journal article Open Access Jan 24, 2022

The application of mesenchymal stromal cells (MSCs) and their derivative exosome in skin wound healing: a comprehensive review

View at Publisher Save 10.1186/s13287-021-02697-9
Abstract
AbstractRecently, mesenchymal stromal cells (MSCs) and also their exosome has become a game-changing tool in the context of tissue engineering and regenerative medicine. MSCs due to their competencies to establish skin cells, such as fibroblast and keratinocyte, and also their unique attribute to suppress inflammation in wound site has attracted increasing attention among scholars. In addition, MSC’s other capabilities to induce angiogenesis as a result of secretion of pro-angiogenic factors accompanied with marked anti-fibrotic activities, which mainly mediated by the releases matrix metalloproteinase (MMPs), make them a rational and effective strategy to accelerate wound healing with a small scar. Since the chief healing properties of the MSCs depend on their paracrine effects, it appears that MSCs-derived exosomes also can be an alternative option to support wound healing and skin regeneration as an innovative cell-free approach. Such exosomes convey functional cargos (e.g., growth factor, cytokine, miRNA, etc.) from MSCs to target cells, thereby affecting the recipient skin cells’ biological events, such as migration, proliferation, and also secretion of ECM components (e.g., collagen). The main superiorities of exosome therapy over parental MSCs are the diminished risk of tumor formation and also lower immunogenicity. Herein, we deliver an overview of recent in vivo reports rendering the therapeutic benefits of the MSCs-based therapies to ease skin wound healing, and so improving quality of life among patients suffering from such conditions.
Topics

No keywords indexed for this article. Browse by subject →

References
180
[1]
Skin Wound Healing Process and New Emerging Technologies for Skin Wound Care and Regeneration

Erika Maria Tottoli, Rossella Dorati, Ida Genta et al.

Pharmaceutics 2020 10.3390/pharmaceutics12080735
[2]
Wound healing: cellular mechanisms and pathological outcomes

Holly N. Wilkinson, Matthew J. Hardman

Open Biology 2020 10.1098/rsob.200223
[3]
Eaglstein WH, Falanga V. Chronic wounds. Surg Clin. 1997;77(3):689–700.
[4]
Challenges in the Treatment of Chronic Wounds

Robert G. Frykberg, Jaminelli Banks

Advances in Wound Care 10.1089/wound.2015.0635
[5]
Jones RE, Foster DS, Longaker MT. Management of chronic wounds—2018. JAMA. 2018;320(14):1481–2. 10.1001/jama.2018.12426
[6]
Why chronic wounds will not heal: a novel hypothesis

Thomas Bjarnsholt, Klaus Kirketerp‐Møller, Peter Østrup Jensen et al.

