The application of extracellular vesicles in orthopedic diseases

Author:

Li Yuexin1234,Zhang Haiyan1234,Jiang Yu5,Yang Jian6,Cai Daozhang1234,Bai Xiaochun1234ORCID

Affiliation:

1. Department of Joint Surgery Center for Orthopedic Surgery The Third Affiliated Hospital of Southern Medical University Guangzhou China

2. Department of Orthopedics Orthopedic Hospital of Guangdong Province Academy of Orthopedics·Guangdong Province The Third Affiliated Hospital of Southern Medical University Guangzhou China

3. The Third School of Clinical Medicine Southern Medical University Guangzhou China

4. Guangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases Guangzhou China

5. Department of Pharmacology and Chemical Biology University of Pittsburgh School of Medicine Pittsburgh USA

6. School of Engineering Westlake University Hangzhou China

Abstract

AbstractOrthopedic diseases, such as osteoarthritis and fractures, place a significant burden on individuals and healthcare systems worldwide. Extracellular vesicles (EVs), which are membrane‐derived particles, have emerged as a novel tool in the field of orthopedics. EVs play a crucial role in diagnosing, regenerating, and treating orthopedic diseases. In terms of diagnosis, EVs serve as potential biomarkers, carrying unique donor cell information and circulating effectively in bodily fluids. Specific biomolecules within EVs, including proteins, nucleic acids, and microRNAs, hold promise as biological markers for the early detection and monitoring of orthopedic diseases. EVs have shown significant potential in promoting bone and cartilage regeneration. They can enhance tissue regeneration by stimulating various stem cells to proliferate, migrate, and differentiate into mature chondrocytes and osteocytes. EVs can also target specific tissues, making them attractive candidates for drug delivery in orthopedic diseases. They can efficiently deliver therapeutic cargo, such as anti‐inflammatory agents and growth factors, to the affected sites, enhancing treatment efficacy while minimizing toxicity and adverse effects. In conclusion, EVs have significant potential in diagnosing, regenerating, and treating orthopedic diseases.

Funder

National Key Research and Development Program of China

Publisher

Wiley

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