- Department of Ophthalmology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
Exosomes are nanovesicles actively secreted by cells, which selectively encapsulate biologically active molecules such as proteins, RNA, and cytokines. They play an important role in intercellular communication, immune regulation, and maintenance of homeostasis, which can also be used as carriers for targeted drug delivery. Retinal ischemia-reperfusion injury (RIRI) is a retinopathy that seriously threatens human vision. At present, the clinical treatment of these diseases are symptomatic treatments, and some patients have poor efficacy or even blindness. As extracellular vesicles rich in functional proteins and RNAs, exosomes can not only be used as drugs for the treatment of RIRI, but also be used as carriers for drug delivery to play synergistic therapeutic effects. In the future, with the deepening of the research on the molecular structure, contents and biological functions of exosomes, as well as the continuous development of ophthalmic biology and genetic engineering technology, exosomes are expected to exert their great potential as therapeutic drugs and carriers, and become an important means of treating RIRI.
Citation: Yang Weiqiang, Tao Yong. Research progress of exosomes in the treatment of retinal ischemia-reperfusion injury. Chinese Journal of Ocular Fundus Diseases, 2022, 38(5): 423-427. doi: 10.3760/cma.j.cn511434-20210308-00123 Copy
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- 7. Kalluri R, Lebleu VS. The biology, function, and biomedical applications of exosomes[J/OL]. Science, 2020, 367(6478): eaau6977[2020-02-07]. https://pubmed.ncbi.nlm.nih.gov/32029601/. DOI: 10.1126/science.aau6977.
- 8. Van Niel G, D'angelo G, Raposo G. Shedding light on the cell biology of extracellular vesicles[J]. Nat Rev Mol Cell Biol, 2018, 19(4): 213-228. DOI: 10.1038/nrm.2017.125.
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- 10. Mathieu M, Névo N, Jouve M, et al. Specificities of exosome versus small ectosome secretion revealed by live intracellular tracking of CD63 and CD9[J/OL]. Nat Commun, 2021, 12(1): 4389[2021-07-19]. https://pubmed.ncbi.nlm.nih.gov/34282141/. DOI: 10.1038/s41467-021-24384-2.
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- 14. Kang GY, Bang JY, Choi AJ, et al. Exosomal proteins in the aqueous humor as novel biomarkers in patients with neovascular age-related macular degeneration[J]. J Proteome Res, 2014, 13(2): 581-595. DOI: 10.1021/pr400751k.
- 15. Zhu L, Zang J, Liu B, et al. Oxidative stress-induced RAC autophagy can improve the HUVEC functions by releasing exosomes[J]. J Cell Physiol, 2020, 235(10): 7392-7409. DOI: 10.1002/jcp.29641.
- 16. Otsuki Y, Ito E, Mukai A, et al. CD63(+) extracellular vesicles from retinal pigment epithelial cells participate in crosstalk with macrophages in the innate inflammatory axis[J/OL]. Exp Eye Res, 2021, 205: 108496[2021-02-19]. https://pubmed.ncbi.nlm.nih.gov/33610602/. DOI: 10.1016/j.exer.2021.108496.
- 17. Aires ID, Ribeiro-Rodrigues T, Boia R, et al. Exosomes derived from microglia exposed to elevated pressure amplify the neuroinflammatory response in retinal cells[J]. Glia, 2020, 68(12): 2705-2724. DOI: 10.1002/glia.23880.
- 18. Gurunathan S, Kang MH, Jeyaraj M, et al. Review of the isolation, characterization, biological function, and multifarious therapeutic approaches of exosomes[J]. Cells, 2019, 8(4): 307. DOI: 10.3390/cells8040307.
- 19. Robbins PD, Morelli AE. Regulation of immune responses by extracellular vesicles[J]. Nat Rev Immunol, 2014, 14(3): 195-208. DOI: 10.1038/nri3622.
- 20. Morris DR, Bounds SE, Liu H, et al. Exosomal miRNA transfer between retinal microglia and RPE[J/OL]. Int J Mol Sci, 2020, 21(10): 3541[2020-05-17]. https://pubmed.ncbi.nlm.nih.gov/32429541/. DOI: 10.3390/ijms21103541.