Wound Repair and Regeneration 2008 10.1111/j.1524-475x.2007.00283.x
[7]
Yager DR, Nwomeh BC. The proteolytic environment of chronic wounds. Wound Repair Regen. 1999;7(6):433–41. 10.1046/j.1524-475x.1999.00433.x
[8]
Zou J-P, Huang S, Peng Y, Liu H-W, Cheng B, Fu X-B, Xiang X-F. Mesenchymal stem cells/multipotent mesenchymal stromal cells (MSCs) potential role in healing cutaneous chronic wounds. Int J Low Extrem Wounds. 2012;11(4):244–53. 10.1177/1534734612463935
[9]
Markov A, Thangavelu L, Aravindhan S, Zekiy AO, Jarahian M, Chartrand MS, Pathak Y, Marofi F, Shamlou S, Hassanzadeh A. Mesenchymal stem/stromal cells as a valuable source for the treatment of immune-mediated disorders. Stem Cell Res Ther. 2021;12(1):1–30. 10.1186/s13287-021-02265-1
[10]
Zahorec P, Koller J, Danisovic L, Bohac M. Mesenchymal stem cells for chronic wounds therapy. Cell Tissue Bank. 2015;16(1):19–26. 10.1007/s10561-014-9440-2
[11]
Yao B, Huang S, Gao D, Xie J, Liu N, Fu X. Age-associated changes in regenerative capabilities of mesenchymal stem cell: impact on chronic wounds repair. Int Wound J. 2016;13(6):1252–9. 10.1111/iwj.12491
[12]
Huang Y-Z, Gou M, Da L-C, Zhang W-Q, Xie H-Q. Mesenchymal stem cells for chronic wound healing: current status of preclinical and clinical studies. Tissue Eng Part B Rev. 2020;26(6):555–70. 10.1089/ten.teb.2019.0351
[13]
Gentile P, Garcovich S. Systematic review: adipose-derived mesenchymal stem cells, platelet-rich plasma and biomaterials as new regenerative strategies in chronic skin wounds and soft tissue defects. Int J Mol Sci. 2021;22(4):1538. 10.3390/ijms22041538
[14]
Hocking AM, Gibran NS. Mesenchymal stem cells: paracrine signaling and differentiation during cutaneous wound repair. Exp Cell Res. 2010;316(14):2213–9. 10.1016/j.yexcr.2010.05.009
[15]
Rani S, Ritter T. The exosome-A naturally secreted nanoparticle and its application to wound healing. Adv Mater. 2016;28(27):5542–52. 10.1002/adma.201504009
[16]
Reassessment of Exosome Composition

Dennis K. Jeppesen, Aidan M. Fenix, Jeffrey L. Franklin et al.

Cell 2019 10.1016/j.cell.2019.02.029
[17]
Romagnoli GG, Zelante BB, Toniolo PA, Migliori IK, Barbuto JAM. Dendritic cell-derived exosomes may be a tool for cancer immunotherapy by converting tumor cells into immunogenic targets. Front Immunol. 2015;5:692. 10.3389/fimmu.2014.00692
[18]
Tang X-J, Sun X-Y, Huang K-M, Zhang L, Yang Z-S, Zou D-D, Wang B, Warnock GL, Dai L-J, Luo J. Therapeutic potential of CAR-T cell-derived exosomes: a cell-free modality for targeted cancer therapy. Oncotarget. 2015;6(42):44179. 10.18632/oncotarget.6175
[19]
