Table. 1.

Current preclinical studies on MSCs-Exos in the treatment of spinal cord injury

References Types of exosomes Research objects Type of miRNA Mechanism Effect
(57) BMSC-Exos Rat and PC12 cell - Inhibit the TLR4/MyD88 /NF-κB pathway Inhibit the inflammatory response and apoptosis
(58) BMSC-Exos Rat miR-181c Inhibit the PTEN and NF-κB signaling pathway Reduce spinal cord inflammation and apoptosis
(59) BMSC-Exos Rat and BV2 cells miR-23b Inhibit TLR4/NF-κB pathway Attenuate the inflammatory cytokine response
(60) AD-MSCs-Exos Rat - - Inhibit the release of proinflammatory cytokines
(70) EF-MSCs-Exos Rat - Inhibit NLRP3 inflammasome activation, decrease the level of pro-apoptotic protein Bax Reduce the expression of inflammatory cytokines and reduce apoptosis
(71) HWJ-MSCs-Exos Rat - Decrease the expression of caspase 1 Attenuate neuroinflammation
(80) BMSC-Exos Rat miR-125a Negatively regulate IRF5 expression Promote M2 macrophage polarization and reduce the inflammatory response
(81) BMSC-Exos Rat miR-124-3p Negatively regulate Ern1 expression Promote M2 macrophage polarization
(82) MSCs-Exos Mice miR-216a-5p Inhibit TLR4/NF-κB and activate the PI3K/Akt signaling pathway Promote M2 macrophage polarization
(88) BMSC-Exos Rat - Inhibit nuclear translocation of NF-κB p65 Reduce A1 astrocytes
(89) BMSC-Exos Rat - - Suppress activation of A1 neurotoxic reactive
(90) HUC-MSCs-Exos Rat miR-146a-5p Inhibit the Traf6/Irak1/ NFκB pathway Reduces the toxic effects of neurotoxic astrocytes
(96) HP-MSCs-Exos Mice - - Promote the new vessel formation
(97) MSCs-Exos Endothelial cells - Rromote VEGF expression through activation of PKA signaling pathway Enhance angiogenesis
(98) MSCs-Exos Rat - - Promote the new vessel formation
(114) BMSC-Exos Rat - Activate the Wnt/β-catenin signaling pathway Inhibit neuronal apoptosis
(115) HUC-MSCs-Exos Rat - Regulate BCL2/Bax and Wnt/β-catenin signaling pathways Anti-apoptosis and anti-inflammatory
(116) BMSC-Exos Rat - Regulate the expression of pro-apoptoticprotein cleaved caspase-3,anti-apoptotic protein Bcl-2, and autophagy-related proteins LC3IIB and Beclin-1 Promote autophagy to reduce neuronal apoptosis
(117) MSCs-Exos Rat and SH-SY5Y cells miR-21 and miR-19b Regulate PTEN expression Regulate the apoptosis and differentiation of neuron cells
(118) MSCs-Exos Rat miR-21 Regulate PDCD4 and PTEN expression Inhibit the apoptosis of neurons
(119) MSCs-Exos Rat miR-21-5p Downregulate the expression of the pro-apoptotic target gene FasL Inhibit the apoptosis of neurons
(120) MSCs-Exos Rat miR-29b-3p Activate the Akt/mTOR pathway through the PTEN axis Inhibit the apoptosis of neurons
(121) MSC-Exos Rat miR-381 Downregulate the BRD4/ WnT5A axis Reverse neuronal apoptosis
(122) AD-MSCs -Exos Rat miR-499-5p Inhibit JNK3/MAPK10 and negatively regulate the JNK3/c-jun signaling pathway Regulate neuronal apoptosis
(123) BMSC-Exos Rat and PC12 cell miR-9-5p Regulate the HDAC5/FGF2 axis Alleviate apoptosis and inflammation
(124) AD-MSCs-Exos Rat and PC12 cell miR-511-3p Regulate TRAF6/S1P axis Inhibit neuronal apoptosis and inflammatory
(129) BMSC-Exos Rat - Activate the NF-κB signaling pathway Maintain BSCB integrity
(130) BMSC-Exos Rat - Suppress pericyte pyroptosis Maintain BSCB integrity
(131) MSCs-Exos Rat - Increase the expression of cell junction proteins via the TIMP2/MMP pathway Attenuate the destruction of the BSCB
(132) MSCs-Exos Rat - Upregulate TGFβ, TGFβ receptors, and tight junction proteins Reduce BSCB permeability
(134,
135)
MSCs-Exos Cortical neurons - - Promote the growth of axons in neurons
(136) HP-MSCs-Exos Rat - Activate of the MEK/ERK/CREB signaling pathway Neural progenitor cells activation and neurogenesis
(137) MSCs-Exos Rat - Inhibit the NF-κb/NLRP3 signaling pathway Promote axon regeneration and myelin regeneration
(138) HUC-MSCs-Exos Rat and PC12 cell miR-199a-3p/145-5p Regulate NGF/TrkA signaling pathway Promote axonal growth
(139) MSCs-Exos Rat - Upregulate R-Smad 6 expression by carrying TGFβ Promote neuronal regeneration
(140) MSCs-Exos Rat miR-let- 7a-5p Regulate the HMGA2/ SMAD2 axis Promote neuronal regeneration

MSCs-Exos: mesenchymal stem cells-derived exosomes, miRNA: microRNA, BMSC: bone marrow stem cell, PTEN: Phosphatase and Tensin homolog, AD: adipose tissue, EF: epidural fat, HWJ: human Wharton’s jelly, HUC: human umbilical cord, HP: human placenta, VEGF: vascular endothelial growth factor, BSCB: blood-spinal cord barrier.

International Journal of Stem Cells 2024;17:236-52 https://doi.org/10.15283/ijsc23092
© 2023 International Journal of Stem Cells