- 21. Ren Z, Qi Y, Sun S, et al. Mesenchymal stem cell-derived exosomes: hope for spinal cord injury repair[J]. Stem Cells Dev, 2020, 29(23): 1467-1478. DOI: 10.1089/scd.2020.0133.
- 22. Yu B, Shao H, Su C, et al. Exosomes derived from MSCs ameliorate retinal laser injury partially by inhibition of MCP-1[J/OL]. Sci Rep, 2016, 6: 34562[2016-09-30]. https://pubmed.ncbi.nlm.nih.gov/27686625/. DOI: 10.1038/srep34562.
- 23. Gardiner C, Di Vizio D, Sahoo S, et al. Techniques used for the isolation and characterization of extracellular vesicles: results of a worldwide survey[J/OL]. J Extracell Vesicles, 2016, 5: 32945[2016-10-31]. https://pubmed.ncbi.nlm.nih.gov/27802845/. DOI: 10.3402/jev.v5.32945.
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- 25. Jiang N, Li Z, Li Z, et al. Laquinimod exerts anti-inflammatory and antiapoptotic effects in retinal ischemia/reperfusion injury[J/OL]. Int Immunopharmacol, 2020, 88: 106989[2020-09-18]. https://pubmed.ncbi.nlm.nih.gov/33182069/. DOI: 10.1016/j.intimp.2020.106989.
- 26. 郭苗, 颜华. 视网膜缺血再灌注损伤的发病机制与治疗进展[J]. 中华眼底病杂志, 2020, 36(6): 483-488. DOI: 10.3760/cma.j.cn511434-20180807-00276.Guo M, Yan H. Research progress in the mechanism and treatment of retinal ischemia reperfusion injury[J]. Chin J Ocul Fundus Dis, 2020, 36(6): 483-488. DOI: 10.3760/cma.j.cn511434-20180807-00276.
- 27. Chen B, Caballero S, Seo S, et al. Delivery of antioxidant enzyme genes to protect against ischemia/reperfusion-induced injury to retinal microvasculature[J]. Invest Ophthalmol Vis Sci, 2009, 50(12): 5587-5595. DOI: 10.1167/iovs.09-3633.
- 28. Ma Q. Role of nrf2 in oxidative stress and toxicity[J]. Annu Rev Pharmacol Toxicol, 2013, 53: 401-426. DOI: 10.1146/annurev-pharmtox-011112-140320.
- 29. Wan P, Su W, Zhang Y, et al. LncRNA H19 initiates microglial pyroptosis and neuronal death in retinal ischemia/reperfusion injury[J]. Cell Death Differ, 2020, 27(1): 176-191. DOI: 10.1038/s41418-019-0351-4.
- 30. Zhang Y, Zhang Z, Yan H. Simvastatin inhibits ischemia/reperfusion injury-induced apoptosis of retinal cells via downregulation of the tumor necrosis factor-α/nuclear factor-κB pathway[J]. Int J Mol Med, 2015, 36(2): 399-405. DOI: 10.3892/ijmm.2015.2244.
- 31. Aydemir O, Celebi S, Yilmaz T, et al. Protective effects of vitamin E forms (alpha-tocopherol, gamma-tocopherol and d-alpha-tocopherol polyethylene glycol 1000 succinate) on retinal edema during ischemia-reperfusion injury in the guinea pig retina[J]. Int Ophthalmol, 2004, 25(5-6): 283-289. DOI: 10.1007/s10792-005-2034-z.
- 32. Yazici A, Aksit H, Sari ES, et al. Comparison of pre-treatment and post-treatment use of selenium in retinal ischemia reperfusion injury[J]. Int J Ophthalmol, 2015, 8(2): 263-268. DOI: 10.3980/j.issn.2222-3959.2015.02.09.
- 33. Liu L, Sun Q, Wang R, et al. Methane attenuates retinal ischemia/reperfusion injury via anti-oxidative and anti-apoptotic pathways[J]. Brain Res, 2016, 1646: 327-333. DOI: 10.1016/j.brainres.2016.05.037.
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