Lu J, Wu J, Tian J, Wang S. Role of T cell-derived exosomes in immunoregulation. Immunol Res. 2018;66(3):313–22. 10.1007/s12026-018-9000-0
[20]
Wolfers J, Lozier A, Raposo G, Regnault A, Thery C, Masurier C, Flament C, Pouzieux S, Faure F, Tursz T. Tumor-derived exosomes are a source of shared tumor rejection antigens for CTL cross-priming. Nat Med. 2001;7(3):297–303. 10.1038/85438
[21]
Andre F, Schartz N, Chaput N, Flament C, Raposo G, Amigorena S, Angevin E, Zitvogel L. Tumor-derived exosomes: a new source of tumor rejection antigens. Vaccine. 2002;20:A28–31. 10.1016/s0264-410x(02)00384-5
[22]
Liu Y, Lou G, Li A, Zhang T, Qi J, Ye D, Zheng M, Chen Z. AMSC-derived exosomes alleviate lipopolysaccharide/d-galactosamine-induced acute liver failure by miR-17-mediated reduction of TXNIP/NLRP3 inflammasome activation in macrophages. EBioMedicine. 2018;36:140–50. 10.1016/j.ebiom.2018.08.054
[23]
Wu Y, Li J, Yuan R, Deng Z, Wu X. Bone marrow mesenchymal stem cell-derived exosomes alleviate hyperoxia-induced lung injury via the manipulation of microRNA-425. Arch Biochem Biophys. 2021;697:108712. 10.1016/j.abb.2020.108712
[24]
Li Z, Liu F, He X, Yang X, Shan F, Feng J. Exosomes derived from mesenchymal stem cells attenuate inflammation and demyelination of the central nervous system in EAE rats by regulating the polarization of microglia. Int Immunopharmacol. 2019;67:268–80. 10.1016/j.intimp.2018.12.001
[25]
Hassanzadeh A, Rahman HS, Markov A, Endjun JJ, Zekiy AO, Chartrand MS, Beheshtkhoo N, Kouhbanani MAJ, Marofi F, Nikoo M. Mesenchymal stem/stromal cell-derived exosomes in regenerative medicine and cancer; overview of development, challenges, and opportunities. Stem Cell Res Ther. 2021;12(1):1–22. 10.1186/s13287-021-02378-7
[26]
Liu W, Rong Y, Wang J, Zhou Z, Ge X, Ji C, Jiang D, Gong F, Li L, Chen J, et al. Exosome-shuttled miR-216a-5p from hypoxic preconditioned mesenchymal stem cells repair traumatic spinal cord injury by shifting microglial M1/M2 polarization. J Neuroinflammation. 2020;17(1):47. 10.1186/s12974-020-1726-7
[27]
Soundara Rajan T, Giacoppo S, Diomede F, Bramanti P, Trubiani O, Mazzon E. Human periodontal ligament stem cells secretome from multiple sclerosis patients suppresses NALP3 inflammasome activation in experimental autoimmune encephalomyelitis. Int J Immunopathol Pharmacol. 2017;30(3):238–52. 10.1177/0394632017722332
[28]
Moghadasi S, Elveny M, Rahman HS, Suksatan W, Jalil AT, Abdelbasset WK, Yumashev AV, Shariatzadeh S, Motavalli R, Behzad F, et al. A paradigm shift in cell-free approach: the emerging role of MSCs-derived exosomes in regenerative medicine. J Transl Med. 2021;19(1):302. 10.1186/s12967-021-02980-6
[29]
Mesenchymal stem cells

