Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights

BackgroundSpinal cord injury (SCI) often leads to severe motor and sensory impairments, and current treatment methods have not achieved complete neural repair. In recent years, exosomes have become a research focus in the treatment of nerve injuries due to their important roles in intercellular info...

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Main Authors: Haixia Fan, Jie Gao, Qian Chen, Shuangshuang Sun, Jinshen Guo, Xiaodong Liu, Jinhu Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1652196/full
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author Haixia Fan
Jie Gao
Qian Chen
Shuangshuang Sun
Jinshen Guo
Xiaodong Liu
Jinhu Li
author_facet Haixia Fan
Jie Gao
Qian Chen
Shuangshuang Sun
Jinshen Guo
Xiaodong Liu
Jinhu Li
author_sort Haixia Fan
collection DOAJ
description BackgroundSpinal cord injury (SCI) often leads to severe motor and sensory impairments, and current treatment methods have not achieved complete neural repair. In recent years, exosomes have become a research focus in the treatment of nerve injuries due to their important roles in intercellular information transfer, immune regulation, and neural repair. Our study conducts a scientometric analysis to map the research landscape related to exosomes in SCI.MethodsArticles and reviews related to exosome in SCI were retrieved from the Web of Science Core Collection and Scopus. Analysis was conducted using Microsoft Excel 2021, CiteSpace (6.4.R1), VOSviewer (1.6.18), the R software (4.4.3) bibliometrix package, etc.,ResultsSince 2018, the number of publications has rapidly increased. Fan Jin is the most academically influential author in the field, while Cai Weihua’s research has received widespread recognition from researchers. China is the leading contributor among the 32 countries/regions. Among the 708 institutions, Central South University and Zhejiang University are the primary supporters. Journal of Nanobiotechnology is the most influential journal in this field, with Neural Regeneration Research and Cells also making significant contributions. Keyword analysis focuses on “mesenchymal stem cells,” “inflammation,” “cell therapy,” “axonal regeneration,” “functional recovery,” “neuroinflammation,” “neurodegeneration,” “ferroptosis,” “pyroptosis,” and “precision medicine” emphasizing cellular therapies for tissue repair. Emerging topics like “nanoparticles” show significant potential in SCI treatment, further enhancing regenerative medicine approaches.ConclusionOur study show that the growing global interest in exosome-based therapies for SCI, marking an important step in understanding their preclinical potential. These therapies show promise in promoting neuroprotection, axonal regeneration, and modulating inflammation. Moving forward, future research will focus on further exploring the integration of exosome therapies with advanced drug delivery systems and regenerative medicine, aiming to enhance SCI treatments and tailor recovery strategies in preclinical models.
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spelling doaj-art-e8fd505b803f407594a986a8d1652a162025-08-25T05:25:18ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-08-011910.3389/fnins.2025.16521961652196Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insightsHaixia Fan0Jie Gao1Qian Chen2Shuangshuang Sun3Jinshen Guo4Xiaodong Liu5Jinhu Li6First Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, Shanxi, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, Shanxi, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, Shanxi, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, Shanxi, ChinaFirst Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaFirst Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaBackgroundSpinal cord injury (SCI) often leads to severe motor and sensory impairments, and current treatment methods have not achieved complete neural repair. In recent years, exosomes have become a research focus in the treatment of nerve injuries due to their important roles in intercellular information transfer, immune regulation, and neural repair. Our study conducts a scientometric analysis to map the research landscape related to exosomes in SCI.MethodsArticles and reviews related to exosome in SCI were retrieved from the Web of Science Core Collection and Scopus. Analysis was conducted using Microsoft Excel 2021, CiteSpace (6.4.R1), VOSviewer (1.6.18), the R software (4.4.3) bibliometrix package, etc.,ResultsSince 2018, the number of publications has rapidly increased. Fan Jin is the most academically influential author in the field, while Cai Weihua’s research has received widespread recognition from researchers. China is the leading contributor among the 32 countries/regions. Among the 708 institutions, Central South University and Zhejiang University are the primary supporters. Journal of Nanobiotechnology is the most influential journal in this field, with Neural Regeneration Research and Cells also making significant contributions. Keyword analysis focuses on “mesenchymal stem cells,” “inflammation,” “cell therapy,” “axonal regeneration,” “functional recovery,” “neuroinflammation,” “neurodegeneration,” “ferroptosis,” “pyroptosis,” and “precision medicine” emphasizing cellular therapies for tissue repair. Emerging topics like “nanoparticles” show significant potential in SCI treatment, further enhancing regenerative medicine approaches.ConclusionOur study show that the growing global interest in exosome-based therapies for SCI, marking an important step in understanding their preclinical potential. These therapies show promise in promoting neuroprotection, axonal regeneration, and modulating inflammation. Moving forward, future research will focus on further exploring the integration of exosome therapies with advanced drug delivery systems and regenerative medicine, aiming to enhance SCI treatments and tailor recovery strategies in preclinical models.https://www.frontiersin.org/articles/10.3389/fnins.2025.1652196/fullspinal cord injuryexosomesinflammationneuroprotectionmesenchymal stem cells
spellingShingle Haixia Fan
Jie Gao
Qian Chen
Shuangshuang Sun
Jinshen Guo
Xiaodong Liu
Jinhu Li
Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
Frontiers in Neuroscience
spinal cord injury
exosomes
inflammation
neuroprotection
mesenchymal stem cells
title Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
title_full Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
title_fullStr Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
title_full_unstemmed Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
title_short Emerging regenerative strategies for spinal cord injury: exosome-derived mechanisms and therapeutic insights
title_sort emerging regenerative strategies for spinal cord injury exosome derived mechanisms and therapeutic insights
topic spinal cord injury
exosomes
inflammation
neuroprotection
mesenchymal stem cells
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1652196/full
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