Table 4 Summary of studies on the role of extracellular vesicles in skin injury.

From: Mesenchymal stem cell-derived extracellular vesicles for immunomodulation and regeneration: a next generation therapeutic tool?

EVs source

Target cells or tissues

Animal model

Molecular mechanism

Action effect

Ref

hADSC-Exos

Full-thickness skin defect model

Down-regulate TNF-α, IL-6, CD14, CD19, CD68, and C-caspase 3, up-regulate VEGF, CD31, Ki67, PCNA, filaggrin, loricrin and AQP3

Accelerate skin wound healing

[114]

hBMSC-Exos

HaCaT cells and HSFs

Full-thickness skin wounds injury model in rats

Target on TGF-β/Smad signaling pathway, but increased the expression of TGF-β3 and Smad7

Improve scar formation and promote wound healing

[115]

FDMSC-Exos

ADFs

Full-thickness dermal wound injury model

Inhibit MMP-13, ADAMTS5 and iNOS

Reinduce the expression of type II collagen, aggrecan, and protected mice from joint damage

[116]

hBMSC-Exos and JMMSC-Exos

Macrophages

Skin Wound-Healing

By carrying miR-223 targeting Pknox1

Induced macrophages toward M2 polarization and promote wound healing

[117]

mag-BMSC-Exos

HUVECs and HSFs

Rat Skin Wound Model

Highly-express miR-21-5p and target SPRY2 to activating PI3K/AKT and ERK1/2 signaling pathways

Accelerate skin wound healing

[118]

hUCMSCs-EVs

HaCaT cells and HSFs

Cutaneous wound mouse model

Highly-express miR-27b p and promote the expression of JUNB and IRE1α by targeting the Itchy E3 ubiquitin-protein ligase (ITCH)

Accelerate cutaneous wound healing

[119]

hUCMSC-Exos

Myofibroblast

Full-thickness skin defect mouse model

Highly-express microRNAs (miR-21, -23A, -125b and -145) repressed the TGF-β2 /SMAD2 pathway

Attenuate excess myofibroblast formation and anti-scarring

[120]

hADSC-Exos

HaCaT cells and HSFs

Wound healing of skin-injured mice

Highly-express miR-19b regulated TGF-β pathway by targeting CCL1

Promote the healing of skin wounds

[121]

hADSC-Exos

HSFs

Full-thickness skin defects in the backs of rats

Down-regulate the expression of Col1, Col3, α-SMA, IL-17RA, and P-SMad2 / P-SMad3, and up-regulate the level of SIP1, while overexpression miR-192-5p target inhibition of IL-17RA expression

Reduce the level of pro-fibrosis protein, improve hypertrophic scar fibrosis and accelerate wound healing

[122]

hADSC-EVs

HSFs and HMECs

Overexpression miR-486-5p inhibit Sp5 and elevate the CCND2 expression

Promote proliferation, migration and reduce apoptosis

[123]

hAMSC-Exos

Fibroblasts

Full-thickness skin defects in the backs of rats

Downregulation of LATS2 after overexpression of miR-135a

Increase cell migration and promote wound healing

[124]

  1. EVs extracellular vesicles, Exos exosomes, FDMSC fetal dermal mesenchymal stem cell, hADSC human adipose-derived stem cell, hAMSC human amnion mesenchymal stem cell, hBMSC human bone mesenchymal stem cell, HMEC human microvascular endothelial cell, HSF Human skin fibroblast, hUCMSC human umbilical cord mesenchymal stem cell, JMMSC jaw bone marrow MSC.