Looking Beyond PRP, Exosomes, and Stem Cells

Author:

Yousefian Faraz1ORCID,Cortes Marianne2,Yadlapati Sujitha3,Gold Michael4ORCID

Affiliation:

1. Department of Dermatology and Mohs Surgery Philadelphia College of Osteopathic Medicine Roswell Georgia USA

2. Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine Davie Florida USA

3. Bay Area Dermatology Residency Program HCA Corpus Christi Medical Center McAllen Texas USA

4. Gold Skin Care Center Tennessee Clinical Research Center Nashville Tennessee USA

Abstract

ABSTRACTBackgroundThe history of stem cells in dermatology is marked by significant discoveries and advancements. Stem cells, which possess the ability to differentiate into various cell types and self‐renew, have played crucial roles in maintaining tissue integrity and facilitating wound healing. PRP has additionally emerged as a potent therapeutic agent with widespread applications due to its regenerative properties driven by platelets, and various growth factors. The newest addition to the regenerative medicine toolbox has been exosomes and extracellular vesicles containing biomolecules, offering a minimally invasive approach through non‐cell therapy. These vesicles impact crucial cellular functions such as proliferation, migration, and apoptosis.AimWe aim to provide a comprehensive review on the history and future implications of stem cells, PRP, and exosomes in the fields of regenerative medicine and dermatology. This paper highlights the importance of ongoing research and development in optimizing these therapies for clinical applications, ultimately aiming to improve patient outcomes and quality of life.MethodsA literature search was conducted on PubMed reviewing stem cells, PRP, MeSH, and exosomes and their application in the field of dermatology.ResultsThe use of stem cells, PRP, and exosomes suggests the great advancements that we have made in regenerative medicine. The tight regulation of stem cells and their byproducts has halted further application of these novel modalities and suggested a need for further research and studies. Although this has slowed down the process of using these powerful tools, we are still continuing to understand the functions and implications of stem cells and their byproducts. With a new emphasis on non‐cell therapy through exosomes and PRP, we are still able to apply these methods to ameliorate chronic dermatological diseases such as chronic wounds, scarring, androgenetic alopecia (ANA), and aesthetics.ConclusionsAlthough the field of regenerative medicine is looking promising with its various novel additions, there is still work that needs to be done such as regulatory hurdles, safety concerns, and the need for standardization of isolation, storage, dosage, and application.

Publisher

Wiley

Reference20 articles.

1. Stem cells: past, present, and future

2. Stem cell therapy on skin: Mechanisms, recent advances and drug reviewing issues

3. Células‐tronco na pele;Monteiro M. R.;Surgical & Cosmetic Dermatology,2012

4. D.Arbuck Stem Cells Exosomes and Beyond: The Who What How and Why of Regenerative Biologics 3rd ed. (Columbia SC:AMEI Publisher 2022).

5. Stem cells and the pursuit of youth, a tale of limitless possibilities and commercial fraud

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