Table 1 The exosomes from different joint cells and their biological actions on the target cells

From: Exosomes: roles and therapeutic potential in osteoarthritis

Tissue

Cell type

Separation method

Exosome diameter

Target cells

Biological effects

Mechanisms of actions

Cartilage

Human OA chondrocytes

Precipitation

Chondrocytes

Inhibit chondrocytes proliferation and promote the apoptosis of chondrocytes.

GSK-3β-mediated regulation of HULC and miR-372-3p in exosomes.110

Cartilage

Mouse primary chondrocytes

Ultracentrifugation

40–110 nm

Chondrocytes and macrophages

Restore mitochondrial dysfunction and polarize macrophage response toward an M2 phenotype.

The restoration of normal mitochondrial structure and moderate ROS production.106

Cartilage

Human OA chondrocytes

Ultracentrifugation and Size-based filtration

30–150 nm

Macrophages

Stimulate inflammasome activation and increase IL-1β production.

Inhibit ATG4B expression via miR-449a-5p, which leading to inhibition of autophagy in LPS-primed macrophages.107

Cartilage

Rabbit articular chondrocytes

Size-based filtration

30–200 nm

Chondrocyte-progenitor cells (CPCs)

Promotes ectopic chondrogenesis and inhibiting angiogenesis.

Stimulate CPCs proliferation and increase the expression of chondrogenesis markers.108

Cartilage

Chondrocytes (cell line)

Ultracentrifugation

 

Bone marrow mesenchymal stem cells (BMSCs)

Promote chondrogenic differentiation of BMSCs

Activate Wnt/b-catenin pathways via targeting GSK-3b by exosomal miR-8485.111

Cartilage

MiR‐95‐5p‐overexpressing chondrocytes

Ultracentrifugation

90–150 nm

Chondrocytes

Regulate cartilage development in hMSCs during chondrogenesis and promote cartilage matrix expression.

Inhibit histone deacetylase 2/8 expression via MiR‐95‐5p.109

Synovial tissue

IL-1β-stimulated synovial fibroblasts

Ultracentrifugation and precipitation

40-100 nm

Articular chondrocytes

Induce OA-like changes both in vitro and in ex vivo models.

Upregulate MMP-13 and ADAMTS-5 expression and down-regulate COL2A1 and ACAN in chondrocytes.121

Synovial tissue

MiR-140-5p-overexpressing human synovial mesenchymal stem cells

Affinity-Based capture

30–150 nm

Articular chondrocytes

Enhance proliferation and migration of chondrocytes without decreasing ECM secretion in vitro Promote cartilage regeneration and maintain cartilage matrix content in vivo

Wnt5a and Wnt5b carried by exosomes to activate Wnt/YAP signaling pathway MiR-140-5p-mediated inhibition of RalA and increase of SOX9 and Aggrecan.122

Subchondral bone

Osteoblast cells

Ultracentrifugation

30–150 nm.135

Infrapatellar fat pad

Infrapatellar fat pad MSCs

Ultrafiltration, precipitation and affinity-based capture

30–150 nm

Articular chondrocyte

Chondroprotective effects and ameliorates gait abnormalities.

MiR100-5p-mediated inhibition of mTOR pathway.146

Tendon

Tendon stem cells

Ultracentrifugation

40–200 nm

Tendon stem cells

Promote healing of injured tendon through regulating the metabolism of the tendon extracellular matrix and increases the ultimate stress and maximum loading in tendon.

Decrease MMP‐3 expression, increase TIMP‐3 and Col1a1 expression.150

Tendon

Tenocyte

Ultracentrifugation

Mesenchymal stem cells

Promote MSCs to undergo the tenogenic differentiation.

TGF-β-dependent manner.131

Ligament

Periodontal ligament fibroblasts

Ultracentrifugation and precipitation

70–100 nm

MG-63 osteoblasts

Induce inflammation and inhibit osteogenic activity in osteoblasts

Upregulate the levels of IL-6 and TNF-α, inhibit OPG expression.157

Ligament

Periodontal ligament stem cells

Ultracentrifugation and affinity-based capture

119 ± 12.1 nm155

Ligament

Periodontal ligament cells

Precipitation

30–100 nm

Macrophage

Regulate macrophages function and maintain inflammation homeostasis.

Suppress IL-1β production via inhibiting NF-κB signaling pathway.156