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Frontiers in immunology2018; 9; 2575; doi: 10.3389/fimmu.2018.02575

Extracellular Vesicles in Joint Disease and Therapy.

Abstract: The use of extracellular vesicles (EVs) as a potential therapy is currently explored for different disease areas. When it comes to the treatment of joint diseases this approach is still in its infancy. As in joint diseases both inflammation and the associated articular tissue destruction are important factors, both the immune-suppressive and the regenerative properties of EVs are potentially advantageous characteristics for future therapy. There is, however, only limited knowledge on the basic features, such as numerical profile and function, of EVs in joint articular tissues in general and their linking medium, the synovial fluid, in particular. Further insight is urgently needed in order to appreciate the full potential of EVs and to exploit these in EV-mediated therapies. Physiologic joint homeostasis is a prerequisite for proper functioning of joints and we postulate that EVs play a key role in the regulation of joint homeostasis and hence can have an important function in re-establishing disturbed joint homeostasis, and, in parallel, in the regeneration of articular tissues. In this mini-review EVs in the joint are explained from a historical perspective in both health and disease, including the potential niche for EVs in articular tissue regeneration. Furthermore, the translational potential of equine models for human joint biology is discussed. Finally, the use of MSC-derived EVs that is recently gaining ground is highlighted and recommendations are given for further EV research in this field.
Publication Date: 2018-11-12 PubMed ID: 30483255PubMed Central: PMC6240615DOI: 10.3389/fimmu.2018.02575Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't
  • Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article discusses the potential therapeutic use of extracellular vesicles (EVs) for joint diseases. Current understanding of EVs’ basic features is limited, particularly in their numerical profile and function in joint articular tissues and synovial fluid. The authors postulate that EVs might play a crucial role in maintaining joint homeostasis and could be significant in re-establishing disturbed joint homeostasis and regenerating articular tissues. The article also discusses the growing use of mesenchymal stem cell (MSC)-derived EVs.

Role of Extracellular Vesicles in Joint Diseases

  • Extracellular Vesicles (EVs) have recently come under scrutiny for their potential therapeutic applications in various disease areas. However, their use in the treatment of joint diseases is relatively new and still under exploration.
  • Joint diseases are characterized by inflammation and associated articular tissue destruction. Therefore, the immune-suppressive and regenerative properties of EVs could be advantageous for future therapy in this field.

Limited Knowledge on EVs in Joint Articular Tissues

  • There is currently limited knowledge on the numerical profile and function of EVs in joint articular tissues and synovial fluid. Exploring these aspects in detail is essential to understand the full potential of EVs and to develop efficacious EV-mediated therapies.
  • EVs may play a critical role in maintaining joint homeostasis, a balanced state necessary for proper joint function.
  • They could also be instrumental in re-establishing disturbed joint homeostasis and assisting in the regeneration of articular tissues.

EVs in Articular Tissue Regeneration

  • This review elaborates on the historical perspective of EVs in joint health and disease, including their potential role in articular tissue regeneration.
  • Equine models are suggested to have translational potential for understanding human joint biology. Further research in this direction is encouraged.

Use of Mesenchymal Stem Cell-Derived EVs

  • Mesenchymal Stem Cell (MSC)-derived EVs are gaining attention for their potential use in therapeutics.
  • The paper highlights this recent development and provides recommendations for further research in the field of EVs, especially in the context of joint diseases.

Cite This Article

APA
Boere J, Malda J, van de Lest CHA, van Weeren PR, Wauben MHM. (2018). Extracellular Vesicles in Joint Disease and Therapy. Front Immunol, 9, 2575. https://doi.org/10.3389/fimmu.2018.02575

Publication

ISSN: 1664-3224
NlmUniqueID: 101560960
Country: Switzerland
Language: English
Volume: 9
Pages: 2575
PII: 2575

Researcher Affiliations

Boere, Janneke
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
  • Department of Biochemistry & Cell Biology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
  • Department of Orthopaedics, University Medical Center Utrecht, Utrecht, Netherlands.
Malda, Jos
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
  • Department of Orthopaedics, University Medical Center Utrecht, Utrecht, Netherlands.
van de Lest, Chris H A
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
  • Department of Biochemistry & Cell Biology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
van Weeren, P René
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
Wauben, Marca H M
  • Department of Biochemistry & Cell Biology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.

MeSH Terms

  • Animals
  • Biological Therapy / trends
  • Disease Models, Animal
  • Extracellular Vesicles / metabolism
  • Homeostasis
  • Horses
  • Humans
  • Joint Diseases / metabolism
  • Joint Diseases / pathology
  • Joint Diseases / therapy
  • Joints / pathology
  • Mesenchymal Stem Cells / metabolism
  • Regeneration
  • Stem Cell Niche

Grant Funding

  • 647426 / European Research Council

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