Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury

Acute kidney injury (AKI) is a rapid decline in renal function caused by ischemia/reperfusion (I/R), renal toxic injury, and sepsis. While the precise molecular mechanisms underlying AKI are still under investigation, current therapeutic approaches remain insufficient. In recent years, there has bee...

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Main Authors: Weidong Wang, Jingyu Wang, Dan Liao
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/sci/1075016
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author Weidong Wang
Jingyu Wang
Dan Liao
author_facet Weidong Wang
Jingyu Wang
Dan Liao
author_sort Weidong Wang
collection DOAJ
description Acute kidney injury (AKI) is a rapid decline in renal function caused by ischemia/reperfusion (I/R), renal toxic injury, and sepsis. While the precise molecular mechanisms underlying AKI are still under investigation, current therapeutic approaches remain insufficient. In recent years, there has been growing evidence that mesenchymal stem cells (MSCs) have great potential in accelerating renal repair after AKI in various preclinical models, while there has been extensive research on extracellular vesicles (EVs) as therapeutic mediators in AKI models, and they are considered to be superior to MSCs as new regenerative therapies. EVs are nanoparticles secreted by various types of cells under physiological and pathological conditions. EVs derived from various sources possess biomarker potential and play crucial roles in mediating cellular communication between kidney cells and other tissue cells by transmitting signal molecules. These vesicles play a direct and indirect role in regulating the pathophysiological mechanisms of AKI and contribute to the occurrence, development, treatment, and repair of AKI. In this review, we briefly outline the essential characteristics of EVs, focus on the multiple molecular mechanisms currently involved in the protection of EVs against different types of AKI, and further discuss the potential targets of EVs from different sources in the treatment of AKI. Finally, we summarized the deficiencies in the production and treatment of EVs and the current strategies for improvement.
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spelling doaj-art-2baff54577a1472893f6989c47330d4c2025-08-20T01:50:37ZengWileyStem Cells International1687-96782025-01-01202510.1155/sci/1075016Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney InjuryWeidong Wang0Jingyu Wang1Dan Liao2Department of NephrologyRenal DivisionDepartment of NephrologyAcute kidney injury (AKI) is a rapid decline in renal function caused by ischemia/reperfusion (I/R), renal toxic injury, and sepsis. While the precise molecular mechanisms underlying AKI are still under investigation, current therapeutic approaches remain insufficient. In recent years, there has been growing evidence that mesenchymal stem cells (MSCs) have great potential in accelerating renal repair after AKI in various preclinical models, while there has been extensive research on extracellular vesicles (EVs) as therapeutic mediators in AKI models, and they are considered to be superior to MSCs as new regenerative therapies. EVs are nanoparticles secreted by various types of cells under physiological and pathological conditions. EVs derived from various sources possess biomarker potential and play crucial roles in mediating cellular communication between kidney cells and other tissue cells by transmitting signal molecules. These vesicles play a direct and indirect role in regulating the pathophysiological mechanisms of AKI and contribute to the occurrence, development, treatment, and repair of AKI. In this review, we briefly outline the essential characteristics of EVs, focus on the multiple molecular mechanisms currently involved in the protection of EVs against different types of AKI, and further discuss the potential targets of EVs from different sources in the treatment of AKI. Finally, we summarized the deficiencies in the production and treatment of EVs and the current strategies for improvement.http://dx.doi.org/10.1155/sci/1075016
spellingShingle Weidong Wang
Jingyu Wang
Dan Liao
Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
Stem Cells International
title Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
title_full Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
title_fullStr Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
title_full_unstemmed Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
title_short Effects and Mechanisms of Extracellular Vesicles in Different Models of Acute Kidney Injury
title_sort effects and mechanisms of extracellular vesicles in different models of acute kidney injury
url http://dx.doi.org/10.1155/sci/1075016
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