Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia

Critical limb ischemia (CLI) poses a substantial and intricate challenge in vascular medicine, necessitating the development of innovative therapeutic strategies to address its multifaceted pathophysiology. Conventional revascularization approaches often fail to adequately address the complexity of...

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Main Authors: Vijay Murali Ravi Mythili, Ramya Lakshmi Rajendran, Raksa Arun, Vasanth Kanth Thasma Loganathbabu, Danyal Reyaz, ArulJothi Kandasamy Nagarajan, Byeong-Cheol Ahn, Prakash Gangadaran
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/12/1/92
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author Vijay Murali Ravi Mythili
Ramya Lakshmi Rajendran
Raksa Arun
Vasanth Kanth Thasma Loganathbabu
Danyal Reyaz
ArulJothi Kandasamy Nagarajan
Byeong-Cheol Ahn
Prakash Gangadaran
author_facet Vijay Murali Ravi Mythili
Ramya Lakshmi Rajendran
Raksa Arun
Vasanth Kanth Thasma Loganathbabu
Danyal Reyaz
ArulJothi Kandasamy Nagarajan
Byeong-Cheol Ahn
Prakash Gangadaran
author_sort Vijay Murali Ravi Mythili
collection DOAJ
description Critical limb ischemia (CLI) poses a substantial and intricate challenge in vascular medicine, necessitating the development of innovative therapeutic strategies to address its multifaceted pathophysiology. Conventional revascularization approaches often fail to adequately address the complexity of CLI, necessitating the identification of alternative methodologies. This review explores uncharted territory beyond traditional therapies, focusing on the potential of two distinct yet interrelated entities: cell-derived extracellular vesicles (EVs) and artificial nanovesicles. Cell-derived EVs are small membranous structures naturally released by cells, and artificial nanovesicles are artificially engineered nanosized vesicles. Both these vesicles represent promising avenues for therapeutic intervention. They act as carriers of bioactive cargo, including proteins, nucleic acids, and lipids, that can modulate intricate cellular responses associated with ischemic tissue repair and angiogenesis. This review also assesses the evolving landscape of CLI revascularization through the unique perspective of cell-derived EVs and artificial nanovesicles. The review spans the spectrum from early preclinical investigations to the latest translational advancements, providing a comprehensive overview of the current state of research in this emerging field. These groundbreaking vesicle therapies hold immense potential for revolutionizing CLI treatment paradigms.
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institution Kabale University
issn 2306-5354
language English
publishDate 2025-01-01
publisher MDPI AG
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series Bioengineering
spelling doaj-art-d62fa48367aa47ae98bd6eb0292921b92025-01-24T13:23:15ZengMDPI AGBioengineering2306-53542025-01-011219210.3390/bioengineering12010092Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb IschemiaVijay Murali Ravi Mythili0Ramya Lakshmi Rajendran1Raksa Arun2Vasanth Kanth Thasma Loganathbabu3Danyal Reyaz4ArulJothi Kandasamy Nagarajan5Byeong-Cheol Ahn6Prakash Gangadaran7Integrative Genetics and Molecular Oncology Group, Department of Genetic Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Chengalpattu 603203, Tamil Nadu, IndiaDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of KoreaIntegrative Genetics and Molecular Oncology Group, Department of Genetic Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Chengalpattu 603203, Tamil Nadu, IndiaIntegrative Genetics and Molecular Oncology Group, Department of Genetic Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Chengalpattu 603203, Tamil Nadu, IndiaIntegrative Genetics and Molecular Oncology Group, Department of Genetic Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Chengalpattu 603203, Tamil Nadu, IndiaIntegrative Genetics and Molecular Oncology Group, Department of Genetic Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Chengalpattu 603203, Tamil Nadu, IndiaDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of KoreaDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Republic of KoreaCritical limb ischemia (CLI) poses a substantial and intricate challenge in vascular medicine, necessitating the development of innovative therapeutic strategies to address its multifaceted pathophysiology. Conventional revascularization approaches often fail to adequately address the complexity of CLI, necessitating the identification of alternative methodologies. This review explores uncharted territory beyond traditional therapies, focusing on the potential of two distinct yet interrelated entities: cell-derived extracellular vesicles (EVs) and artificial nanovesicles. Cell-derived EVs are small membranous structures naturally released by cells, and artificial nanovesicles are artificially engineered nanosized vesicles. Both these vesicles represent promising avenues for therapeutic intervention. They act as carriers of bioactive cargo, including proteins, nucleic acids, and lipids, that can modulate intricate cellular responses associated with ischemic tissue repair and angiogenesis. This review also assesses the evolving landscape of CLI revascularization through the unique perspective of cell-derived EVs and artificial nanovesicles. The review spans the spectrum from early preclinical investigations to the latest translational advancements, providing a comprehensive overview of the current state of research in this emerging field. These groundbreaking vesicle therapies hold immense potential for revolutionizing CLI treatment paradigms.https://www.mdpi.com/2306-5354/12/1/92critical limb ischemiaextracellular vesiclesnanovesiclesrevascularizationregenerative medicine
spellingShingle Vijay Murali Ravi Mythili
Ramya Lakshmi Rajendran
Raksa Arun
Vasanth Kanth Thasma Loganathbabu
Danyal Reyaz
ArulJothi Kandasamy Nagarajan
Byeong-Cheol Ahn
Prakash Gangadaran
Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
Bioengineering
critical limb ischemia
extracellular vesicles
nanovesicles
revascularization
regenerative medicine
title Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
title_full Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
title_fullStr Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
title_full_unstemmed Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
title_short Emerging Strategies for Revascularization: Use of Cell-Derived Extracellular Vesicles and Artificial Nanovesicles in Critical Limb Ischemia
title_sort emerging strategies for revascularization use of cell derived extracellular vesicles and artificial nanovesicles in critical limb ischemia
topic critical limb ischemia
extracellular vesicles
nanovesicles
revascularization
regenerative medicine
url https://www.mdpi.com/2306-5354/12/1/92
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