Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers

Exosomes, nano-sized lipid bilayer vesicles, have garnered significant attention as mediators of cell communication, particularly within the central nervous system (CNS). Their unique properties, including high stability, low immunogenicity, and the ability to traverse the blood-brain barrier (BBB),...

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Main Authors: Jingrun Li, Jiahao Song, Lina Jia, Mengqi Wang, Xunming Ji, Ran Meng, Da Zhou
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/14/12/1519
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author Jingrun Li
Jiahao Song
Lina Jia
Mengqi Wang
Xunming Ji
Ran Meng
Da Zhou
author_facet Jingrun Li
Jiahao Song
Lina Jia
Mengqi Wang
Xunming Ji
Ran Meng
Da Zhou
author_sort Jingrun Li
collection DOAJ
description Exosomes, nano-sized lipid bilayer vesicles, have garnered significant attention as mediators of cell communication, particularly within the central nervous system (CNS). Their unique properties, including high stability, low immunogenicity, and the ability to traverse the blood-brain barrier (BBB), position them as promising tools for understanding and addressing CNS diseases. This comprehensive review delves into the biogenesis, properties, composition, functions, and isolation of exosomes, with a particular focus on their roles in cerebrovascular diseases, neurodegenerative disorders, and CNS tumors. Exosomes are involved in key pathophysiological processes in the CNS, including angiogenesis, inflammation, apoptosis, and cellular microenvironment modification. They demonstrate promise in mitigating ischemic injury, regulating inflammatory responses, and providing neuroprotection across various CNS conditions. Furthermore, exosomes carry distinct biomolecules, offering a novel method for the early diagnosis and monitoring of CNS diseases. Despite their potential, challenges such as complex extraction processes, the heterogeneity of exosomal contents, and targeted delivery limitations hinder their clinical application. Nevertheless, exosomes hold significant promise for advancing our understanding of CNS diseases and developing novel therapeutic strategies. This manuscript significantly contributes to the field by highlighting exosomes’ potential in advancing our understanding of CNS diseases, underscoring their unique value in developing novel therapeutic strategies and mediating cellular communication.
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series Biomolecules
spelling doaj-art-602ede5c5c7d4cb688f5370b24f4026d2025-08-20T02:55:31ZengMDPI AGBiomolecules2218-273X2024-11-011412151910.3390/biom14121519Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical FrontiersJingrun Li0Jiahao Song1Lina Jia2Mengqi Wang3Xunming Ji4Ran Meng5Da Zhou6Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaExosomes, nano-sized lipid bilayer vesicles, have garnered significant attention as mediators of cell communication, particularly within the central nervous system (CNS). Their unique properties, including high stability, low immunogenicity, and the ability to traverse the blood-brain barrier (BBB), position them as promising tools for understanding and addressing CNS diseases. This comprehensive review delves into the biogenesis, properties, composition, functions, and isolation of exosomes, with a particular focus on their roles in cerebrovascular diseases, neurodegenerative disorders, and CNS tumors. Exosomes are involved in key pathophysiological processes in the CNS, including angiogenesis, inflammation, apoptosis, and cellular microenvironment modification. They demonstrate promise in mitigating ischemic injury, regulating inflammatory responses, and providing neuroprotection across various CNS conditions. Furthermore, exosomes carry distinct biomolecules, offering a novel method for the early diagnosis and monitoring of CNS diseases. Despite their potential, challenges such as complex extraction processes, the heterogeneity of exosomal contents, and targeted delivery limitations hinder their clinical application. Nevertheless, exosomes hold significant promise for advancing our understanding of CNS diseases and developing novel therapeutic strategies. This manuscript significantly contributes to the field by highlighting exosomes’ potential in advancing our understanding of CNS diseases, underscoring their unique value in developing novel therapeutic strategies and mediating cellular communication.https://www.mdpi.com/2218-273X/14/12/1519exosomescentral nervous system diseasesblood-brain barrierneuroprotectiontherapeutic applications
spellingShingle Jingrun Li
Jiahao Song
Lina Jia
Mengqi Wang
Xunming Ji
Ran Meng
Da Zhou
Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
Biomolecules
exosomes
central nervous system diseases
blood-brain barrier
neuroprotection
therapeutic applications
title Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
title_full Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
title_fullStr Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
title_full_unstemmed Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
title_short Exosomes in Central Nervous System Diseases: A Comprehensive Review of Emerging Research and Clinical Frontiers
title_sort exosomes in central nervous system diseases a comprehensive review of emerging research and clinical frontiers
topic exosomes
central nervous system diseases
blood-brain barrier
neuroprotection
therapeutic applications
url https://www.mdpi.com/2218-273X/14/12/1519
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