Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection

Extracellular vesicles, which are predominantly classified into ectosomes and exosomes, are released by all cells under both physiological conditions and in response to acquired pathological states. Exosomes demonstrate multifaceted functions: they regulate cellular homeostasis through the eliminati...

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Main Authors: Qin Ye, Zi-Hang Yu, Liang Nie, Fei-Xiang Wang, Guo Mu, Bin Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1533628/full
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author Qin Ye
Zi-Hang Yu
Liang Nie
Fei-Xiang Wang
Guo Mu
Bin Lu
author_facet Qin Ye
Zi-Hang Yu
Liang Nie
Fei-Xiang Wang
Guo Mu
Bin Lu
author_sort Qin Ye
collection DOAJ
description Extracellular vesicles, which are predominantly classified into ectosomes and exosomes, are released by all cells under both physiological conditions and in response to acquired pathological states. Exosomes demonstrate multifaceted functions: they regulate cellular homeostasis through the elimination of redundant or detrimental intracellular components, function as mediators in intercellular signaling pathways, and serve as potential vectors for both diagnostic and therapeutic applications. Intestinal ischemia-reperfusion injury (IRI), a prevalent form of tissue and organ injury in surgical settings, has been extensively investigated. Emerging evidence indicates a crucial relationship between exosomes and intestinal IRI, specifically regarding how exosomes derived from either intestinal tissue or distant organs can modulate the pathophysiological progression of intestinal IRI. This review systematically evaluates the mechanistic roles of exosomes in intestinal IRI and their involvement in post-intestinal IRI multiple organ dysfunction, aiming to establish a theoretical foundation for therapeutic interventions and future research directions.
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institution OA Journals
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language English
publishDate 2025-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj-art-91c4fd5ea3e143728d8a7cc3a66083ea2025-08-20T02:16:11ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-04-011610.3389/fphar.2025.15336281533628Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protectionQin Ye0Zi-Hang Yu1Liang Nie2Fei-Xiang Wang3Guo Mu4Bin Lu5Department of Anesthesiology, Zigong Fourth People’s Hospital, Zigong, Sichuan, ChinaDepartment of Anesthesiology, Fushun County People’s Hospital, Zigong, Sichuan, ChinaDepartment of Anesthesiology, Fushun County People’s Hospital, Zigong, Sichuan, ChinaDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Anesthesiology, Zigong Fourth People’s Hospital, Zigong, Sichuan, ChinaDepartment of Anesthesiology, Zigong Fourth People’s Hospital, Zigong, Sichuan, ChinaExtracellular vesicles, which are predominantly classified into ectosomes and exosomes, are released by all cells under both physiological conditions and in response to acquired pathological states. Exosomes demonstrate multifaceted functions: they regulate cellular homeostasis through the elimination of redundant or detrimental intracellular components, function as mediators in intercellular signaling pathways, and serve as potential vectors for both diagnostic and therapeutic applications. Intestinal ischemia-reperfusion injury (IRI), a prevalent form of tissue and organ injury in surgical settings, has been extensively investigated. Emerging evidence indicates a crucial relationship between exosomes and intestinal IRI, specifically regarding how exosomes derived from either intestinal tissue or distant organs can modulate the pathophysiological progression of intestinal IRI. This review systematically evaluates the mechanistic roles of exosomes in intestinal IRI and their involvement in post-intestinal IRI multiple organ dysfunction, aiming to establish a theoretical foundation for therapeutic interventions and future research directions.https://www.frontiersin.org/articles/10.3389/fphar.2025.1533628/fullexosomesischemia-reperfusion injuryintestinal ischemia-reperfusion injuryintestinal injurymultiorgan injury
spellingShingle Qin Ye
Zi-Hang Yu
Liang Nie
Fei-Xiang Wang
Guo Mu
Bin Lu
Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
Frontiers in Pharmacology
exosomes
ischemia-reperfusion injury
intestinal ischemia-reperfusion injury
intestinal injury
multiorgan injury
title Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
title_full Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
title_fullStr Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
title_full_unstemmed Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
title_short Understanding the complex role of exosomes in intestinal ischemia-reperfusion injury: from pathogenesis to protection
title_sort understanding the complex role of exosomes in intestinal ischemia reperfusion injury from pathogenesis to protection
topic exosomes
ischemia-reperfusion injury
intestinal ischemia-reperfusion injury
intestinal injury
multiorgan injury
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1533628/full
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