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Mesenchymal stem cell-derived exosomes as new remedy for the treatment of inflammatory eye diseases
Authors:CARL RANDALL HARRELL  ANA VOLAREVIC  DRAGICA PAVLOVIC  VALENTIN DJONOV  VLADISLAV VOLAREVIC
Affiliation:1.Regenerative Processing Plant, Palm Harbor, Florida, USA2 Department of Cognitive Psychology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia3 Institute of Anatomy, University of Bern, Bern, Switzerland4 Department of Genetics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia5 Department of Microbiology and Immunology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
Abstract:Detrimental immune response has a crucially important role in the development and progression of inflammatory eye diseases. Inflammatory mediators and proteolytic enzymes released by activated immune cells induce serious injury of corneal epithelial cells and retinal ganglion cell which may result in the vision loss. Mesenchymal stem cells (MSCs) are regulatory cells which produce various immunosuppressive factors that modulate phenotype and function of inflammatory immune cells. However, several safety issues, including undesired differentiation and emboli formation, limit clinical use of MSCs. MSC-derived exosomes (MSC-Exos) are nano-sized extracellular vesicles which contain all MSC-derived immunoregulatory factors. Intraocular administration of MSC-Exos efficiently attenuated eye inflammation and significantly improved visual acuity in experimental animals without causing any severe side effects. As cell-free product, MSC-Exos addressed all safety issues related to the transplantation of MSCs. Therefore, MSC-Exos could be considered as potentially new remedy for the treatment of inflammatory eye diseases which efficacy should be explored in up-coming clinical trials.
Keywords:Mesenchymal stem cells  Exosomes  Inflammation  Eye  Therapy
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