Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury

Abstract Hepatic ischemia-reperfusion injury (HIRI) severely threatens the success rates of liver surgery and transplantation. Its complex pathological process involves multiple factors such as oxidative stress, inflammatory responses, and ferroptosis, creating an urgent need for new therapeutic str...

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Main Authors: Bo Zhao, Jiping Wei, Zijian Jiang, Yiming Long, Yan Xu, Botao Jiang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-025-04302-9
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author Bo Zhao
Jiping Wei
Zijian Jiang
Yiming Long
Yan Xu
Botao Jiang
author_facet Bo Zhao
Jiping Wei
Zijian Jiang
Yiming Long
Yan Xu
Botao Jiang
author_sort Bo Zhao
collection DOAJ
description Abstract Hepatic ischemia-reperfusion injury (HIRI) severely threatens the success rates of liver surgery and transplantation. Its complex pathological process involves multiple factors such as oxidative stress, inflammatory responses, and ferroptosis, creating an urgent need for new therapeutic strategies. Exosomes derived from mesenchymal stem cells (MSCs) are emerging as a next-generation acellular therapeutic approach. With their outstanding immune-regulatory capabilities, significant reparative functions, and good biocompatibility, they are leading innovations in the field of HIRI treatment. This article provides a systematic comparison of the therapeutic characteristics of MSC-derived exosomes(MSC-EXOs) from four different sources: adipose tissue, bone marrow, umbilical cord, and induced pluripotent stem cells. Although the clinical translation of MSC-EXOs still faces challenges such as variations in isolation methods, large-scale production, and safety assessments, their remarkable therapeutic effects and vast application potential signal the arrival of a new era of precision treatment for HIRI. This review not only provides a comprehensive theoretical foundation to promote the clinical application of MSC-EXOs but also opens up innovative research directions in the field of regenerative medicine.
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series Stem Cell Research & Therapy
spelling doaj-art-213fb3ce000b49dc8f6cf18b0223e1f02025-08-20T02:17:46ZengBMCStem Cell Research & Therapy1757-65122025-04-0116111310.1186/s13287-025-04302-9Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injuryBo Zhao0Jiping Wei1Zijian Jiang2Yiming Long3Yan Xu4Botao Jiang5School of Pharmacy, Xianning Medical College, Hubei University of Science and TechnologySchool of Pharmacy, Xianning Medical College, Hubei University of Science and TechnologyYangtze UniversitySchool of Pharmacy, Xianning Medical College, Hubei University of Science and TechnologySchool of Pharmacy, Xianning Medical College, Hubei University of Science and TechnologyDepartment of Urology, Xianning Central Hospital, the First Affiliated Hospital of Hubei University of Science and TechnologyAbstract Hepatic ischemia-reperfusion injury (HIRI) severely threatens the success rates of liver surgery and transplantation. Its complex pathological process involves multiple factors such as oxidative stress, inflammatory responses, and ferroptosis, creating an urgent need for new therapeutic strategies. Exosomes derived from mesenchymal stem cells (MSCs) are emerging as a next-generation acellular therapeutic approach. With their outstanding immune-regulatory capabilities, significant reparative functions, and good biocompatibility, they are leading innovations in the field of HIRI treatment. This article provides a systematic comparison of the therapeutic characteristics of MSC-derived exosomes(MSC-EXOs) from four different sources: adipose tissue, bone marrow, umbilical cord, and induced pluripotent stem cells. Although the clinical translation of MSC-EXOs still faces challenges such as variations in isolation methods, large-scale production, and safety assessments, their remarkable therapeutic effects and vast application potential signal the arrival of a new era of precision treatment for HIRI. This review not only provides a comprehensive theoretical foundation to promote the clinical application of MSC-EXOs but also opens up innovative research directions in the field of regenerative medicine.https://doi.org/10.1186/s13287-025-04302-9Hepatic Ischemia-Reperfusion Injury(HIRI)MSC-derived exosomes(MSC-EXOs)FerroptosisTherapeutic standardizationRegenerative medicine
spellingShingle Bo Zhao
Jiping Wei
Zijian Jiang
Yiming Long
Yan Xu
Botao Jiang
Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
Stem Cell Research & Therapy
Hepatic Ischemia-Reperfusion Injury(HIRI)
MSC-derived exosomes(MSC-EXOs)
Ferroptosis
Therapeutic standardization
Regenerative medicine
title Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
title_full Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
title_fullStr Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
title_full_unstemmed Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
title_short Mesenchymal stem cell-derived exosomes: an emerging therapeutic strategy for hepatic ischemia-reperfusion injury
title_sort mesenchymal stem cell derived exosomes an emerging therapeutic strategy for hepatic ischemia reperfusion injury
topic Hepatic Ischemia-Reperfusion Injury(HIRI)
MSC-derived exosomes(MSC-EXOs)
Ferroptosis
Therapeutic standardization
Regenerative medicine
url https://doi.org/10.1186/s13287-025-04302-9
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AT zijianjiang mesenchymalstemcellderivedexosomesanemergingtherapeuticstrategyforhepaticischemiareperfusioninjury
AT yiminglong mesenchymalstemcellderivedexosomesanemergingtherapeuticstrategyforhepaticischemiareperfusioninjury
AT yanxu mesenchymalstemcellderivedexosomesanemergingtherapeuticstrategyforhepaticischemiareperfusioninjury
AT botaojiang mesenchymalstemcellderivedexosomesanemergingtherapeuticstrategyforhepaticischemiareperfusioninjury