rotator cuff injury (RCI), characterized by shoulder pain and restricted mobility, represents a subset of tendon-bone insertion injuries (TBI). In the majority of cases, surgical reconstruction of the affected tendons or ligaments is required to address the damage. However, numerous clinical failures have underscored the suboptimal outcomes associated with such procedures. Further investigations have revealed that these failures are largely attributable to delayed healing at the tendon-bone interface, excessive formation of vascularized scar tissue, and inadequate integration of tendon grafts within bone tunnels. As a result, the healing process of rotator cuff injuries faces significant challenges.Bone marrow-derived mesenchymal stem cell exosomes (BMSC-exos) have emerged as a prominent focus of research within the field of bioengineering, owing to their remarkable potential to regulate cellular proliferation and differentiation, modulate immune responses, and facilitate tissue repair and regeneration following cellular damage. In this review, we explore the anti-inflammatory, angiogenic, anti-scarring, and bone metabolism-modulating effects of BMSC-exos in the context of rotator cuff injury. Additionally, we address the limitations and ongoing challenges within current research, offering insights that could guide the clinical application of BMSC-exos in the treatment of rotator cuff injuries in the future.
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issn 1479-5876
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series Journal of Translational Medicine
spelling doaj-art-02f57805474248faa5b200aa6a9944a22025-01-19T12:37:26ZengBMCJournal of Translational Medicine1479-58762025-01-0123111910.1186/s12967-024-06029-2Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tearsJunjie Chen0Zihe Wang1Ming Yi2Yi Yang3Mengzhao Tian4Yinqi Liu5Guoyou Wang6Huarui Shen7Department of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversitySchool of Materials and Energy, Southwest University, Southwest University HospitalDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Joint Surgery, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAbstrct Rotator cuff injury (RCI), characterized by shoulder pain and restricted mobility, represents a subset of tendon-bone insertion injuries (TBI). In the majority of cases, surgical reconstruction of the affected tendons or ligaments is required to address the damage. However, numerous clinical failures have underscored the suboptimal outcomes associated with such procedures. Further investigations have revealed that these failures are largely attributable to delayed healing at the tendon-bone interface, excessive formation of vascularized scar tissue, and inadequate integration of tendon grafts within bone tunnels. As a result, the healing process of rotator cuff injuries faces significant challenges.Bone marrow-derived mesenchymal stem cell exosomes (BMSC-exos) have emerged as a prominent focus of research within the field of bioengineering, owing to their remarkable potential to regulate cellular proliferation and differentiation, modulate immune responses, and facilitate tissue repair and regeneration following cellular damage. In this review, we explore the anti-inflammatory, angiogenic, anti-scarring, and bone metabolism-modulating effects of BMSC-exos in the context of rotator cuff injury. Additionally, we address the limitations and ongoing challenges within current research, offering insights that could guide the clinical application of BMSC-exos in the treatment of rotator cuff injuries in the future.https://doi.org/10.1186/s12967-024-06029-2Tendon–bone healingExosomesBone marrow mesenchymal stem cellsRotator cuff regenerativeDrug deliveryNanocarriers
spellingShingle Junjie Chen
Zihe Wang
Ming Yi
Yi Yang
Mengzhao Tian
Yinqi Liu
Guoyou Wang
Huarui Shen
Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
Journal of Translational Medicine
Tendon–bone healing
Exosomes
Bone marrow mesenchymal stem cells
Rotator cuff regenerative
Drug delivery
Nanocarriers
title Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
title_full Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
title_fullStr Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
title_full_unstemmed Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
title_short Regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
title_sort regenerative properties of bone marrow mesenchymal stem cell derived exosomes in rotator cuff tears
topic Tendon–bone healing
Exosomes
Bone marrow mesenchymal stem cells
Rotator cuff regenerative
Drug delivery
Nanocarriers
url https://doi.org/10.1186/s12967-024-06029-2
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