Table 1 Molecular mechanism of MSCs-derived EVs in the treatment of OP.

From: Enhancing osteoporosis treatment with engineered mesenchymal stem cell-derived extracellular vesicles: mechanisms and advances

Source of EVs

Terminology

Cargo and modifications

Model

Effect

Ref.

BMMSCs

Exosomes

Natural

Radiation-induced rat models

Promote the expression of β-catenin in BMMSCs

[67]

Exosomes

Natural

OVX mice

Improve OP by promoting the proliferation of osteoblasts

[68]

Exosomes

MiR-186

OVX rats

Promote osteogenesis

[69]

Apoptotic bodies

Not revealed

OVX mice

Ameliorate the reduced bone mass phenotype

[71]

Apoptotic bodies

MiR-1324

OVX mice

Stimulate bone regeneration in defect areas

[72]

Microvesicles

MiR-31

In vitro

Inhibit the osteogenic differentiation of MSCs

[73]

ADSCs

EVs

MiR-21-5p

OVX mice

Inhibit osteoclast differentiation and reduce gene expression associated with bone resorption

[92]

Exosomes

No application

In vitro

Antagonize H/SD induced osteocyte apoptosis and osteocyte-mediated osteoclastogenesis

[93]

Exosomes

No application

Diabetic OP models

Suppress NLRP3 inflammasome activation in osteoclasts, and reduce bone resorption

[94]

Exosomes

Not revealed

GIOP rats

Alleviate apoptosis and oxidative stress and prevent the development of GIOP

[95]

UCMSCs

EVs

Not revealed

HLU-induced DOP rat models

Prevent bone loss and maintaining bone strength

[101]

Exosomes

Not revealed

OVX mice

Promote BMMSC proliferation and osteogenesis through the AKT signaling pathway

[102]