Pathogenic and therapeutic roles of extracellular vesicles in sepsis

Sepsis is a systemic injury resulting in vascular dysfunction, which can lead to multiple organ dysfunction, even shock and death. Extracellular vesicles (EVs) released by mammalian cells and bacteria have been shown to play important roles in intercellular communication and progression of various d...

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Main Authors: Benshuai You, Yang Yang, Jing Wei, Chenglin Zhou, Surong Dong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1535427/full
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author Benshuai You
Yang Yang
Jing Wei
Chenglin Zhou
Surong Dong
author_facet Benshuai You
Yang Yang
Jing Wei
Chenglin Zhou
Surong Dong
author_sort Benshuai You
collection DOAJ
description Sepsis is a systemic injury resulting in vascular dysfunction, which can lead to multiple organ dysfunction, even shock and death. Extracellular vesicles (EVs) released by mammalian cells and bacteria have been shown to play important roles in intercellular communication and progression of various diseases. In past decades, the functional role of EVs in sepsis and its complications has been well explored. EVs are one of the paracrine components of cells. By delivering bioactive materials, EVs can promote immune responses, particularly the development of inflammation. In addition, EVs can serve as beneficial tools for delivering therapeutic cargos. In this review, we discuss the dual role of EVs in the progression and treatment of sepsis, exploring their intricate involvement in both inflammation and tissue repair processes. Specifically, the remarkable role of engineered strategies based on EVs in the treatment of sepsis is highlighted. The engineering EVs-mediated drug delivery and release strategies offer broad prospects for the effective treatment of sepsis. EVs-based approaches provide a novel avenue for diagnosing sepsis and offer opportunities for more precise intervention.
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spelling doaj-art-92a8cf6703294043850d0dc6b9b730c22025-02-04T06:32:03ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15354271535427Pathogenic and therapeutic roles of extracellular vesicles in sepsisBenshuai You0Yang Yang1Jing Wei2Chenglin Zhou3Surong Dong4Clinical Laboratory Center, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou, Jiangsu, ChinaClinical Laboratory Center, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou, Jiangsu, ChinaDepartment of Obstetrics and Gynecology, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou, Jiangsu, ChinaClinical Laboratory Center, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou, Jiangsu, ChinaClinical Laboratory Center, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou, Jiangsu, ChinaSepsis is a systemic injury resulting in vascular dysfunction, which can lead to multiple organ dysfunction, even shock and death. Extracellular vesicles (EVs) released by mammalian cells and bacteria have been shown to play important roles in intercellular communication and progression of various diseases. In past decades, the functional role of EVs in sepsis and its complications has been well explored. EVs are one of the paracrine components of cells. By delivering bioactive materials, EVs can promote immune responses, particularly the development of inflammation. In addition, EVs can serve as beneficial tools for delivering therapeutic cargos. In this review, we discuss the dual role of EVs in the progression and treatment of sepsis, exploring their intricate involvement in both inflammation and tissue repair processes. Specifically, the remarkable role of engineered strategies based on EVs in the treatment of sepsis is highlighted. The engineering EVs-mediated drug delivery and release strategies offer broad prospects for the effective treatment of sepsis. EVs-based approaches provide a novel avenue for diagnosing sepsis and offer opportunities for more precise intervention.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1535427/fullsepsisextracellular vesiclesintercellular communicationtreatmentengineering strategies
spellingShingle Benshuai You
Yang Yang
Jing Wei
Chenglin Zhou
Surong Dong
Pathogenic and therapeutic roles of extracellular vesicles in sepsis
Frontiers in Immunology
sepsis
extracellular vesicles
intercellular communication
treatment
engineering strategies
title Pathogenic and therapeutic roles of extracellular vesicles in sepsis
title_full Pathogenic and therapeutic roles of extracellular vesicles in sepsis
title_fullStr Pathogenic and therapeutic roles of extracellular vesicles in sepsis
title_full_unstemmed Pathogenic and therapeutic roles of extracellular vesicles in sepsis
title_short Pathogenic and therapeutic roles of extracellular vesicles in sepsis
title_sort pathogenic and therapeutic roles of extracellular vesicles in sepsis
topic sepsis
extracellular vesicles
intercellular communication
treatment
engineering strategies
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1535427/full
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AT jingwei pathogenicandtherapeuticrolesofextracellularvesiclesinsepsis
AT chenglinzhou pathogenicandtherapeuticrolesofextracellularvesiclesinsepsis
AT surongdong pathogenicandtherapeuticrolesofextracellularvesiclesinsepsis