Arnold I. Caplan

Journal of Orthopaedic Research 1991 10.1002/jor.1100090504
[30]
Vodyanik MA, Yu J, Zhang X, Tian S, Stewart R, Thomson JA, Slukvin II. A mesoderm-derived precursor for mesenchymal stem and endothelial cells. Cell Stem Cell. 2010;7(6):718–29. 10.1016/j.stem.2010.11.011
[31]
Friedenstein A, Piatetzky-Shapiro I, Petrakova K. Osteogenesis in transplants of bone marrow cells. Development. 1966;16(3):381–90. 10.1242/dev.16.3.381
[32]
Friedenstein AJ, Deriglasova UF, Kulagina NN, Panasuk AF, Rudakowa SF, Luriá EA, Ruadkow IA. Precursors for fibroblasts in different populations of hematopoietic cells as detected by the in vitro colony assay method. Exp Hematol. 1974;2(2):83–92.
[33]
Schofield R. The relationship between the spleen colony-forming cell and the haemopoietic stem cell. Blood Cells. 1978;4(1–2):7–25.
[34]
Mesenchymal Stem Cells: Revisiting History, Concepts, and Assays

Paolo Bianco, Pamela Gehron Robey, Paul J. Simmons

Cell Stem Cell 2008 10.1016/j.stem.2008.03.002
[35]
Tavakoli S, Ghaderi Jafarbeigloo HR, Shariati A, Jahangiryan A, Jadidi F, Jadidi Kouhbanani MA, Hassanzadeh A, Zamani M, Javidi K, Naimi A. Mesenchymal stromal cells; a new horizon in regenerative medicine. J Cell Physiol. 2020;235(12):9185–210. 10.1002/jcp.29803
[36]
Samsonraj RM, Rai B, Sathiyanathan P, Puan KJ, Rötzschke O, Hui JH, Raghunath M, Stanton LW, Nurcombe V, Cool SM. Establishing criteria for human mesenchymal stem cell potency. Stem Cells. 2015;33(6):1878–91. 10.1002/stem.1982
[37]
Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R, Mosca JD, Moorman MA, Simonetti DW, Craig S, Marshak DR. Multilineage potential of adult human mesenchymal stem cells. Science. 1999;284(5411):143–7. 10.1126/science.284.5411.143
[38]
Shariati A, Nemati R, Sadeghipour Y, Yaghoubi Y, Baghbani R, Javidi K, Zamani M, Hassanzadeh A. Mesenchymal stromal cells (MSCs) for neurodegenerative disease: a promising frontier. Eur J Cell Biol. 2020;99(6):151097. 10.1016/j.ejcb.2020.151097
[39]
Via AG, Frizziero A, Oliva F. Biological properties of mesenchymal stem cells from different sources. Muscles Ligaments Tendons J. 2012;2(3):154.
[40]
Nuschke A. Activity of mesenchymal stem cells in therapies for chronic skin wound healing. Organogenesis. 2014;10(1):29–37. 10.4161/org.27405
[41]
Chen L, Tredget EE, Liu C, Wu Y. Analysis of allogenicity of mesenchymal stem cells in engraftment and wound healing in mice. PLoS ONE. 2009;4(9):e7119. 10.1371/journal.pone.0007119
[42]
Marofi F, Hassanzadeh A, Solali S, Vahedi G, Mousavi Ardehaie R, Salarinasab S, Aliparasti MR, Ghaebi M, Farshdousti HM. Epigenetic mechanisms are behind the regulation of the key genes associated with the osteoblastic differentiation of the mesenchymal stem cells: the role of zoledronic acid on tuning the epigenetic changes. J Cell Physiol. 2019;234(9):15108–22. 10.1002/jcp.28152
[43]
Reinke J, Sorg H. Wound repair and regeneration. Eur Surg Res. 2012;49(1):35–43. 10.1159/000339613
[44]
Harper D, Young A, McNaught C-E. The physiology of wound healing. Surg Infect (Larchmt). 2014;32(9):445–50.
[45]
Stephens P, Thomas DW. The cellular proliferative phase of the wound repair process. J Wound Care. 2002;11(7):253–61. 10.12968/jowc.2002.11.7.26421
[46]
Hoffman M, editor. The tissue factor pathway and wound healing. Seminars in thrombosis and hemostasis. Thieme Medical Publishers; 2018.
[47]
Zhu J, Li F, Wang X, Yu J, Wu D. Hyaluronic acid and polyethylene glycol hybrid hydrogel encapsulating nanogel with hemostasis and sustainable antibacterial property for wound healing. ACS Appl Mater Interfaces. 2018;10(16):13304–16. 10.1021/acsami.7b18927
[48]
Shah A, Amini-Nik S. The role of phytochemicals in the inflammatory phase of wound healing. Int J Mol Sci. 2017;18(5):1068. 10.3390/ijms18051068
[49]
Ellis S, Lin EJ, Tartar D. Immunology of wound healing. Curr Dermatol Rep. 2018;7(4):350–8. 10.1007/s13671-018-0234-9
[50]
Flanagan M. The physiology of wound healing. J Wound Care. 2000;9(6):299–300. 10.12968/jowc.2000.9.6.25994

Showing 50 of 180 references

Metrics
306
Citations
180
References
Details
Published
Jan 24, 2022
Vol/Issue
13(1)
License
View
Cite This Article
Donghui Bian, Yan Wu, Guodong Song, et al. (2022). The application of mesenchymal stromal cells (MSCs) and their derivative exosome in skin wound healing: a comprehensive review. Stem Cell Research & Therapy, 13(1). https://doi.org/10.1186/s13287-021-02697-9
Related

You May Also Like

Stem cells: past, present, and future

Wojciech Zakrzewski, Maciej Dobrzyński · 2019

1,454 citations

CAR T cells in solid tumors: challenges and opportunities

Faroogh Marofi, Roza Motavalli · 2021

515 citations

Mesenchymal stromal/stem cell (MSC)-derived exosomes in clinical trials

Ahmed Lotfy, Noha M. AboQuella · 2023

394 citations

Mesenchymal stem cells: amazing remedies for bone and cartilage defects

Parisa Kangari, Tahereh Talaei-Khozani · 2020

243 citations